KETAMINE WEST LLC
NPI 1477287290
Clinic/Center - Mental Health (Including Community Mental Health Center) in Grand Junction, CO

Active since July 16, 2022
602 26 1/2 RD, GRAND JUNCTION, CO 81506(970) 427-4000 Get Directions Write a Review

NPPES record last updated: December 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 20, 2022, Jul 16, 2022 (2 updates tracked since 2022).

About Ketamine West Llc NPPES

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

KETAMINE WEST LLC (NPI 1477287290) is a healthcare organization registered as a mental health (including community mental health center) in Grand Junction, Colorado and active in the NPI registry since July 2022. The organization maintains a secondary practice location in Montrose and lists Stryder River Reilly, Owner/operator, as its authorized official.

NPPES Registry Identity

NPI1477287290
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKETAMINE WEST LLC
Location Address602 26 1/2 RDGrand Junction, CO 81506-1905
Mailing Address602 26 1/2 RdGrand Junction, CO 81506-1905
Organization SubpartNo
Authorized OfficialStryder River ReillyOwner/operator · (970) 644-1279
Enumeration DateJuly 16, 2022
Last NPPES UpdateDecember 20, 20222 updates tracked since enumeration
NPPES CertifiedDecember 20, 2022
NPI 1477287290 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
602 26 1/2 RD, Grand Junction, CO 81506

Secondary Practice Location 1

Location 1836 S Townsend AveMontrose, CO 81401-4360 · Phone (970) 200-8365

Other Providers at the Same Location NPPES

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

Home Health
602 26 1/2 RD
GRAND JUNCTION, CO 81506

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 West LLC's NPI number?

The NPI number for Ketamine West LLC is 1477287290. It was assigned to this organization in the NPPES registry on July 16, 2022.

Where is Ketamine West LLC located?

Ketamine West LLC is located at 602 26 1/2 Rd, Grand Junction, CO 81506. The listed phone number is (970) 427-4000.

What is Ketamine West LLC'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 Ketamine West LLC was last updated on December 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.