BALTIMORE KETAMINE CLINIC
NPI 1508580275
Clinic/Center - Infusion Therapy in Sparks, MD

Active since September 27, 2022
909 RIDGEBROOK RD STE 202, SPARKS, MD 21152(410) 870-5482 Get Directions Write a Review

NPPES record last updated: September 27, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Baltimore Ketamine Clinic NPPES

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

BALTIMORE KETAMINE CLINIC (NPI 1508580275) is a healthcare organization registered as an infusion therapy in Sparks, Maryland and active in the NPI registry since September 2022. The organization lists Ivana Mitic, Ceo, as its authorized official.

NPPES Registry Identity

NPI1508580275
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameBALTIMORE KETAMINE CLINIC
Location Address909 RIDGEBROOK RD STE 202Sparks, MD 21152-9476
Mailing Address909 Ridgebrook Rd Ste 202Sparks, MD 21152-9476
Organization SubpartNo
Authorized OfficialIvana MiticCeo · (410) 870-5482
Enumeration DateSeptember 27, 2022
NPPES CertifiedSeptember 21, 2022
NPI 1508580275 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
909 RIDGEBROOK RD STE 202, Sparks, MD 21152

Other Identifiers 1

Medicaid209047300MD

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.

Nurse Practitioner (Psychiatric/Mental Health)
909 RIDGEBROOK RD STE 202
SPARKS, MD 21152
Nurse Practitioner (Psychiatric/Mental Health)
909 RIDGEBROOK RD STE 202
SPARKS GLENCOE, MD 21152

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 Baltimore Ketamine Clinic's NPI number?

The NPI number for Baltimore Ketamine Clinic is 1508580275. It was assigned to this organization in the NPPES registry on September 27, 2022.

Where is Baltimore Ketamine Clinic located?

Baltimore Ketamine Clinic is located at 909 Ridgebrook Rd Ste 202, Sparks, MD 21152. The listed phone number is (410) 870-5482.

What is Baltimore 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 Baltimore Ketamine Clinic was last updated on September 27, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.