KETAMINE TREATMENT CENTERS OF PRINCETON, LLC (NPI# 1730725052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730725052 |
| Entity Type | Organization |
| Organization Name | KETAMINE TREATMENT CENTERS OF PRINCETON, LLC |
| Practice Address |
91 S Jefferson Rd Ste 301 Whippany NJ 07981-1037 |
| Mailing Address |
800 Bunn Dr Ste 304 Princeton NJ 08540-1968 |
| Practice Telephone | 8885668774 |
| Mailing Telephone | 8885668774 |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2019-11-21 |
| Authorized Official Name | STEVEN P. LEVINE (MANAGING MEMBER) |
| Authorized Official Telephone | 6096514429 |
| Is Organization Subpart | Y |
| Parent Organization Name | KETAMINE TREATMENT CENTERS OF PRINCETON, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Actify Neurotherapies | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679119994 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 9800 Falls Rd Ste 105, Potomac, MD 20854-3939 | 2019-11-21 |
| 1538705835 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 357 S Gulph Rd Ste 260, King of Prussia, PA 19406-3174 | 2019-11-21 |
| 1174169478 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 1122 Kenilworth Dr Ste 418, Towson, MD 21204-2148 | 2019-11-21 |
| 1114563434 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 1411 N Flagler Dr Ste 4700, West Palm Beach, FL 33401-3408 | 2019-11-21 |
| 1780174482 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 12 E 44th St Fl 6, New York, NY 10017-3624 | 2018-05-17 |
| 1609288604 | Ketamine Treatment Centers of Princeton, LLC | Psychiatry & Neurology | 800 Bunn Dr, Suite 304, Princeton, NJ 08540-1968 | 2014-05-24 |
| Street Address |
91 S JEFFERSON RD STE 301 |
| City | WHIPPANY |
| State | NJ |
| Zip Code | 07981-1037 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518507730 | Karen Ruiz | Occupational Therapist | 164 Whippany Road, Whippany, NJ 07981 | 2020-01-15 |
| 1528600186 | Michelle Misskerg | Nurse Practitioner | 568 Nj-10, Suite 3-5, Whippany, NJ 07981 | 2019-10-15 |
| 1861051633 | Aspire Within Psychotherapy, LLC | Counselor | 12 Troy Hills Rd Ste 2a, Whippany, NJ 07981 | 2019-06-06 |
| 1356831739 | Comprehensive Medical Associates of New Jersey P C | Clinic/Center | 400 Jefferson Park, Whippany, NJ 07981 | 2018-05-11 |
| 1215443866 | Atlantic Diagnostic Services, Ipa, LLC | Radiology | 110 South Jefferson Road, Suite 201, Whippany, NJ 07981 | 2017-12-19 |
| 1730628009 | Jillian Tara Gelb | Chiropractor | 831 Route 10 East, Maximum Health and Wellness Center LLC, Whippany, NJ 07981 | 2017-02-19 |
| 1013342344 | Bruce J Buckman | Physical Therapist | 70 Route 10 West, Whippany, NJ 07981 | 2013-09-05 |
| 1912267279 | 101 Whippany Road, LLC | Skilled Nursing Facility | 101 Whippany Road, Whippany, NJ 07981 | 2012-05-21 |
| 1295889350 | Steven P Feldstein | Social Worker | 8 Brandywine Court, Whippany, NJ 07981 | 2007-01-23 |
| 1699840256 | Leslie Ann Skurla Dmd Pa | Dentist | 12 Troy Hills Road, Whippany, NJ 07981 | 2006-11-21 |
| Find all providers in zip 07981 | ||||
| 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 |
|---|---|---|---|---|
| 1568060580 | Neuropsychiatric Consultants PC | Psychiatry & Neurology | 489 Clifton Ave, Clifton, NJ 07011-3227 | 2020-10-12 |
| 1396354130 | Dignipsych Health Services | Psychiatry & Neurology | 1951 N Black Horse Pike, Williamstown, NJ 08094-3465 | 2020-07-28 |
| 1790309862 | Success Tms Professional Services New Jersey LLC | Psychiatry & Neurology | 240 Frisch Ct Ste 101, Paramus, NJ 07652-5249 | 2020-06-03 |
| 1851912596 | Labyrinth Psychiatry Group LLC | Psychiatry & Neurology | 1503 Saint Georges Ave Ste 201, Colonia, NJ 07067-3427 | 2020-05-05 |
| 1740829167 | Medical Psychiatric Associates LLC | Psychiatry & Neurology | 116 Village Blvd Ste 200, Princeton, NJ 08540-5700 | 2020-01-02 |
| 1003453986 | Genpsych Flemington | Psychiatry & Neurology | 200 Route 31 Ste 104, Flemington, NJ 08822-5812 | 2019-12-10 |
| 1205471042 | Yang Tms Center of New Jersey | Psychiatry & Neurology | 999 Route 73 N Ste 200a, Marlton, NJ 08053-1227 | 2019-11-15 |
| 1942868641 | Brightmindsmd LLC | Psychiatry & Neurology | 123 South Ave E, Westfield, NJ 07090-1454 | 2019-05-29 |
| 1699238741 | Comprehensive Behavioral Health Medicine | Psychiatry & Neurology | 121 Mountain Ct Ste 114, Hackettstown, NJ 07840-2317 | 2019-04-07 |
| 1740740083 | Hudson Psychiatric Associates, LLC | Psychiatry & Neurology | 79 Hudson St Ste 205, Hoboken, NJ 07030-5641 | 2019-03-22 |
| Find all providers with the same taxonomy | ||||
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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.