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KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC
NPI 1639996242
Nurse Practitioner - Psychiatric/Mental Health in Brooklyn, NY

Active since September 24, 2024
109 N 12TH ST STE 704, BROOKLYN, NY 11249(347) 378-3144(469) 242-9827 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 14, 2025, Sep 24, 2024 (2 updates tracked since 2024).

About Kle Nurse Practitioner In Psychiatry Pllc NPPES

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

KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC (NPI 1639996242) is a healthcare organization registered as a psychiatric/mental health in Brooklyn, New York and active in the NPI registry since September 2024. The organization lists Kemisola Ebietomiye, Owner Of Entity, as its authorized official.

NPPES Registry Identity

NPI1639996242
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameKLE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Location Address109 N 12TH ST STE 704Brooklyn, NY 11249-1002
Mailing Address548 Westwood Way DrHaslet, TX 76052-3079 · (347) 378-3144 · Fax (469) 242-9827
Phone(347) 378-3144
Fax(469) 242-9827
Organization SubpartNo
Authorized OfficialKemisola EbietomiyeOwner Of Entity · (347) 378-3144
Enumeration DateSeptember 24, 2024
Last NPPES UpdateMay 14, 20252 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1639996242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
109 N 12TH ST STE 704, Brooklyn, NY 11249
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

NATALIE GRANT-VILLEGAS
Nurse Practitioner (Psychiatric/Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (415) 350-3213
DR. HAMILTON ELIJAH SMITH APRN
Nurse Practitioner (Psychiatric/Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (478) 202-9589
SANAYA MARIA KATRAK
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (347) 699-1618
MR. WILLIAM LI MHC-LP
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (347) 752-1259
TWENTY FOUR CREATIVE ART THERAPY
Clinic/Center (Adult Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (646) 535-0364
TAYLOR LEE
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (917) 524-9031
MS. IVONA HUSZCZA LCSW
Social Worker (Clinical)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (718) 841-0829
DR. ISAAC ROBERT NAGEL M.D.
Psychiatry & Neurology (Psychiatry)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Kings County (844) 384-2779

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kle Nurse Practitioner In Psychiatry PLLC's NPI number?

The NPI number for Kle Nurse Practitioner In Psychiatry PLLC is 1639996242. It was assigned to this organization in the NPPES registry on September 24, 2024.

Where is Kle Nurse Practitioner In Psychiatry PLLC located?

Kle Nurse Practitioner In Psychiatry PLLC is located at 109 N 12th St Ste 704, Brooklyn, NY 11249. The listed phone number is (347) 378-3144.

What is Kle Nurse Practitioner In Psychiatry PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Kle Nurse Practitioner In Psychiatry PLLC was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.