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: July 19, 2026.

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

  • Organization
  • Nurse Practitioner
  • Psychiatric/Mental Health

About KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC

This page provides the complete NPI Profile along with additional information for Kle Nurse Practitioner In Psychiatry Pllc, a provider established in Brooklyn, New York operating as a Nurse Practitioner, focusing in psychiatric/mental health . The healthcare provider is registered in the NPI registry with number 1639996242 assigned on September 2024. The practitioner's primary taxonomy code is 363LP0808X. The provider is registered as an organization and their NPI record was last updated one year ago. Kle Nurse Practitioner In Psychiatry Pllc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Kemisola Ebietomiye (Owner Of Entity)

NPI
1639996242 Verify this NPI
Provider Name
KLE NURSE PRACTITIONER IN PSYCHIATRY PLLC
Entity Type
Organization
Location Address
109 N 12TH ST STE 704 BROOKLYN, NY 11249
Location Phone
(347) 378-3144
Location Fax
(469) 242-9827
Mailing Address
548 WESTWOOD WAY DR HASLET, TX 76052
Mailing Phone
(347) 378-3144
Mailing Fax
(469) 242-9827
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-24-2024
Last Update Date
05-14-2025
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A nurse practitioner (NP) like Kle Nurse Practitioner In Psychiatry Pllc is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Psychiatric/Mental Health

Taxonomy Code
363LP0808X
Type
Physician Assistants & Advanced Practice Nursing Providers

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KEMISOLA EBIETOMIYE

Authorized Official Title
OWNER OF ENTITY
Authorized Official Phone
(347) 378-3144

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Other Providers at the Same Location


The following 15 providers are registered at the same or a nearby location.

Nurse Practitioner (Psychiatric/Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Clinic/Center (Adult Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Psychiatry & Neurology (Psychiatry)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Psychologist
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Nurse Practitioner (Women's Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Counselor (Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Social Worker (Clinical)
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Clinic/Center (Mental Health (Including Community Mental Health Center))
109 N 12TH ST STE 704
BROOKLYN, NY 11249
Nurse Practitioner (Psychiatric/Mental Health)
109 N 12TH ST STE 704
BROOKLYN, NY 11249

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639996242, enumerated as an "organization" on September 24, 2024.

The provider is located at 109 N 12TH ST STE 704 BROOKLYN, NY 11249 and the phone number is (347) 378-3144.

Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.