Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ketamine for Depression Salt Lake City LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1477362465

Ketamine for Depression Salt Lake City LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Murray, Utah. Registered with an NPI since 2025.

In the registry since
2025
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

201 E 5900 S Ste 200
Murray, UT 84107-5432
Phone: (385) 474-6946
Fax: (385) 355-2782
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1477362465
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nicolas Salomon — Director · (385) 474-6946
Other names Ketamineslc
NPI enumeratedJanuary 3, 2025
Last updated in NPPESJanuary 3, 2025
Certification dateJanuary 3, 2025
Mailing address201 E 5900 S Ste 200, Murray, UT 84107-5432

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