Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BALTIMORE KETAMINE CLINIC
Active OrganizationBALTIMORE KETAMINE CLINIC is a Psychiatric/Mental Health Nurse Practitioner organization located in SPARKS GLENCOE, Maryland. NPI 1972145381 is currently active in the NPPES registry. Verify at CMS.
Psychiatric/Mental Health Nurse Practitioner · SPARKS GLENCOE, MD
Registration Details
- NPI Number
- 1972145381
- Provider Type
- Organization
- NPI Issued
- Oct 17, 2019 (6.8136645635007 yrs)
- Last Updated
- May 15, 2025
Practice Information
- Address
-
909 RIDGEBROOK RD STE 202SPARKS GLENCOE, MD, 211529476Browse MD providers · Browse ZIP 21152
- Phone
- 4108705482
- Fax
- 4106281212
- Primary Specialty
-
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
- Additional Specialty
- Psychiatric/Mental Health Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.