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

Ketamine Infusion Centers, Inc

Organization Clinic/Center · NPI 1740790823

Ketamine Infusion Centers, Inc is a Clinic/Center in Phoenix, Arizona. Registered with an NPI since 2017.

In the registry since
2017
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3724 N 3rd St Ste 201
Phoenix, AZ 85012-2034
Phone: (480) 331-4222
Fax: (480) 404-9649
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Infusion Therapy Clinic/Center (primary) Taxonomy 261QI0500X
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1740790823
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sonny Diaz — Director · (602) 344-9850
Other names Ketamine Infusion Centers
NPI enumeratedOctober 3, 2017
Last updated in NPPESJuly 30, 2021
Certification dateJuly 30, 2021
Mailing address3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034

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