Organization · Type 2 NPI

Ketamine Treatment Centers of Princeton, LLC

Psychiatry Physician · New York, NY

NPI number 1780174482 Active

Practice location

12 E 44th St Fl 6
New York, NY 10017-3624

Call (888) 566-8774 Map

Mailing address

800 Bunn Dr Ste 304
Princeton, NJ 08540-1968

Specialties and licenses

Taxonomy	Code	License
Psychiatry Physician Primary	2084P0800X	None listed

Psychiatry Physician: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic la…

3 other providers at this address

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NPI record

NPI: 1780174482
Entity type: Organization (Type 2)
Issued: May 17, 2018
Last updated: May 17, 2018
Status: Active
Subpart: Yes of Ketamine Treatment Centers of Princeton, LLC

Other names

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Actify Neurotherapies Medical · doing business as

Authorized official

Steven P. Levine
Owner
(609) 651-4429

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780174482

Ketamine Treatment Centers of Princeton, LLC's National Provider Identifier is 1780174482, issued on May 17, 2018. The primary taxonomy on file is Psychiatry Physician (2084P0800X), and the practice location is in New York, NY. The record was last updated on May 17, 2018.