Palm Beach Ketamine Therapy LLC

Primary specialty

Counseling PsychologistTaxonomy code 103TC1900X

Legal business name

PALM BEACH KETAMINE THERAPY LLC

Practice address

824 US Highway 1 Ste 110
North Palm Beach, FL 33408-3838

Phone

(561) 262-8161

NPI assigned

Jul 10, 2023

Organization subpart

No

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

Authorized official

Name

Benjamin Handy

Title

Owner

Phone

(561) 262-8161

Specialties & licenses 1

Addresses

Other names 1

• Palm Beach Ketamine Therapy Doing business as

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

{
    "created_epoch": "1688947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1688947200000",
    "number": "1851079883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 US HIGHWAY 1 STE 110",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083838",
            "telephone_number": "561-262-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "824 US HIGHWAY 1 STE 110",
            "city": "NORTH PALM BEACH",
            "state": "FL",
            "postal_code": "334083838",
            "telephone_number": "561-262-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM BEACH KETAMINE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-10",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A",
        "authorized_official_last_name": "HANDY",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-262-8161"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm Beach Ketamine Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Counseling Psychologist in North Palm Beach, FL
• Providers in North Palm Beach, FL by specialty
• Counseling Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.