Ketamine Health Centers of West Palm Beach, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

KETAMINE HEALTH CENTERS OF WEST PALM BEACH, LLC

Practice address

1411 N Flagler Dr Ste 9000
West Palm Beach, FL 33401-3421

Phone

(561) 766-0818

NPI assigned

May 13, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Raul A Cruz, MD

Title

Owner

Phone

(305) 793-4855

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1557705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1073179396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5745 SW 51ST ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331556317",
            "telephone_number": "305-793-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 N FLAGLER DR STE 9000",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013421",
            "telephone_number": "561-766-0818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE HEALTH CENTERS OF WEST PALM BEACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-13",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-793-4855",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer S. Kerbs, CNM
• James Michael Kerpsack, M.D.
• Kedasha Kerr
• Jeryl D Kershner, M.D.
• Moleste Kesner
• Ketamine Treatment Centers of Princeton, LLC
• Joy Kevelson, LMHC
• Kevin J Gilbert MD PA
• Key Billing Service LLC
• Key Glamorous Compassionate Care & More LLC

• Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.