Ketamine Treatment Centers of Denver PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KETAMINE TREATMENT CENTERS OF DENVER PLLC

Practice address

1355 S Colorado Blvd # C-304
Denver, CO 80222-3305

Phone

(888) 566-8774

NPI assigned

Apr 6, 2018

Organization subpart

No

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

Authorized official

Name

Steven Levine, MD

Title

Managing Member

Phone

(609) 651-4429

Specialties & licenses 1

Addresses

Other names 1

• Actify Neurotherapies Doing business as

Locations

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

{
    "created_epoch": "1522972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522972800000",
    "number": "1255838348",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR STE 304",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-651-4429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 S COLORADO BLVD # C-304",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802223305",
            "telephone_number": "888-566-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE TREATMENT CENTERS OF DENVER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-06",
        "last_updated": "2018-04-06",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "609-651-4429",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Actify Neurotherapies",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Kessler, DDS
• Nicole Kessler, MS CCC-SLP
• Maggie Kestel, APRN, FNP-C
• Bonnie Lee Kester, PSYD
• Mary Kestler, MD
• Abigail Ketch, PT, DPT
• Marilyn Vigil Ketcham, DDS
• Donna Ann Ketcheson, CNP, CNM, MSN
• Yemeserach Ketema
• Joel Franklin Ketner

• Psychiatry Physician in Denver, CO
• Providers in Denver, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2018; 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.