Organization Active NPI

Ketamend Therapeutics PLLC

  • Medical Specialty Clinic/Center
  • Norwalk, CT
National Provider Identifier
1023929718
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
KETAMEND THERAPEUTICS PLLC
Practice address
83 East Ave Ste 114-116
Norwalk, CT 06851-4920
Phone
(203) 989-4608
NPI assigned
Sep 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Eric Nicholas Christie, DO
Title
Owner / Medical Director
Phone
(203) 989-4608

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

83 East Ave Ste 114-116
Norwalk, CT 06851-4920

Mailing address

6 Steeple Top Rd
Norwalk, CT 06853-1039
Phone (203) 989-4608

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1789344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789344000000",
    "number": "1023929718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 STEEPLE TOP RD",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068531039",
            "telephone_number": "203-989-4608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "83 EAST AVE STE 114-116",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514920",
            "telephone_number": "203-989-4608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMEND THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-14",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-11",
        "status": "A",
        "authorized_official_last_name": "CHRISTIE",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "OWNER / MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-989-4608",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.