Ny Ketamine Medical Practice PLLC
NPI 1073496402 · Mental Health Clinic/Center (Including Community Mental Health Center) · New York, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ny Ketamine Medical Practice PLLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in New York, NY (NPI 1073496402).
Provider details
- NPI number
- 1073496402
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Heather Okeefe, Chief Financial Officer(509) 994-1345
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
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Other names (DBA / former)
- Doing business as
- Ny Ketamine Medical Practice
Additional practice locations (1)
- 150 Broadhollow Rd Ste 103Melville, NY 11747-4901Phone: (917) 261-7370Fax: (917) 477-6421
Registry dates
- Enumerated
- 2025-07-31
- Last updated
- 2026-06-03
- Certified
- 2026-06-03
Frequently asked questions
- What is Ny Ketamine Medical Practice PLLC's NPI number?
- Ny Ketamine Medical Practice PLLC's National Provider Identifier (NPI) is 1073496402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ny Ketamine Medical Practice PLLC?
- Ny Ketamine Medical Practice PLLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ny Ketamine Medical Practice PLLC located?
- Ny Ketamine Medical Practice PLLC's practice location on file with NPPES is 160 Broadway Fl 16, New York, NY 10038-4207.
- What is Ny Ketamine Medical Practice PLLC's phone number?
- The practice phone number listed in the NPPES registry for Ny Ketamine Medical Practice PLLC is (917) 261-7370.
- Does Ny Ketamine Medical Practice PLLC accept Medicare?
- Ny Ketamine Medical Practice PLLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Ny Ketamine Medical Practice PLLC?
- The authorized official listed on Ny Ketamine Medical Practice PLLC's NPPES record is Heather Okeefe, Chief Financial Officer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ny Ketamine Medical Practice PLLC's NPI active?
- Yes — Ny Ketamine Medical Practice PLLC's NPI (1073496402) is active in the NPPES registry as of the last update on 2026-06-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.