Ketamine Treatment Centers of California PC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

KETAMINE TREATMENT CENTERS OF CALIFORNIA PC

Doing business as

Actify Neurotherapies

Practice address

1700 California St Ste 450
San Francisco, CA 94109-4592

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

President

Phone

(609) 651-4429

Specialties & licenses 1

Addresses

Other names 1

• Actify Neurotherapies Doing business as

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": "1356848436",
    "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": "1700 CALIFORNIA ST STE 450",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941094592",
            "telephone_number": "888-566-8774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE TREATMENT CENTERS OF CALIFORNIA PC",
        "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": "PRESIDENT",
        "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"
        }
    ]
}

• Kathryn Kessler, DPT
• Lawrence Kessler, REHS
• Nadine Kessler, PT
• Reuben Jack Kessler, ACSW
• Julie Kesterson, RN
• Neal Dexter Ketchum
• Ruhama Ketema
• Ketetha Olengue MD Incorporated (Ordinary Psychiatry)
• Ian Todd Kettelkamp
• Edmund C Keung, M.D.

• Psychiatry Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Psychiatry Physician in California

• 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.