KETAMINE TREATMENT CENTERS OF AMERICA
NPI 1720649064
Nurse Practitioner - Family in Phoenix, AZ

Q: What is Metro Medical Group LLC's NPI number?

The NPI number for Metro Medical Group LLC is 1720649064. It was assigned to this organization in the NPPES registry on June 26, 2019. The provider is doing business as Ketamine Treatment Centers Of America.

Q: What is Metro Medical Group LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Active since June 26, 2019

3201 W PEORIA AVE STE A105, PHOENIX, AZ 85029(480) 676-3555(480) 999-4481 Get Directions Write a Review

NPPES record last updated: August 11, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Ketamine Treatment Centers Of America NPPES

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

KETAMINE TREATMENT CENTERS OF AMERICA (NPI 1720649064) is a healthcare organization registered as a family in Phoenix, Arizona and active in the NPI registry since June 2019. The organization lists Matthew M Rhodes, Member, as its authorized official.

NPPES Registry Identity

NPI1720649064

Entity TypeOrganization

Primary Taxonomy363LF0000X

Legal Business NameMETRO MEDICAL GROUP LLC

Location Address3201 W PEORIA AVE STE A105Phoenix, AZ 85029-4609

Mailing Address3201 W Peoria Ave Ste A105Phoenix, AZ 85029-4609 · (480) 676-3555 · Fax (480) 999-4481

Phone(480) 676-3555

Fax(480) 999-4481

Organization SubpartNo

Authorized OfficialMatthew M RhodesMember · (480) 676-3555

Enumeration DateJune 26, 2019

Last NPPES UpdateAugust 11, 2019

✔ NPI 1720649064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

Also ListedChiropractor · RehabilitationTaxonomy 111NR0400X

Also ListedRegistered Nurse · Addiction (Substance Use Disorder)Taxonomy 163WA0400X

Also ListedRegistered Nurse · Infusion TherapyTaxonomy 163WI0500X

Also ListedRegistered Nurse · Pain ManagementTaxonomy 163WP0000X

3201 W PEORIA AVE STE A105, Phoenix, AZ 85029

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Other Names 1

Doing Business AsKetamine Treatment Centers Of America

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 5

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

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