Organization · Type 2 NPI
Ny Ketamine Medical Practice PLLC
Mental Health Clinic/Center (Including Community Mental Health Center) · New York, NY
NPI number
1073496402
Active
Practice location
160 Broadway Fl 16
New York, NY 10038-4207
Fax (917) 477-6421
Mailing address
PO Box 32
Woodlawn, TN 37191-0032
Other practice locations
- 150 Broadhollow Rd Ste 103, Melville, NY 11747-4901 · (917) 261-7370
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) Primary | 261QM0801X | None listed |
Mental Health Clinic/Center (Including Community Mental Health Center): Definition to come...
5 other providers at this address
- Heidi Soo-Jin Chang, PA-CPhysician Assistant New York, NY NPI 1649744707
- Janet Jay Arribas, DOGeneral Practice Physician New York, NY NPI 1861703993
- Kelsey Anne Mulhern, NPPsychiatric/Mental Health Nurse Practitioner New York, NY NPI 1043024094
- Kevin T. Thomas, DCChiropractor New York, NY NPI 1588255095
- Paola VallasterFamily Nurse Practitioner New York, NY NPI 1912762865
Other mental health clinic/center (including community mental health center) providers in New York
- Laurie D Gilkes LCSW PCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1003092958
- John M Ross Ph.d Psychology PCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1003276015
- Talkspace Provider Network Ca PCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1003506866
- Dumont Medical PLLCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1003684911
- Fresh Start Relational TherapyMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1023736352
- Dr. Steingold Psychology P.c.Mental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1033533310
- Cope Nyc LCSW PLLCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1033602933
- Cdo LCSW Therapy, PLLCMental Health Clinic/Center (Including Community Mental Health Center) New York, NY NPI 1033964424
About NPI 1073496402
Ny Ketamine Medical Practice PLLC's National Provider Identifier is 1073496402, issued on Jul 31, 2025. The primary taxonomy on file is Mental Health Clinic/Center (Including Community Mental Health Center) (261QM0801X), and the practice location is in New York, NY. The record was last updated on Jun 3, 2026.