Brian Neal Kleis, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A045439 Issued in CA

Practice address

775 Santa Ynez St
Stanford, CA 94305-8478

Phone

(650) 324-1310

Fax

(650) 324-1310

NPI assigned

May 27, 2009

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1243382400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1243382400000",
    "number": "1790910289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 SANTA YNEZ ST",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058478",
            "telephone_number": "650-324-1310",
            "fax_number": "650-324-1310"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 SANTA YNEZ ST",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943058478",
            "telephone_number": "650-324-1310",
            "fax_number": "650-324-1310"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEIS",
        "first_name": "BRIAN",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-27",
        "last_updated": "2009-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A045439",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A045439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larissa Miyachi Kiwakyou, MD
• Jennifer Lynn Kizner, MED. CCC-SLP
• Kendra Marie Klang, M.D.
• Daniella Bertha Klebaner, MD
• John Paul Kleimeyer, MD
• Michelle Marie Klesczewski, NP
• Anusha Klinder
• Amy Lynn Kloosterboer, MD
• John Morgan Klyver, MD, JD
• Meghan Elizabeth Kneale, NP

• Child & Adolescent Psychiatry Physician in Stanford, CA
• Providers in Stanford, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.