1. Home
  2. Directory
  3. Minnesota
  4. Maple Grove
  5. Clinic Center
  6. NPI Profile

MODERN KETAMINE CLINIC
NPI 1386366532
Clinic/Center - Infusion Therapy in Maple Grove, MN

Active since September 14, 2022
13792 REIMER DR N, MAPLE GROVE, MN 55311(763) 347-2100(763) 333-7174 Get Directions Write a Review

NPPES record last updated: May 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 28, 2025, Oct 18, 2022, Oct 6, 2022 and 2 more (5 updates tracked since 2022).

About Modern Ketamine Clinic NPPES

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

MODERN KETAMINE CLINIC (NPI 1386366532) is a healthcare organization registered as an infusion therapy in Maple Grove, Minnesota and active in the NPI registry since September 2022. The organization lists Daniel Gregory Falvey, Md, as its authorized official.

NPPES Registry Identity

NPI1386366532
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameMODERN KETAMINE CLINIC
Location Address13792 REIMER DR NMaple Grove, MN 55311-2219
Mailing Address13792 Reimer Dr NMaple Grove, MN 55311-2219 · (763) 347-2100 · Fax (763) 333-7174
Phone(763) 347-2100
Fax(763) 333-7174
Organization SubpartNo
Authorized OfficialDaniel Gregory FalveyMd · (763) 347-2100
Enumeration DateSeptember 14, 2022
Last NPPES UpdateMay 28, 20255 updates tracked since enumeration
NPPES CertifiedMay 28, 2025
✔ NPI 1386366532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
13792 REIMER DR N, Maple Grove, MN 55311
Open in Google Maps ↗

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.

THE MODERN EXPERIENCE CLINIC LLC
Psychiatry & Neurology (Psychiatry)
13792 REIMER DR N
MAPLE GROVE, MN 55311
Hennepin County (763) 464-9061
MR. ANDREW KERN ROSDHAL APRN
Nurse Practitioner (Psychiatric/Mental Health)
13792 REIMER DR N
MAPLE GROVE, MN 55311
Hennepin County (763) 458-9494

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 Modern Ketamine Clinic's NPI number?

The NPI number for Modern Ketamine Clinic is 1386366532. It was assigned to this organization in the NPPES registry on September 14, 2022.

Where is Modern Ketamine Clinic located?

Modern Ketamine Clinic is located at 13792 Reimer Dr N, Maple Grove, MN 55311. The listed phone number is (763) 347-2100.

What is Modern Ketamine Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

When was this NPI record last updated?

The NPPES record for Modern Ketamine Clinic was last updated on May 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.