KETAMINE WEST LLC
NPI 1003529728
Clinic/Center - Mental Health (Including Community Mental Health Center) in Montrose, CO

Active since December 27, 2022
836 S TOWNSEND AVE STE A, MONTROSE, CO 81401(970) 200-8365 Get Directions Write a Review

NPPES record last updated: September 6, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 6, 2023, Dec 27, 2022 (2 updates tracked since 2022).

About Ketamine West Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KETAMINE WEST LLC (NPI 1003529728) is a healthcare organization registered as a mental health (including community mental health center) in Montrose, Colorado and active in the NPI registry since December 2022. The organization lists Stryder River Reilly, Nurse Practitioner, as its authorized official.

NPPES Registry Identity

NPI1003529728
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKETAMINE WEST LLC
Location Address836 S TOWNSEND AVE STE AMontrose, CO 81401-4360
Mailing Address602 26 1/2 RdGrand Junction, CO 81506-1905 · (970) 644-1279
Organization SubpartNo
Authorized OfficialStryder River ReillyNurse Practitioner · (970) 644-1279
Enumeration DateDecember 27, 2022
Last NPPES UpdateSeptember 6, 20232 updates tracked since enumeration
NPPES CertifiedDecember 27, 2022
NPI 1003529728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
836 S TOWNSEND AVE STE A, Montrose, CO 81401

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
836 S TOWNSEND AVE STE A
MONTROSE, CO 81401
Family Medicine
836 S TOWNSEND AVE STE A
MONTROSE, CO 81401

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ketamine West LLC's NPI number?

The NPI number for Ketamine West LLC is 1003529728. It was assigned to this organization in the NPPES registry on December 27, 2022.

Where is Ketamine West LLC located?

Ketamine West LLC is located at 836 S Townsend Ave Ste A, Montrose, CO 81401. The listed phone number is (970) 200-8365.

What is Ketamine West LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Ketamine West LLC was last updated on September 6, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.