Ketamine Treatment Centers of Princeton, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

25MA08373700 Issued in NJ

Legal business name

KETAMINE TREATMENT CENTERS OF PRINCETON, LLC

Practice address

800 Bunn Dr
Suite 304
Princeton, NJ 08540-1968

Phone

(609) 955-4948

NPI assigned

May 24, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Steven P Levine, M.D.

Title

Managing Member

Phone

(917) 838-2296

Specialties & licenses 1

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ketamine Treatment Centers of Princeton, LLC

  • Psychiatry Physician
  • Whippany, NJ
  • NPI 1730725052
  NPPES parent name

Practitioners 1

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

• Nicole Joslin, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Raleigh, NC
  • NPI 1780651141
  NPD (past)

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

{
    "created_epoch": "1400889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1609288604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 304",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-955-4948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BUNN DR",
            "address_2": "SUITE 304",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401968",
            "telephone_number": "609-955-4948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1122 Kenilworth Dr Ste 418",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212042148",
            "country_code": "US",
            "telephone_number": "888-566-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9800 Falls Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Potomac",
            "state": "MD",
            "postal_code": "208543939",
            "country_code": "US",
            "telephone_number": "888-566-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "937 E Haverford Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Bryn Mawr",
            "state": "PA",
            "postal_code": "190103800",
            "country_code": "US",
            "telephone_number": "888-566-8774",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1411 N Flagler Dr Ste 4700",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334013408",
            "country_code": "US",
            "telephone_number": "888-566-8774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KETAMINE TREATMENT CENTERS OF PRINCETON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-24",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "LEVINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "917-838-2296",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NJ",
            "license": "25MA08373700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Kennelly
• Ellen Kent, PH.D.
• Jennifer Kerr, LPC, NCC
• Alice Mary Kerwick, RN, APN,C.
• Lisa Kestler, PHD
• Jay Ketkar
• Furheen Khan
• Dina Khaneles, PA-C
• Madhurani Khare, M.D.
• Philippe J. Khouri, M.D.

• All providers in Princeton, NJ
• Psychiatry Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.