OrganizationActive
Ketaminamd LLC
NPI 1063288686 · Case Management Agency · Las Vegas, NV
Ketaminamd LLC is a Case Management Agency organization in Las Vegas, NV (NPI 1063288686).
Provider details
- NPI number
- 1063288686
- Entity type
- Organization
- Primary specialty
- Case Management AgencyAgencies
- Organization subpart
- No
- Authorized official
- Matthew Sessa, Authorizing Representative(929) 494-1182
Specialties & taxonomies
Agencies
Profile Score
Established profile(58/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
930 S 4th St Ste 209
Las Vegas, NV 89101-6845
Phone: (929) 494-1182
Fax: (929) 494-1182
Street-level locationGet directions
Mailing address
930 S 4th St Ste 209
Las Vegas, NV 89101-6845
Registry dates
- Enumerated
- 2023-11-27
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Frequently asked questions
- What is Ketaminamd LLC's NPI number?
- Ketaminamd LLC's National Provider Identifier (NPI) is 1063288686, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketaminamd LLC?
- Ketaminamd LLC is classified in the NPPES registry as Case Management Agency (Agencies).
- Where is Ketaminamd LLC located?
- Ketaminamd LLC's practice location on file with NPPES is 930 S 4th St Ste 209, Las Vegas, NV 89101-6845.
- What is Ketaminamd LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketaminamd LLC is (929) 494-1182.
- Who is the authorized official for Ketaminamd LLC?
- The authorized official listed on Ketaminamd LLC's NPPES record is Matthew Sessa, Authorizing Representative. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketaminamd LLC's NPI active?
- Yes — Ketaminamd LLC's NPI (1063288686) is active in the NPPES registry as of the last update on 2024-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.