Organization Active NPI

New Life Ketamine Clinic LLC

  • Psychiatry Physician
  • Dayton, OH
National Provider Identifier
1407406697
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
NEW LIFE KETAMINE CLINIC LLC
Practice address
7905 Schatz Pointe Dr Ste 100
Dayton, OH 45459-3856
Phone
(937) 545-5994
NPI assigned
Sep 19, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Mr. Ryan Chanatry, LPCNPI 1841029485
Title
Partner
Phone
(937) 689-5994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

7905 Schatz Pointe Dr Ste 100
Dayton, OH 45459-3856

Mailing address

7901 Schatz Pointe Dr Ste B
Dayton, OH 45459-3824
Phone (937) 554-5994

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251202003144 OH Part B Supplier - Clinic/Group Practice 5698268266 Receives reassigned benefits from 4 practitioners
Practice locations: Dayton, OH

National Provider Directory

National Provider Directory

Locations

7901 Schatz Pointe Dr
Ste 100
Dayton, OH 45459

7905 Schatz Pointe Dr
Ste 100
Dayton, OH 45459
Phone (937) 545-5994

Practitioners & affiliated clinicians

Practitioners 5

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": "1568851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1407406697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 SCHATZ POINTE DR STE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593824",
            "telephone_number": "937-554-5994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7905 SCHATZ POINTE DR STE 100",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454593856",
            "telephone_number": "937-545-5994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LIFE KETAMINE CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-19",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "CHANATRY",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "937-689-5994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.