Baltimore Ketamine Clinic
NPI 1508580275 · Infusion Therapy Clinic/Center · Sparks, MD
Baltimore Ketamine Clinic is a Infusion Therapy Clinic/Center organization in Sparks, MD (NPI 1508580275).
Provider details
- NPI number
- 1508580275
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Ivana Mitic, Ceo(410) 870-5482
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
Registry dates
- Enumerated
- 2022-09-27
- Last updated
- 2022-09-27
- Certified
- 2022-09-21
Frequently asked questions
- What is Baltimore Ketamine Clinic's NPI number?
- Baltimore Ketamine Clinic's National Provider Identifier (NPI) is 1508580275, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Baltimore Ketamine Clinic?
- Baltimore Ketamine Clinic is classified in the NPPES registry as Infusion Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Baltimore Ketamine Clinic located?
- Baltimore Ketamine Clinic's practice location on file with NPPES is 909 Ridgebrook Rd Ste 202, Sparks, MD 21152-9476.
- What is Baltimore Ketamine Clinic's phone number?
- The practice phone number listed in the NPPES registry for Baltimore Ketamine Clinic is (410) 870-5482.
- Who is the authorized official for Baltimore Ketamine Clinic?
- The authorized official listed on Baltimore Ketamine Clinic's NPPES record is Ivana Mitic, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Baltimore Ketamine Clinic's NPI active?
- Yes — Baltimore Ketamine Clinic's NPI (1508580275) is active in the NPPES registry as of the last update on 2022-09-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.