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NY KETAMINE MEDICAL PRACTICE PLLC
NPI 1073496402
Clinic/Center - Mental Health (Including Community Mental Health Center) in New York, NY

Active since July 31, 2025
160 BROADWAY FL 16, NEW YORK, NY 10038(917) 261-7370(917) 477-6421 Get Directions Write a Review

NPPES record last updated: June 3, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2026, Jan 8, 2026 (2 updates tracked since 2026).

About Ny Ketamine Medical Practice Pllc NPPES

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

NY KETAMINE MEDICAL PRACTICE PLLC (NPI 1073496402), doing business as Ny Ketamine Medical Practice, is a healthcare organization registered as a mental health (including community mental health center) in New York, New York and active in the NPI registry since July 2025. The organization maintains a secondary practice location in Melville and lists Heather Okeefe, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1073496402
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameNY KETAMINE MEDICAL PRACTICE PLLC
Location Address160 BROADWAY FL 16New York, NY 10038-4207
Mailing AddressPo Box 32Woodlawn, TN 37191-0032 · (917) 261-7370 · Fax (917) 477-6421
Phone(917) 261-7370
Fax(917) 477-6421
Organization SubpartNo
Authorized OfficialHeather OkeefeChief Financial Officer · (509) 994-1345
Enumeration DateJuly 31, 2025
Last NPPES UpdateJune 3, 20262 updates tracked since enumeration
NPPES CertifiedJune 3, 2026
✔ NPI 1073496402 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
160 BROADWAY FL 16, New York, NY 10038
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Other Names 1

Doing Business AsNy Ketamine Medical Practice

Secondary Practice Location 1

Location 1150 Broadhollow Rd Ste 103Melville, NY 11747-4901 · Phone (917) 261-7370 · Fax (917) 477-6421

Other Providers at the Same Location NPPES 6

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

KELSEY ANNE MULHERN NP
Nurse Practitioner (Psychiatric/Mental Health)
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (917) 521-5527
CRISTINA SABBADIN DPT
Physical Therapist
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (212) 354-2020
KEVIN T THOMAS DC
Chiropractor
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (212) 970-0047
HEIDI SOO-JIN CHANG PA-C
Physician Assistant
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (516) 505-7200
DR. JANET JAY ARRIBAS DO
General Practice
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (917) 982-2517
MRS. PAOLA VALLASTER
Nurse Practitioner (Family)
160 BROADWAY FL 16
NEW YORK, NY 10038
New York County (917) 261-7370

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 Ny Ketamine Medical Practice PLLC's NPI number?

The NPI number for Ny Ketamine Medical Practice PLLC is 1073496402. It was assigned to this organization in the NPPES registry on July 31, 2025. The provider is doing business as NY Ketamine Medical Practice.

Where is Ny Ketamine Medical Practice PLLC located?

Ny Ketamine Medical Practice PLLC is located at 160 Broadway Fl 16, New York, NY 10038. The listed phone number is (917) 261-7370.

What is Ny Ketamine Medical Practice PLLC'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 Ny Ketamine Medical Practice PLLC was last updated on June 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.