Ketamine Rva
NPI 1063234615 · Mental Health Clinic/Center (Including Community Mental Health Center) · Henrico, VA
Ketamine Rva is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Henrico, VA (NPI 1063234615).
Provider details
- NPI number
- 1063234615
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Frederick, Owner(804) 993-3039
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
Mailing address
Registry dates
- Enumerated
- 2024-10-25
- Last updated
- 2024-10-25
- Certified
- 2024-10-25
Frequently asked questions
- What is Ketamine Rva's NPI number?
- Ketamine Rva's National Provider Identifier (NPI) is 1063234615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Rva?
- Ketamine Rva is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ketamine Rva located?
- Ketamine Rva's practice location on file with NPPES is 8639 Mayland Dr Ste 102, Henrico, VA 23294-4752.
- What is Ketamine Rva's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Rva is (804) 993-3039.
- Who is the authorized official for Ketamine Rva?
- The authorized official listed on Ketamine Rva's NPPES record is Jon Frederick, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Rva's NPI active?
- Yes — Ketamine Rva's NPI (1063234615) is active in the NPPES registry as of the last update on 2024-10-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.