Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Baltimore Ketamine Clinic Eastern Shore

Q: What is the NPI number for Baltimore Ketamine Clinic Eastern Shore?

The NPI for Baltimore Ketamine Clinic Eastern Shore is 1366171720, a Type 2 (organization) record in the CMS NPPES registry.

Clinic/Center in Salisbury, MD · enumerated 2022 · authorized official Ivana Mitic, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366171720

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)

Legal business name Baltimore Ketamine Clinic Eastern Shore

Practice address 2324 N Zion Rd Ste 113, Salisbury, MD, 21801

Phone (410) 870-5482

Fax (410) 628-1212

Enumeration date Jun 9, 2022

Last updated in NPPES Feb 17, 2023

Taxonomy & classification

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Ivana Mitic

Title Owner

Phone (713) 412-3462

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is the NPI number for Baltimore Ketamine Clinic Eastern Shore?

The NPI for Baltimore Ketamine Clinic Eastern Shore is 1366171720, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Baltimore Ketamine Clinic Eastern Shore?

NPPES lists Ivana Mitic (Owner) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-17.