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NEW LIFE KETAMINE CLINIC LLC
NPI 1407406697
Psychiatry & Neurology - Psychiatry in Dayton, OH

Active since September 19, 2019
7905 SCHATZ POINTE DR STE 100, DAYTON, OH 45459(937) 545-5994 Get Directions Write a Review

NPPES record last updated: April 27, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 27, 2026, Oct 30, 2019, Sep 19, 2019 (3 updates tracked since 2019).

About New Life Ketamine Clinic Llc NPPES

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

NEW LIFE KETAMINE CLINIC LLC (NPI 1407406697) is a healthcare organization registered as a psychiatry in Dayton, Ohio and active in the NPI registry since September 2019. The organization lists Ryan Chanatry, Partner, as its authorized official.

NPPES Registry Identity

NPI1407406697
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameNEW LIFE KETAMINE CLINIC LLC
Location Address7905 SCHATZ POINTE DR STE 100Dayton, OH 45459-3856
Mailing Address7901 Schatz Pointe Dr Ste BDayton, OH 45459-3824 · (937) 554-5994
Phone(937) 545-5994
Organization SubpartNo
Authorized OfficialRyan ChanatryPartner · (937) 689-5994
Enumeration DateSeptember 19, 2019
Last NPPES UpdateApril 27, 20263 updates tracked since enumeration
NPPES CertifiedApril 27, 2026
✔ NPI 1407406697 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.
7905 SCHATZ POINTE DR STE 100, Dayton, OH 45459
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

New Life Ketamine Clinic Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to New Life Ketamine Clinic LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Danielle Todd, FNP
Nurse Practitioner
NPI 1891419685
6071 FAR HILLS AVE
Centerville, OH 45459
(937) 208-6887
✔ PECOS2.9 mi
Brittney Keller, FNP
Nurse Practitioner
NPI 1487337887
3535 SOUTHERN BLVD
Kettering, OH 45429
(937) 395-8166
✔ PECOS✔ Accepts Medicare4.5 mi
Jamie Brunicardi, NP-C
Nurse Practitioner
NPI 1255793535
30 E APPLE ST 2200 & 5253
Dayton, OH 45409
(937) 245-7200
✔ PECOS✔ Accepts Medicare7.9 mi
Karthik Rao, D.O.
Emergency Medicine
NPI 1346500816
405 W GRAND AVE
Dayton, OH 45405
(937) 723-3211
✔ PECOS✔ Accepts Medicare9.6 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 New Life Ketamine Clinic LLC's NPI number?

The NPI number for New Life Ketamine Clinic LLC is 1407406697. It was assigned to this organization in the NPPES registry on September 19, 2019.

Where is New Life Ketamine Clinic LLC located?

New Life Ketamine Clinic LLC is located at 7905 Schatz Pointe Dr Ste 100, Dayton, OH 45459. The listed phone number is (937) 545-5994.

What is New Life Ketamine Clinic LLC's specialty?

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

Is New Life Ketamine Clinic LLC enrolled in Medicare?

Yes. New Life Ketamine Clinic LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through New Life Ketamine Clinic LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to New Life Ketamine Clinic 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 (3) and Emergency Medicine (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does New Life Ketamine Clinic LLC accept?

Health plans from CareSource list New Life Ketamine Clinic 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 New Life Ketamine Clinic LLC was last updated on April 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.