Ketamine for Depression Salt Lake City LLC
NPI 1477362465 · Mental Health Clinic/Center (Including Community Mental Health Center) · Murray, UT
Ketamine for Depression Salt Lake City LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Murray, UT (NPI 1477362465).
Provider details
- NPI number
- 1477362465
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Nicolas Salomon, Director(385) 474-6946
Specialties & taxonomies
Ambulatory Health Care Facilities
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr 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
- Ketamineslc
Registry dates
- Enumerated
- 2025-01-03
- Last updated
- 2025-01-03
- Certified
- 2025-01-03
Frequently asked questions
- What is Ketamine for Depression Salt Lake City LLC's NPI number?
- Ketamine for Depression Salt Lake City LLC's National Provider Identifier (NPI) is 1477362465, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine for Depression Salt Lake City LLC?
- Ketamine for Depression Salt Lake City LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Ketamine for Depression Salt Lake City LLC located?
- Ketamine for Depression Salt Lake City LLC's practice location on file with NPPES is 201 E 5900 S Ste 200, Murray, UT 84107-5432.
- What is Ketamine for Depression Salt Lake City LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine for Depression Salt Lake City LLC is (385) 474-6946.
- Who is the authorized official for Ketamine for Depression Salt Lake City LLC?
- The authorized official listed on Ketamine for Depression Salt Lake City LLC's NPPES record is Nicolas Salomon, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine for Depression Salt Lake City LLC's NPI active?
- Yes — Ketamine for Depression Salt Lake City LLC's NPI (1477362465) is active in the NPPES registry as of the last update on 2025-01-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.