Upstate Ketamine Care
NPI 1710522875 · Psychiatric/Mental Health Clinical Nurse Specialist · Rochester, NY
Upstate Ketamine Care is a Psychiatric/Mental Health Clinical Nurse Specialist organization in Rochester, NY (NPI 1710522875).
Provider details
- NPI number
- 1710522875
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Clinical Nurse SpecialistPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Jeffrey Leathersich, Practice Administrator(585) 673-2319
Specialties & taxonomies
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
6 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
- 2019-11-13
- Last updated
- 2019-11-13
Frequently asked questions
- What is Upstate Ketamine Care's NPI number?
- Upstate Ketamine Care's National Provider Identifier (NPI) is 1710522875, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Upstate Ketamine Care?
- Upstate Ketamine Care is classified in the NPPES registry as Psychiatric/Mental Health Clinical Nurse Specialist (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Upstate Ketamine Care located?
- Upstate Ketamine Care's practice location on file with NPPES is 3300 Monroe Ave Ste 319, Rochester, NY 14618-4617.
- What is Upstate Ketamine Care's phone number?
- The practice phone number listed in the NPPES registry for Upstate Ketamine Care is (585) 673-2319.
- Who is the authorized official for Upstate Ketamine Care?
- The authorized official listed on Upstate Ketamine Care's NPPES record is Jeffrey Leathersich, Practice Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Upstate Ketamine Care's NPI active?
- Yes — Upstate Ketamine Care's NPI (1710522875) is active in the NPPES registry as of the last update on 2019-11-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.