Individual provider Active NPI

Ketie D Saintelus, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • New York, NY
National Provider Identifier
1962698530
Registry record updated Oct 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
404143-01 Issued in NY
Practice address
80 5TH Ave
New York, NY 10011-8002
Phone
(347) 707-7735
Fax
(347) 745-0992
NPI assigned
Sep 18, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 335058 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 404143-01 NY Primary

Addresses

Primary practice location

80 5TH Ave
New York, NY 10011-8002

Mailing address

818 E 22ND St
Brooklyn, NY 11210-2144
Phone (718) 859-9202

Other practice location 1

7 Franklin Ave
Lynbrook, NY 11563-1264
Phone (516) 316-9025

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110923000369 NY Practitioner - Nurse Practitioner 1658542667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

33 Front St
Suite 101
Hempstead, NY 11550-3601
Phone (516) 266-6264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
335058NYMDLicensed Practical Nurse
404143-01NYMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
KS Family Health Nurse Practitioner PLLC Family CurrentSince Apr 1, 2024 Accepting new patients
Health Care Choices Ny Inc CurrentSince Apr 5, 2017 Accepting new patients
Orenda Psychiatry PLLC Psychiatric/Mental Health PastSince Nov 5, 2025 Accepting new patients

Locations

179 Jamaica Ave
Brooklyn, NY 11207
Phone (718) 906-3800

6209 16th Ave
Brooklyn, NY 11204
Phone (718) 234-0073

820 Hempstead Tpke
Lowr
Franklin Square, NY 11010
Phone (516) 233-2964

33 Front St
Ste 101
Hempstead, NY 11550
Phone (516) 266-6264

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696204800000",
    "number": "1962698530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 E 22ND ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102144",
            "telephone_number": "718-859-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118002",
            "telephone_number": "347-707-7735",
            "fax_number": "347-745-0992"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Franklin Ave",
            "address_purpose": "LOCATION",
            "city": "Lynbrook",
            "state": "NY",
            "postal_code": "115631264",
            "country_code": "US",
            "telephone_number": "516-316-9025",
            "fax_number": "917-920-4148",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAINTELUS",
        "first_name": "KETIE",
        "middle_name": "D",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-18",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "335058",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "404143-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.