Ketamine Wellness Centers Phoenix LLC
NPI 1205597788 · Anesthesiology Physician · Phoenix, AZ
Ketamine Wellness Centers Phoenix LLC is a Anesthesiology Physician organization in Phoenix, AZ (NPI 1205597788).
Provider details
- NPI number
- 1205597788
- Entity type
- Organization
- Primary specialty
- Anesthesiology PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Ketamine Wellness Centers Arizona LLC
- Organization subpart
- Yes
- Authorized official
- Anita Jerger, Executive Assistant(480) 993-2227
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 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
Mailing address
Other names (DBA / former)
- Former legal business name
- Ketamine Infusion Centers
Registry dates
- Enumerated
- 2022-01-06
- Last updated
- 2022-01-10
- Certified
- 2022-01-10
Frequently asked questions
- What is Ketamine Wellness Centers Phoenix LLC's NPI number?
- Ketamine Wellness Centers Phoenix LLC's National Provider Identifier (NPI) is 1205597788, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Wellness Centers Phoenix LLC?
- Ketamine Wellness Centers Phoenix LLC is classified in the NPPES registry as Anesthesiology Physician (Allopathic & Osteopathic Physicians).
- Where is Ketamine Wellness Centers Phoenix LLC located?
- Ketamine Wellness Centers Phoenix LLC's practice location on file with NPPES is 3724 N 3rd St Ste 201, Phoenix, AZ 85012-2034.
- What is Ketamine Wellness Centers Phoenix LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Wellness Centers Phoenix LLC is (480) 788-8539.
- Who is the authorized official for Ketamine Wellness Centers Phoenix LLC?
- The authorized official listed on Ketamine Wellness Centers Phoenix LLC's NPPES record is Anita Jerger, Executive Assistant. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Wellness Centers Phoenix LLC's NPI active?
- Yes — Ketamine Wellness Centers Phoenix LLC's NPI (1205597788) is active in the NPPES registry as of the last update on 2022-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.