Individual provider Active NPI

Carl Henry Kleban, MD

  • Psychiatry Physician
  • Ny, NY
National Provider Identifier
1871638270
Registry record updated Sep 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
NY 106712 Issued in NY
Practice address
1349 Lexington Ave
1E
Ny, NY 10128-1511
Phone
(212) 876-4153
Fax
(212) 876-6711
NPI assigned
Feb 21, 2007
Last updated
Sep 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NY 106712 NY Primary

Addresses

Primary practice location

1349 Lexington Ave
1E
Ny, NY 10128-1511

Mailing address

1349 Lexington Ave
1E
Ny, NY 10128
Phone (212) 876-4153

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Previously, effective Sep 11, 2024 through Sep 11, 2026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
NY 106712NYMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1172016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789257600000",
    "number": "1871638270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1349 LEXINGTON AVE",
            "address_2": "1E",
            "city": "NY",
            "state": "NY",
            "postal_code": "10128",
            "telephone_number": "212-876-4153",
            "fax_number": "212-876-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1349 LEXINGTON AVE",
            "address_2": "1E",
            "city": "NY",
            "state": "NY",
            "postal_code": "101281511",
            "telephone_number": "212-876-4153",
            "fax_number": "212-876-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLEBAN",
        "first_name": "CARL",
        "middle_name": "HENRY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-21",
        "last_updated": "2026-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "NY 106712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ny, NY

Sources for this page

Verify at the official NPI Registry.