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

Ny Ketamine Medical Practice PLLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1073496402

Ny Ketamine Medical Practice PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in New York, New York. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

160 Broadway Fl 16
New York, NY 10038-4207
Phone: (917) 261-7370
Fax: (917) 477-6421
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 150 Broadhollow Rd Ste 103, Melville, NY 11747-4901 — (917) 261-7370

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1073496402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Heather Okeefe — Chief Financial Officer · (509) 994-1345
Other names Ny Ketamine Medical Practice
NPI enumeratedJuly 31, 2025
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026
Mailing addressPo Box 32, Woodlawn, TN 37191-0032

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