Clear Ketamine Plus Psychiatry

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

CLEAR KETAMINE PLUS PSYCHIATRY

Practice address

5743 Corsa Ave Ste 114
Westlake Village, CA 91362-4072

Phone

(805) 219-7870

Fax

(805) 244-0479

NPI assigned

Jun 20, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Marc Smith, MDNPI 1942706841

Title

President, Ceo

Phone

(805) 219-7870

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Marc Charles Smith, MD

  • Psychiatry Physician
  • Westlake Village, CA
  • NPI 1942706841
  NPD Authorized official

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

{
    "created_epoch": "1718841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718841600000",
    "number": "1831933266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 114",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624072",
            "telephone_number": "805-219-7870",
            "fax_number": "805-244-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 114",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913624072",
            "telephone_number": "805-219-7870",
            "fax_number": "805-244-0479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR KETAMINE PLUS PSYCHIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-20",
        "last_updated": "2024-06-20",
        "certification_date": "2024-06-20",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "805-219-7870",
        "authorized_official_name_prefix": "Dr.",
        "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": []
}

• Adam Clark
• Andrea R.O. Clark, PH.D
• Karen Lee Clark, MFT
• Stephen Clark, DPT
• Brenda Joyce Class, M.F.T.
• Cleverly Inc.
• Tiera Click
• Clifford L Fine MD Prof Corp
• Shaela Violet Cloud
• Coastal Radiation Oncology Medical Group, Inc.

• Psychiatry Physician in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.