{"npi":"1063288686","type":"NPI-2","status":"active","name":{"display":"Ketaminamd LLC","other":[],"organization_name":"KETAMINAMD LLC","authorised_official":"Matthew Sessa"},"specialty":{"primary_taxonomy":"251B00000X","primary_taxonomy_description":"Case Management Agency","slug":"case-management-agency","schema_org_specialty":null,"all":[{"code":"251B00000X","description":"Case Management Agency","primary":true,"state":null,"license":null}]},"addresses":[{"purpose":"LOCATION","street_1":"930 S 4TH ST STE 209","city":"LAS VEGAS","state":"NV","postal_code":"891016845","country_code":"US","phone":"9294941182","fax":"9294941182"},{"purpose":"MAILING","street_1":"930 S 4TH ST STE 209","city":"LAS VEGAS","state":"NV","postal_code":"891016845","country_code":"US","phone":"9294941182","fax":"9294941182"}],"license":null,"identifiers":[],"pecos":{"enrolled_at":null,"enrollments":[]},"enumeration_date":"2023-11-27","last_updated":"2024-06-19","_meta":{"source":"NPPES","snapshot_date":"2024-06-19","doc_url":"https://findmynpi.com/api"}}