Dissociative Associates, LLC
NPI 1316658495 · Infusion Therapy Clinic/Center · Lees Summit, MO
Dissociative Associates, LLC is a Infusion Therapy Clinic/Center organization in Lees Summit, MO (NPI 1316658495).
Provider details
- NPI number
- 1316658495
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Fansler, Office Manager(816) 678-5969
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
3 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)
- Doing business as
- Ketamine Clinic Rx
Registry dates
- Enumerated
- 2022-12-08
- Last updated
- 2022-12-08
- Certified
- 2022-12-08
Frequently asked questions
- What is Dissociative Associates, LLC's NPI number?
- Dissociative Associates, LLC's National Provider Identifier (NPI) is 1316658495, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dissociative Associates, LLC?
- Dissociative Associates, LLC is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Dissociative Associates, LLC located?
- Dissociative Associates, LLC's practice location on file with NPPES is 817 Ne Anderson Ln, Lees Summit, MO 64064-1244.
- What is Dissociative Associates, LLC's phone number?
- The practice phone number listed in the NPPES registry for Dissociative Associates, LLC is (816) 381-2050.
- Who is the authorized official for Dissociative Associates, LLC?
- The authorized official listed on Dissociative Associates, LLC's NPPES record is Robert Fansler, Office Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dissociative Associates, LLC's NPI active?
- Yes — Dissociative Associates, LLC's NPI (1316658495) is active in the NPPES registry as of the last update on 2022-12-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.