NPIMap

Organization Active NPI

Complete Ketamine Solutions of Stamford LLC

  • Clinic/Center
  • Stamford, CT
National Provider Identifier
1114748555
Registry record updated Oct 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
COMPLETE KETAMINE SOLUTIONS OF STAMFORD LLC
Practice address
80 Mill River St Ste 1500
Stamford, CT 06902-3756
Phone
(203) 595-5340
Fax
(203) 595-5341
NPI assigned
Oct 18, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2024

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

Authorized official

Name
Craig Spinney
Title
Director
Phone
(203) 595-5340

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

80 Mill River St Ste 1500
Stamford, CT 06902-3756

Mailing address

80 Mill River St Ste 1500
Stamford, CT 06902-3756
Phone (203) 595-5340

National Provider Directory

National Provider Directory

Locations

80 Mill River St
Ste 1500
Stamford, CT 06902
Phone (203) 595-5340

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729209600000",
    "number": "1114748555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER ST STE 1500",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023756",
            "telephone_number": "203-595-5340",
            "fax_number": "203-595-5341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 MILL RIVER ST STE 1500",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023756",
            "telephone_number": "203-595-5340",
            "fax_number": "203-595-5341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE KETAMINE SOLUTIONS OF STAMFORD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A",
        "authorized_official_last_name": "SPINNEY",
        "authorized_official_first_name": "CRAIG",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "203-595-5340"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.