NEW LIFE KETAMINE CLINIC LLC (NPI# 1407406697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407406697 |
| Entity Type | Organization |
| Organization Name | NEW LIFE KETAMINE CLINIC LLC |
| Practice Address |
7905 Schatz Pointe Dr Ste 100 Dayton OH 45459-3856 |
| Practice Telephone | 9375455994 |
| Mailing Telephone | 9375545994 |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2019-10-30 |
| Authorized Official Name | MR. JOHN E KLENS (OWNER/MANAGER) |
| Authorized Official Telephone | 9376895994 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Street Address |
7905 SCHATZ POINTE DR STE 100 |
| City | DAYTON |
| State | OH |
| Zip Code | 45459-3856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558896100 | Elizabeth Schindler | Psychiatry & Neurology | 301 South Edwin C Moses Blvd, Dayton, OH 45417-3424 | 2017-04-20 |
| 1538579768 | Kari Sharyce Harper | Psychiatry & Neurology | Wright State University 3640 Colonel Glenn Hwy, Dayton, OH 45435-0001 | 2014-04-28 |
| 1629415443 | Musammar Ghani | Psychiatry & Neurology | Wsu, Dept of Psychiatry, 627 Edwin C. Moses Boulevard, Elizabeth Place, E. Medical Plaza, 1st Floor, Dayton, OH 45417 | 2013-06-03 |
| 1316293277 | John Robert Weiffenbach | Psychiatry & Neurology | 1 Wyoming St Ste 3115, Dayton, OH 45409-2722 | 2012-07-30 |
| 1528325933 | James Gibson Pennington | Psychiatry & Neurology | 1800 Van Patton Dr, Dayton, OH 45433-5335 | 2012-04-23 |
| 1134459878 | Theresa Bernadette Belen | Psychiatry & Neurology | 627 S. Edwin C. Moses Blvd., Wsusom Department of Psychiatry, Dayton, OH 45417-1461 | 2009-12-31 |
| 1184871782 | Aradhana Gill | Psychiatry & Neurology | 1020 Wild Hickory Ln, Dayton, OH 45458-6092 | 2008-08-26 |
| 1376714675 | Ryan Christopher Mast | Psychiatry & Neurology | 627 South Edwin C. Moses Blvd, Dayton, OH 45408-1461 | 2008-03-14 |
| 1417148784 | Braumiller Psychiatric Associates, Inc. | Psychiatry & Neurology | 143 Valentine Dr, Dayton, OH 45431-1923 | 2007-08-02 |
| 1205977378 | Maria B. Mathias | Psychiatry & Neurology | 3085 Woodman Dr Ste 300, Dayton, OH 45420-1159 | 2007-02-09 |
| Find all providers in DAYTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.