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

Ketamine Uplift Inc

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1942156955

Ketamine Uplift Inc is a Mental Health Clinic/Center (Including Community Mental Health Center) in Marina del Rey, California. Registered with an NPI since 2026.

In the registry since
2026
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

4640 Admiralty Way # 718A
Marina del Rey, CA 90292-6621
Phone: (310) 280-4440
Fax: (310) 929-8436
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Multi-Specialty Clinic/Center (primary) Taxonomy 261QM1300X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X

Record details

NPI number1942156955
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Geoffery O'Neill — President/Owner/Medical Director · (310) 965-6666
NPI enumeratedMarch 10, 2026
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address3111 Via Dolce Apt 506, Marina Del Rey, CA 90292-5077

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