NPI age
4 years
Enumerated 2022-05-11
● Active Type 2 · Organization
Active Ketamine, Pllc
Active Ketamine, Pllc is 1 of 19 psychiatry & neurology organizations in Texas.
Primary specialty
Psychiatry & Neurology
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heathman
Managing Member
Last NPPES update
2022-05-11
Source: monthly bulk 2026-05
How this organization compares
Across 19 active psychiatry & neurology providers in Texas.
NPI age
4 years
↓ 11 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2022 → 2026
2022-05Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
12250 Queenston Blvd Ste E
Houston, TX 770955343
Mailing address
12250 Queenston Blvd Ste E
Houston, TX 770955343
Authorized official
Jared Heathman
Managing Member
📞 2812014511
Specialties
-
Psychiatry & Neurology PrimaryA neurologist, child neurologists or psychiatrist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory...
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.