OrganizationActive
Optim Ketamine Clinics LLC
NPI 1770095820 · Infusion Therapy Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1770095820
- Entity type
- Organization
- Primary specialty
- Infusion Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Christopher Ray, Director(623) 293-3985
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 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
10255 N 32nd St Ste B
Phoenix, AZ 85028-3822
Phone: (928) 851-3733
Street-level locationGet directions
Mailing address
20403 N Lake Pleasant Rd # 117-480
Peoria, AZ 85382-9702
Registry dates
- Enumerated
- 2017-10-30
- Last updated
- 2017-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.