1. Home
  2. Directory
  3. Connecticut
  4. Milford
  5. Clinic Center
  6. NPI Profile

KETAMINE CENTER OF CONNECTICUT
NPI 1720866916
Clinic/Center - Mental Health (Including Community Mental Health Center) in Milford, CT

Active since September 19, 2023
232 BOSTON POST RD STE 13, MILFORD, CT 06460(203) 701-6388(203) 306-3134 Get Directions Write a Review

NPPES record last updated: November 30, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ketamine Center Of Connecticut NPPES

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

KETAMINE CENTER OF CONNECTICUT (NPI 1720866916) is a healthcare organization registered as a mental health (including community mental health center) in Milford, Connecticut and active in the NPI registry since September 2023. The organization maintains a secondary practice location in Westport and lists Al Gene Ejusa Ang, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1720866916
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKETAMINE CENTER LLC
Location Address232 BOSTON POST RD STE 13Milford, CT 06460-3158
Mailing Address232 Boston Post Rd Ste 13Milford, CT 06460-3158 · (203) 701-6388
Phone(203) 701-6388
Fax(203) 306-3134
Organization SubpartNo
Authorized OfficialAl Gene Ejusa AngOffice Manager · (860) 552-7592
Enumeration DateSeptember 19, 2023
Last NPPES UpdateNovember 30, 2023
NPPES CertifiedNovember 30, 2023
✔ NPI 1720866916 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
232 BOSTON POST RD STE 13, Milford, CT 06460
Open in Google Maps ↗

Other Names 1

Doing Business AsKetamine Center Of Connecticut

Secondary Practice Location 1

Location 11720 Post Rd E Ste 211Westport, CT 06880-5643 · Phone (203) 701-6388

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 Center LLC's NPI number?

The NPI number for Ketamine Center LLC is 1720866916. It was assigned to this organization in the NPPES registry on September 19, 2023. The provider is doing business as Ketamine Center Of Connecticut.

Where is Ketamine Center LLC located?

Ketamine Center LLC is located at 232 Boston Post Rd Ste 13, Milford, CT 06460. The listed phone number is (203) 701-6388.

What is Ketamine Center 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 Center LLC was last updated on November 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.