| Ketamine Health & Wellness Clinics Of Ohio Llc | |
|
5060 Bradenton Ave Ste A Dublin OH 43017-3511 | |
| (380) 214-1636 | |
| (380) 235-7469 |
| Full Name | Ketamine Health & Wellness Clinics Of Ohio Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 5060 Bradenton Ave Ste A, Dublin, Ohio |
| Authorized Official Name and Position | Brian S Seifferth (PRESIDENT) |
| Authorized Official Contact | 6143061073 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ketamine Health & Wellness Clinics Of Ohio Llc 5060 Bradenton Ave Ste A Dublin OH 43017-3511 Ph: (380) 214-1636 | Ketamine Health & Wellness Clinics Of Ohio Llc 5060 Bradenton Ave Ste A Dublin OH 43017-3511 Ph: (380) 214-1636 |
| NPI Number | 1053005116 |
|---|---|
| Provider Enumeration Date | 06/02/2023 |
| Last Update Date | 01/14/2025 |
| Certification Date | 01/14/2025 |
| Medicare PECOS PAC ID | 0446770341 |
|---|---|
| Medicare Enrollment ID | O20250221003200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053005116 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Brian Scott Seifferth |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205887320 PECOS PAC ID: 9739092628 Enrollment ID: I20040106000597 |
| Provider Name | Tabitha Taylor Thompson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902358765 PECOS PAC ID: 9931489747 Enrollment ID: I20161214001068 |
| Provider Name | Marissa Michelle Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1215715784 PECOS PAC ID: 5294256111 Enrollment ID: I20250307003127 |
| Provider Name | Jordan Lewis |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1144917691 PECOS PAC ID: 5799206553 Enrollment ID: I20250310001063 |
| Provider Name | Patrice Ann Bellanti |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649413634 PECOS PAC ID: 7517488224 Enrollment ID: I20250311001647 |
Freedom Calling Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 545 Metro Place South, Suite 100, Dublin, OH 43017 Phone: 614-349-1077 | |
The People Institute, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5900 Sawmill Rd, Suite 210, Dublin, OH 43017 Phone: 614-717-9652 Fax: 614-717-9657 | |
Nelsen Counseling Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6047 Frantz Rd Ste 205, Dublin, OH 43017 Phone: 614-401-6203 | |
Stephanie E Wilson Lisw-s Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 90 S High St Ste E, Dublin, OH 43017 Phone: 614-579-9657 | |
Done Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 545 Metro Pl S Ste 100, Dublin, OH 43017 Phone: 888-291-5143 | |
Concord Psychiatry, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4995 Bradenton Ave Ste 130, Dublin, OH 43017 Phone: 614-580-6917 |