Ketamine Psycholytic Therapy LLC
NPI 1972261824 · Health Service Clinic/Center · Sedona, AZ
Ketamine Psycholytic Therapy LLC is a Health Service Clinic/Center organization in Sedona, AZ (NPI 1972261824).
Provider details
- NPI number
- 1972261824
- Entity type
- Organization
- Primary specialty
- Health Service Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Crystal Cunningham, Owner(610) 730-9097
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
4 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
- 2021-12-07
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Ketamine Psycholytic Therapy LLC's NPI number?
- Ketamine Psycholytic Therapy LLC's National Provider Identifier (NPI) is 1972261824, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Ketamine Psycholytic Therapy LLC?
- Ketamine Psycholytic Therapy LLC is classified in the NPPES registry as Health Service Clinic/Center (Ambulatory Health Care Facilities).
- Where is Ketamine Psycholytic Therapy LLC located?
- Ketamine Psycholytic Therapy LLC's practice location on file with NPPES is 45 Castle Rock Road Ste 2a, Sedona, AZ 86351.
- What is Ketamine Psycholytic Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Ketamine Psycholytic Therapy LLC is (928) 814-5269.
- Who is the authorized official for Ketamine Psycholytic Therapy LLC?
- The authorized official listed on Ketamine Psycholytic Therapy LLC's NPPES record is Crystal Cunningham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Ketamine Psycholytic Therapy LLC's NPI active?
- Yes — Ketamine Psycholytic Therapy LLC's NPI (1972261824) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.