Ketamine Health Centers, LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

607228 Issued in FL

Legal business name

KETAMINE HEALTH CENTERS, LLC

Practice address

9408 SW 87TH Ave Ste 302
Miami, FL 33176-2416

Phone

(305) 856-9442

NPI assigned

May 29, 2018

Organization subpart

No

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

Authorized official

Name

Raul A Cruz, MD

Title

Medical Director

Phone

(305) 856-9442

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690761600000",
    "number": "1811488554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9408 SW 87TH AVE STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762416",
            "telephone_number": "305-856-9442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9408 SW 87TH AVE STE 302",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762416",
            "telephone_number": "305-856-9442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KETAMINE HEALTH CENTERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2023-07-31",
        "certification_date": "2023-07-31",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "305-856-9442",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "FL",
            "license": "607228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104163294",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144421454",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "187533935",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194817221",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kessler & Morad, P.a.
• Kessler Life Systems, LLC
• Benjamin David Kessler, MD
• David S Kessler, LCSW
• Melvin Lionel Kessler, DDS
• Eurica Ketant, MS
• Neyda Ketchum, M.ED.,C.C.C.
• Keter Medical Center & Spa LLC
• Daniel H Kett, MD
• Kevin Family Home LLC

• Health Service Clinic/Center in Miami, FL
• Providers in Miami, FL by specialty
• Health Service Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 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.