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KETAMINDS
NPI 1033853213
Nurse Practitioner - Psychiatric/Mental Health in North East, MD

Active since April 25, 2022
14 ROGERS RD STE 211, NORTH EAST, MD 21901(410) 280-7683 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 17, 2023, May 13, 2022, Apr 25, 2022 (3 updates tracked since 2022).

About Ketaminds NPPES

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

KETAMINDS (NPI 1033853213) is a healthcare organization registered as a psychiatric/mental health in North East, Maryland and active in the NPI registry since April 2022. The organization maintains a secondary practice location in Nottingham and lists Antonio Pedulla, Owner, as its authorized official.

NPPES Registry Identity

NPI1033853213
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameIANUA HEALTH, LLC
Location Address14 ROGERS RD STE 211North East, MD 21901-3612
Mailing Address2207 Concord Pike # 197Wilmington, DE 19803-2908 · (610) 998-3902 · Fax (610) 702-8056
Phone(410) 280-7683
Organization SubpartNo
Authorized OfficialAntonio PedullaOwner · (610) 998-3902
Enumeration DateApril 25, 2022
Last NPPES UpdateMay 17, 20233 updates tracked since enumeration
NPPES CertifiedMay 17, 2023
✔ NPI 1033853213 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
14 ROGERS RD STE 211, North East, MD 21901
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Other Names 1

Doing Business AsKetaminds

Secondary Practice Location 1

Location 1680 Fremont RdNottingham, PA 19362-9142 · Phone (610) 998-3902 · Fax (610) 702-8056

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.Insurance ›

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.

IANUA HEALTH, LLC
Community/Behavioral Health
14 ROGERS RD STE 211
NORTH EAST, MD 21901
Cecil County (410) 280-7683
MR. ANTONIO PEDULLA JR. CRNP
Nurse Practitioner (Psychiatric/Mental Health)
14 ROGERS RD STE 211
NORTH EAST, MD 21901
Cecil County (410) 280-7683

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 Ianua Health, LLC's NPI number?

The NPI number for Ianua Health, LLC is 1033853213. It was assigned to this organization in the NPPES registry on April 25, 2022. The provider is doing business as Ketaminds.

Where is Ianua Health, LLC located?

Ianua Health, LLC is located at 14 Rogers Rd Ste 211, North East, MD 21901. The listed phone number is (410) 280-7683.

What is Ianua Health, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

What insurance does Ianua Health, LLC accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Ianua Health, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ianua Health, LLC was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.