KETAMINE FOR DEPRESSION SALT LAKE CITY LLC
NPI 1477362465
Clinic/Center - Mental Health (Including Community Mental Health Center) in Murray, UT

Q: What is Ketamine For Depression Salt Lake City 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.

Active since January 03, 2025

201 E 5900 S STE 200, MURRAY, UT 84107(385) 474-6946(385) 355-2782 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ketamine For Depression Salt Lake City Llc NPPES

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

KETAMINE FOR DEPRESSION SALT LAKE CITY LLC (NPI 1477362465), doing business as Ketamineslc, is a healthcare organization registered as a mental health (including community mental health center) in Murray, Utah and active in the NPI registry since January 2025. The organization lists Nicolas Salomon, Director, as its authorized official.

NPPES Registry Identity

NPI1477362465

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameKETAMINE FOR DEPRESSION SALT LAKE CITY LLC

Location Address201 E 5900 S STE 200Murray, UT 84107-5432

Mailing Address201 E 5900 S Ste 200Murray, UT 84107-5432 · (385) 474-6946 · Fax (385) 355-2782

Phone(385) 474-6946

Fax(385) 355-2782

Organization SubpartNo

Authorized OfficialNicolas SalomonDirector · (385) 474-6946

Enumeration DateJanuary 3, 2025

NPPES CertifiedJanuary 3, 2025

✔ NPI 1477362465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

201 E 5900 S STE 200, Murray, UT 84107

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Other Names 1

Doing Business AsKetamineslc

Other Providers at the Same Location NPPES

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

MICHELLE LANCASTER

Nurse Practitioner (Family)

201 E 5900 S STE 200
MURRAY, UT 84107

Salt Lake County (385) 474-6946

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 For Depression Salt Lake City LLC's NPI number?

The NPI number for Ketamine For Depression Salt Lake City LLC is 1477362465. It was assigned to this organization in the NPPES registry on January 3, 2025. The provider is doing business as KetamineSLC.

Where is Ketamine For Depression Salt Lake City LLC located?

Ketamine For Depression Salt Lake City LLC is located at 201 E 5900 S Ste 200, Murray, UT 84107. The listed phone number is (385) 474-6946.

What is Ketamine For Depression Salt Lake City 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 For Depression Salt Lake City LLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.