Baltimore Ketamine Clinic in Sparks, MD
This location of Baltimore Ketamine Clinic bills under NPI 1508580275, an organization record issued on Sep 27, 2022 with the primary taxonomy Infusion Therapy Clinic/Center. It is one of 2 NPIs registered under this name; each clinician who sees you there has their own NPI and license.
Organization recordNPPES, Aug 2026
1508580275
- Legal name
- Baltimore Ketamine Clinic
- Entity
- Type 2 · organization
- Primary taxonomy
- Infusion Therapy Clinic/Center 261QI0500X
- Practice location
- 909 RIDGEBROOK RD STE 202, Sparks, MD 21152
- Phone
- 410-870-5482
- Enumerated
- Sep 27, 2022
- Record updated
- Sep 27, 2022
- Authorized official
- Ceo (title as filed)
3 clinicians CMS lists with Baltimore Ketamine Clinic in Sparks
- Ivana Mitic, CRNAPsychiatric/Mental Health Nurse Practitioner1962743815
- Michelle Ridgeway, CRNPPsychiatric/Mental Health Nurse Practitioner1730677121
- John Vaeth, MDPsychiatry Physician1992848345
Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.
All 2 Baltimore Ketamine Clinic NPIs
Every location registered under this name, in 2 cities.
See every locationChecking an organization
- Confirm the business with the Maryland secretary of state.
- Check the HHS-OIG exclusion list for the organization.
- Verify each clinician on their own record and the state license search.
Common questions
Is an organization NPI a license?
No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.
Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.