KETAMINE HEALTH & WELLNESS CLINICS OF OHIO LLC
NPI 1053005116
Psychiatry & Neurology - Psychiatry in Dublin, OH

Q: What is Ketamine Health & Wellness Clinics Of Ohio LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since June 02, 2023

5060 BRADENTON AVE STE A, DUBLIN, OH 43017(380) 214-1636(380) 235-7469 Get Directions Write a Review

NPPES record last updated: January 14, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 4, 2024, Jun 2, 2023 (2 updates tracked since 2023).

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About Ketamine Health & Wellness Clinics Of Ohio Llc NPPES

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

KETAMINE HEALTH & WELLNESS CLINICS OF OHIO LLC (NPI 1053005116) is a healthcare organization registered as a psychiatry in Dublin, Ohio and active in the NPI registry since June 2023. The organization lists Brian S Seifferth, President, as its authorized official.

NPPES Registry Identity

NPI1053005116

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameKETAMINE HEALTH & WELLNESS CLINICS OF OHIO LLC

Location Address5060 BRADENTON AVE STE ADublin, OH 43017-3511

Mailing Address5060 Bradenton Ave Ste ADublin, OH 43017-3511 · (380) 214-1636 · Fax (380) 235-7469

Phone(380) 214-1636

Fax(380) 235-7469

Organization SubpartNo

Authorized OfficialBrian S SeifferthPresident · (614) 306-1073

Enumeration DateJune 2, 2023

Last NPPES UpdateJanuary 14, 20252 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2025

✔ NPI 1053005116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

5060 BRADENTON AVE STE A, Dublin, OH 43017

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Group Practice 1

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ketamine Health & Wellness Clinics Of Ohio Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 6 clinicians reassign Medicare billing to Ketamine Health & Wellness Clinics Of Ohio LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Marissa Moore, PMHNP

Nurse Practitioner

NPI 1215715784

5060 BRADENTON AVE STE A
Dublin, OH 43017

(216) 407-1647

✔ PECOS✔ Accepts MedicareSame address

Patrice Bellanti, M.D.

Psychiatry

NPI 1649413634

5070 BRADENTON AVE
Dublin, OH 43017

(380) 214-1636

✔ PECOS✔ Accepts MedicareSame address

Sarah Frueh, PMHNP

Nurse Practitioner

NPI 1841120516

5070 BRADENTON AVE STE A
Dublin, OH 43017

(380) 214-1636

✔ PECOSSame address

Tabitha Thompson, NP

Nurse Practitioner

NPI 1902358765

3535 OLENTANGY RIVER ROAD
Columbus, OH 43214

(614) 566-1997

✔ PECOS6.1 mi

Halle Mcconnell, PMHNP

Nurse Practitioner

NPI 1528839099

700 CHILDRENS DR
Columbus, OH 43205

(614) 722-4545

✔ PECOS12 mi

Brian Seifferth, MD

Emergency Medicine

NPI 1205887320

500 LONDON AVE
Marysville, OH 43040

(937) 644-6115

✔ PECOS16 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Health & Wellness Clinics Of Ohio LLC's NPI number?

The NPI number for Ketamine Health & Wellness Clinics Of Ohio LLC is 1053005116. It was assigned to this organization in the NPPES registry on June 2, 2023.

Where is Ketamine Health & Wellness Clinics Of Ohio LLC located?

Ketamine Health & Wellness Clinics Of Ohio LLC is located at 5060 Bradenton Ave Ste A, Dublin, OH 43017. The listed phone number is (380) 214-1636.

What is Ketamine Health & Wellness Clinics Of Ohio LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ketamine Health & Wellness Clinics Of Ohio LLC enrolled in Medicare?

Yes. Ketamine Health & Wellness Clinics Of Ohio LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ketamine Health & Wellness Clinics Of Ohio LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Ketamine Health & Wellness Clinics Of Ohio LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Emergency Medicine (1) and Psychiatry (1). Of these, 3 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ketamine Health & Wellness Clinics Of Ohio LLC was last updated on January 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.