1. Home
  2. Directory
  3. Oklahoma
  4. Moore
  5. Psychiatry Neurology
  6. NPI Profile

KETAMINE OK LLC
NPI 1649738865
Psychiatry & Neurology - Psychiatry in Moore, OK

Active since March 06, 2019
1105 SW 30TH CT, MOORE, OK 73160(405) 703-0937(405) 378-2776 Get Directions Write a Review

NPPES record last updated: March 6, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ketamine Ok Llc NPPES

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

KETAMINE OK LLC (NPI 1649738865) is a healthcare organization registered as a psychiatry in Moore, Oklahoma and active in the NPI registry since March 2019. The organization lists Julie Dudley, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1649738865
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameKETAMINE OK LLC
Location Address1105 SW 30TH CTMoore, OK 73160-2887
Mailing Address1105 Sw 30th CtMoore, OK 73160-2887 · (405) 703-0937 · Fax (405) 378-2776
Phone(405) 703-0937
Fax(405) 378-2776
Organization SubpartNo
Authorized OfficialJulie DudleyPractice Manager · (405) 703-0937
Enumeration DateMarch 6, 2019
✔ NPI 1649738865 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.
1105 SW 30TH CT, Moore, OK 73160
Open in Google Maps ↗

Other Names 1

Doing Business AsKetamine Ok Llc

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

CHERI LYN CANTRELL-MCCOY LPC
Counselor (Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CAROLINE ANNE WHITAKER PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-4439
JAMES P. BRUNER MA, LPC
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CASSANDRA GENTRY P.A.
Physician Assistant
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
CATHY CATO APRN-CNP, PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
DEDRICK K PERKINS LCSW
Social Worker (Clinical)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
MAGDALINE EPIE APRN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727
KIARA TURNER LPC
Counselor (Professional)
1105 SW 30TH CT
MOORE, OK 73160
Cleveland County (405) 378-2727

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 Ok LLC's NPI number?

The NPI number for Ketamine Ok LLC is 1649738865. It was assigned to this organization in the NPPES registry on March 6, 2019.

Where is Ketamine Ok LLC located?

Ketamine Ok LLC is located at 1105 SW 30th Ct, Moore, OK 73160. The listed phone number is (405) 703-0937.

What is Ketamine Ok LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Ketamine Ok LLC was last updated on March 6, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.