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Baltimore Ketamine Clinic

Psychiatric/Mental Health Nurse Practitioner in Sparks Glencoe, MD · enumerated 2019 · authorized official Ivana Mitic, Group Owner.

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

National Provider Identifier

1972145381

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Registry record

Entity type Organization (Type 2)
Legal business name Baltimore Ketamine Clinic
Practice address 909 Ridgebrook Rd Ste 202, Sparks Glencoe, MD, 21152
Phone (410) 870-5482
Fax (410) 628-1212
Enumeration date Oct 17, 2019
Last updated in NPPES May 15, 2025

Taxonomy & classification

261QI0500X Infusion Therapy Clinic/Center Ambulatory Health Care Facilities Secondary
363LP0808X Psychiatric/Mental Health Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Primary

Authorized official

Name Ivana Mitic
Title Group 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.

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Frequently asked questions

Who is the authorized official for Baltimore Ketamine Clinic?
NPPES lists Ivana Mitic (Group Owner) as the authorized official for this organization.
What is the NPI number for Baltimore Ketamine Clinic?
The NPI for Baltimore Ketamine Clinic is 1972145381, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-05-15.