Ketamine Uplift Inc. - Mental Health Clinic in Marina Del Rey, CA

Ketamine Uplift Inc. is a mental health clinic (Clinic/center - Multi-specialty) in Marina Del Rey, California. The current practice location for Ketamine Uplift Inc. is 4640 Admiralty Way # 718a, Marina Del Rey, California. For appointments, you can reach them via phone at (310) 280-4440. The mailing address for Ketamine Uplift Inc. is 3111 Via Dolce Apt 506, Marina Del Rey, California and phone number is (310) 965-6666.

Ketamine Uplift Inc. is licensed to practice in * (Not Available) (license number ) and its NPI number is 1942156955. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (310) 280-4440.

Contact Information

Ketamine Uplift Inc.
4640 Admiralty Way # 718a
Marina Del Rey
CA 90292-6621
(310) 280-4440
(310) 929-8436

Map and Direction


Mental Health Clinic Profile

Full NameKetamine Uplift Inc.
SpecialityClinic/center - Multi-specialty
Location4640 Admiralty Way # 718a, Marina Del Rey, California
Authorized Official Name and PositionGeoffery Alan O'neill (PRESIDENT/OWNER/MEDICAL DIRECTOR)
Authorized Official Contact3109656666
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Ketamine Uplift Inc.
3111 Via Dolce Apt 506
Marina Del Rey
CA 90292-5077

Ph: (310) 965-6666
Ketamine Uplift Inc.
4640 Admiralty Way # 718a
Marina Del Rey
CA 90292-6621

Ph: (310) 280-4440

NPI Details:

NPI Number1942156955
Provider Enumeration Date03/10/2026
Last Update Date04/10/2026
Certification Date04/10/2026

Medical Identifiers

Medical identifiers for Ketamine Uplift Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942156955NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QM0801XClinic/center - Mental Health (including Community Mental Health Center) (* (Not Available))Secondary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Primary

Reviews and Comments

Clinic/Center in Marina Del Rey, CA

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Phone: 310-850-1699    Fax: 760-859-3877
Elizabeth Gould, Marriage & Family Therapist, Inc.
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Medicare: Not Enrolled in Medicare
Practice Location: 4170 Admiralty Way, Suite 405, Marina Del Rey, CA 90292
Phone: 310-578-5957    Fax: 310-827-2294
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Practice Location: 4136 Del Rey Ave Ste 626, Marina Del Rey, CA 90292
Phone: 617-249-6854    
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Medicare: Not Enrolled in Medicare
Practice Location: 578 Washington Blvd # 815, Marina Del Rey, CA 90292
Phone: 323-447-8372    
Liberating The Psyche Lcswcorp Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 4766 La Villa Marina Unit A, Marina Del Rey, CA 90292
Phone: 310-913-4623    
Lat Intensive Outpatient Programs Inc
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Medicare: Not Enrolled in Medicare
Practice Location: 4551 Glencoe Ave, Suite 255, Marina Del Rey, CA 90292
Phone: 310-572-7000    Fax: 310-943-2293

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.