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Ketamine Wellness Centers Arizona LLC

Anesthesiology Physician in Mesa, AZ · enumerated 2015 · authorized official Anita Jerger, Executive Assistant.

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

National Provider Identifier

1477935369

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Registry record

Entity type Organization (Type 2)
Legal business name Ketamine Wellness Centers Arizona LLC
Other name <Unavail>
Practice address 113 W Hoover Ave Ste 101, Mesa, AZ, 85210
Phone (855) 538-9355
Fax (844) 538-9355
Enumeration date Jun 26, 2015
Last updated in NPPES Aug 21, 2020

Taxonomy & classification

207L00000X Anesthesiology Physician Allopathic & Osteopathic Physicians Primary
2084P2900X Pain Medicine (Psychiatry & Neurology) Physician Allopathic & Osteopathic Physicians Secondary
208VP0000X Pain Medicine Physician Allopathic & Osteopathic Physicians Secondary

Authorized official

Name Anita Jerger
Title Executive Assistant
Phone (855) 538-9355

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.

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Frequently asked questions

Who is the authorized official for Ketamine Wellness Centers Arizona LLC?
NPPES lists Anita Jerger (Executive Assistant) as the authorized official for this organization.
What is the NPI number for Ketamine Wellness Centers Arizona LLC?
The NPI for Ketamine Wellness Centers Arizona LLC is 1477935369, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-08-21.