Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS KAELEIGH S CLARK
NPI 1437824752
Counselor - Mental Health in Brooklyn, NY

Q: What is Kaeleigh Clark's NPI number?

The NPI number for Kaeleigh Clark is 1437824752. It was assigned to this individual provider in the NPPES registry on August 9, 2021.

Q: What is Kaeleigh Clark's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Kaeleigh Clark was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 09, 2021PECOS EnrolledAccepts Medicare Assignment

203 JAY ST STE 501, BROOKLYN, NY 11201(347) 304-9465(631) 850-6900 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 1, 2026, Aug 9, 2021 (2 updates tracked since 2021).

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About Miss Kaeleigh S Clark NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS KAELEIGH S CLARK (NPI 1437824752) is an individual mental health provider in Brooklyn, New York, licensed in New York (017266) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Poughkeepsie, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1437824752

Entity TypeIndividualFemale

Primary Taxonomy101YM0800X

Provider Legal NameMISS KAELEIGH S CLARK

Location Address203 JAY ST STE 501Brooklyn, NY 11201-4398

Mailing AddressPo Box 823Newburgh, NY 12551-0823

Phone(347) 304-9465

Fax(631) 850-6900

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateAugust 9, 2021

Last NPPES UpdateJune 19, 20262 updates tracked since enumeration

NPPES CertifiedJune 19, 2026

✔ NPI 1437824752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

License✔ Licensed in NY · 017266

203 JAY ST STE 501, Brooklyn, NY 11201

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Secondary Practice Location 1

Location 146 Lincoln AvePoughkeepsie, NY 12601 · Phone (845) 471-6004

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miss Kaeleigh S Clark is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8224505847

PECOS Enrollment IDI20260430002615

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA RAE SOSNOWSKI NP

Nurse Practitioner (Psychiatric/Mental Health)