Ketamine West LLC
NPI 1477287290 · Mental Health Clinic/Center (Including Community Mental Health Center) · Grand Junction, CO
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ketamine West LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Grand Junction, CO (NPI 1477287290).
Provider details
- NPI number
- 1477287290
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Stryder Reilly, Owner/Operator(970) 644-1279
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
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
Additional practice locations (1)
- 836 S Townsend AveMontrose, CO 81401-4360Phone: (970) 200-8365
Registry dates
- Enumerated
- 2022-07-16
- Last updated
- 2022-12-20
- Certified
- 2022-12-20
Frequently asked questions
- What is Ketamine West LLC's NPI number?
- Ketamine West LLC's National Provider Identifier (NPI) is 1477287290, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine West LLC?
- Ketamine West LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ketamine West LLC located?
- Ketamine West LLC's practice location on file with NPPES is 602 26 1/2 Rd, Grand Junction, CO 81506-1905.
- What is Ketamine West LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine West LLC is (970) 427-4000.
- Does Ketamine West LLC accept Medicare?
- Ketamine West LLC 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 Ketamine West LLC?
- The authorized official listed on Ketamine West LLC's NPPES record is Stryder Reilly, Owner/Operator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine West LLC's NPI active?
- Yes — Ketamine West LLC's NPI (1477287290) is active in the NPPES registry as of the last update on 2022-12-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.