CACHE KETAMINE AND MENTAL HEALTH
NPI 1467081448
Physician Assistant in Logan, UT
About Cache Ketamine And Mental Health NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CACHE KETAMINE AND MENTAL HEALTH (NPI 1467081448) is a healthcare organization registered as a physician assistant in Logan, Utah and active in the NPI registry since April 2020. The organization holds a CLIA Waiver certificate valid through April 13, 2027 and lists Colby Martin, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Other Identifiers 1
Group Practice 1
Accepted 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)
Cache Ketamine And Mental Health is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Cache Ketamine And Mental Health, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 46D2220642
Martin Medical Group LLC · Logan, UTFrequently 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 Martin Medical Group LLC's NPI number?
The NPI number for Martin Medical Group LLC is 1467081448. It was assigned to this organization in the NPPES registry on April 2, 2020. The provider is doing business as Cache Ketamine And Mental Health and Utah Home Detox.
Where is Martin Medical Group LLC located?
Martin Medical Group LLC is located at 115 Golf Course Rd Ste E, Logan, UT 84321. The listed phone number is (435) 999-4059.
What is Martin Medical Group LLC's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Martin Medical Group LLC enrolled in Medicare?
Yes. Martin Medical Group LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Martin Medical Group LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Martin Medical Group 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. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Martin Medical Group LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 46D2220642) is associated with this NPI, valid through April 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Martin Medical Group LLC accept?
Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Martin Medical Group 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 Martin Medical Group LLC was last updated on February 23, 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.
# Cache Ketamine And Mental Health · NPI 1467081448
Physician Assistant organization in Logan, Utah. Organization record, active in the CMS NPPES registry since April 2, 2020.
## Identity
- **NPI:** 1467081448 (Entity type: Organization)
- **Enumerated:** April 2, 2020
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **Legal business name:** Martin Medical Group Llc
- **Also known as:** Utah Home Detox (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Colby Martin, OWNER
## Practice location
- **Address:** 115 GOLF COURSE RD STE E, Logan, UT 84321-5934
- **Phone:** (435) 999-4059
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 3 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 23, 2023
- **Other identifiers:** Other 12627418
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1467081448) · Data from the CMS NPPES public registry.