OrganizationActive
Ketamine Institute of Michigan
NPI 1013526276 · Addiction Medicine (Anesthesiology) Physician · Monroe, MI
Provider details
- NPI number
- 1013526276
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Anesthesiology) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Christa Klyder, Chief Crna(734) 731-9500
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
98 Winchester St Ste 100
Monroe, MI 48161-1957
Phone: (734) 605-8500
Street-level locationGet directions
Mailing address
98 Winchester St Ste 100
Monroe, MI 48161-1957
Other names (DBA / former)
- Doing business as
- Ketamine Institute of Michigan South
Registry dates
- Enumerated
- 2020-07-23
- Last updated
- 2020-07-23
- Certified
- 2020-07-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.