Centre You Ketamine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

CENTRE YOU KETAMINE LLC

Practice address

491 N Freedom Blvd
Provo, UT 84601-2824

Phone

(844) 236-8738

NPI assigned

Aug 24, 2023

Organization subpart

No

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

Authorized official

Name

John Bell

Title

Manager

Phone

(844) 236-8738

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1692835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692835200000",
    "number": "1174307615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 E 1910 S STE 102",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846065562",
            "telephone_number": "844-236-8738",
            "fax_number": "833-671-0458"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "491 N FREEDOM BLVD",
            "city": "PROVO",
            "state": "UT",
            "postal_code": "846012824",
            "telephone_number": "844-236-8738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRE YOU KETAMINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-24",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A",
        "authorized_official_last_name": "BELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "844-236-8738"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Central Utah Eye Associates
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• Central Utah Optical (Excel Eye Center)
• Central Utah Surgical Center L.L.C.
• Centre Health Group
• Yael Cerero Perote
• Chad Christiansen, MD, LLC
• Melody Ann Chadsey, BA SSW
• Phillip Lee Chaffin Jr., MD
• Angela Chamberlain, NP-C

• Clinic/Center in Provo, UT
• Providers in Provo, UT by specialty
• Clinic/Center in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 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.