In crisis? Call or text 988 in the US for the Suicide and Crisis Lifeline.

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What a verification badge here does and does not mean

A directory funded by the businesses it lists has an obvious conflict. The only workable response is to publish the mechanics and let you weigh them.
Federal data firstEvery listing starts from the NPI Registry
Paid placement labelledWherever it appears
No invented pricingBlank beats a guess

Every clinic here comes from the federal NPI Registry. A verified badge means one person checked one licence against one state board on a stated date. Clinics can pay for placement. They cannot pay for the badge.

2adequate antidepressant trials before most clinics will treat
$2,400+the usual floor for a full induction course
2 to 6 wkstypical spacing between maintenance sessions

What we verify

One check, and we say what it does not cover

How to check a clinic yourself

  • Look up the NPI number on the federal registry and confirm the name and address match.
  • Search the state medical board for the named clinician and check the licence status and any actions.
  • Confirm the practice address exists as a clinical setting rather than a mailbox.
  • Ask for the prescribing clinician's name in writing before you book.
  • For esketamine specifically, confirm the site is REMS-certified.

It does not mean we inspected the premises, audited outcomes or endorsed the practice. A badge that implies more than it delivers is worse than no badge.

Response is measured with repeated symptom scores rather than inferred from how a session felt.

How listings are ordered

Clinics pay for position, and we label it
  • Every clinic listed starts from the federal NPI Registry, a public record maintained by the Centers for Medicare and Medicaid Services.
  • An unclaimed listing carries the registry facts only: legal name, NPI number, address, phone and taxonomy.
  • Prices, treatments offered and trading status appear only once the practice itself supplies them.
  • A verified badge means a person matched the licence against the state board on a stated date.

Paid tiers change placement and profile features. They do not touch verification, which is a factual check with a yes or no answer, and they do not touch reviews.

What people get wrong

Two things worth clearing up

MythAt-home lozenges are the same treatment, delivered more conveniently.

FactSublingual absorption is lower and far more variable, and no vital signs are being monitored. The risk profile differs enough that it should be treated as a separate decision.

MythYou are put under, like surgery.

FactYou stay awake, breathe on your own and can talk throughout. The subanaesthetic dose is a fraction of the surgical one.

Take the questions above to a first consultation. A clinic that answers them plainly is worth your time.

This is general information, not medical advice. Ketamine is a controlled substance and its use for mood disorders is off-label, apart from esketamine. Talk to a clinician who knows your history. In the US, call or text 988 if you are in crisis.

Not medical advice Ketamine is a Schedule III controlled substance and its use for mood disorders is off-label, with the exception of esketamine, which is FDA-approved for treatment-resistant depression and restricted to certified centres. Nothing on this page can establish whether treatment suits you. That judgement belongs to a clinician who knows your history. In the United States, call or text 988 if you are in crisis.