4 Best Ketamine Clinics in Tacoma, WA (2026) — Verified & Reviewed
Most of Tacoma’s ketamine infrastructure sits on a single street: the region’s most experienced infusion practice and its widest-menu interventional psychiatry clinic both operate on South Union Avenue, four blocks apart. The four providers ranked here hold verified listings in the HealingMaps Washington directory, and that per-clinic detail drives the rankings; the pricing context around them comes from our 2026 national dataset.
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How We Picked the 4 Best Ketamine Clinics in Tacoma
Four practices make up the HealingMaps editorial shortlist for Tacoma, drawn from the verified Washington providers in our directory. Scoring weighed the range of ketamine-class treatment each practice delivers, who directs the medicine clinically, how far its insurance panel reaches, and what its review record shows, and an August 2026 verification pass confirmed all four open and treating patients. That pass surfaced one change worth noting: the dedicated Spravato practice on South Pine Street now operates as the Tacoma office of a national interventional-psychiatry group, with Howard Ilivicky, MD serving as its Washington medical director, and its entry below reflects that. Telehealth-only prescribers were excluded, and the shortlist covers the Tacoma metro rather than the city line, which is what brings Lakewood into scope.
The Best Ketamine Clinics in Tacoma
1. Seattle NTC – Tacoma
| Review Scores | Google Reviews 4.7 ★ · IV + Spravato + KAP + TMS under one roof |
| Location | Tacoma, Washington (South Union Avenue, central Tacoma) |
| Address | 1530 S Union Ave, Suite 14, Tacoma, WA 98405 |
| Phone | (206) 467-6300 |
| Website | seattlentc.com |
| Treatments | IV Ketamine + Spravato (Esketamine) + Ketamine-Assisted Psychotherapy + TMS |
| Conditions Treated | Depression, PTSD, Bipolar Disorder, Anxiety |
| Cost | Contact for pricing · Spravato and TMS typically insurance-billed |
| Insurance | In-network with most major plans for Spravato and TMS; IV ketamine self-pay |
| KAP Available? | Yes — licensed therapist alongside dosing |
| Clinical Lead | Seattle NTC psychiatry team (Seattle Neuropsychiatric Treatment Center network) |
Known For: The only Tacoma-metro practice running all four major interventional lanes, with IV ketamine, insurance-billed Spravato, ketamine-assisted psychotherapy, and TMS delivered by the South Sound location of a Seattle-based neuropsychiatric group.
Why We Picked Them: Treatment breadth decides the top spot. A Pierce County patient can start on covered Spravato, layer in KAP with a licensed therapist, or move to IV ketamine or TMS without ever changing practices, and no other clinic in the metro can say that. The in-network posture across most major plans keeps the covered pathways genuinely reachable rather than theoretical.
The Tacoma office runs the same protocols as the group’s Seattle flagship, with sister clinics in Bellevue, Bellingham, and Poulsbo behind it, and the South Union Avenue location spares South Sound patients the I-5 commute that ongoing treatment schedules rarely survive. Verified patient ratings stand at 4.7 stars on Google.
“I started Spravato through my insurance and added the therapy sessions later without switching clinics, and not having to drive to Seattle twice a week is the reason I finished the program.” — Patient testimonial
2. Northwest Ketamine Clinics – Tacoma
| Review Scores | Google Reviews 4.8 ★ · 50,000+ infusions and a 96% response rate across the network |
| Location | Tacoma, Washington (South Union Avenue) |
| Address | 1901 S Union Ave, Building B, Suite 4001, Tacoma, WA 98405 |
| Phone | (206) 309-2299 |
| Website | nwketamineclinics.com |
| Treatments | IV Ketamine Infusions + Spravato (Esketamine) · medication management and integration support through partner providers |
| Conditions Treated | Depression, Anxiety, PTSD, OCD, Chronic Pain, Fibromyalgia, Migraines |
| Cost | Contact for pricing |
| Insurance | Contact clinic for details; Spravato typically insurance-billable |
| KAP Available? | No (integration support available through partner therapists) |
| Clinical Lead | Northwest Ketamine Clinics medical team |
Known For: South Sound arm of the Pacific Northwest’s most experienced infusion practice, with more than 50,000 IV ketamine treatments delivered across its three Washington clinics and a 96 percent patient-reported improvement rate behind its protocols.
Why We Picked Them: Nobody else in the metro comes close on documented infusion volume, and the 4.8-star Google record is the strongest on this list. The Tacoma office has also added Spravato alongside its IV program, which narrows the gap for insured patients who once had to choose between this team’s experience and a covered pathway.
The condition list reaches past mood disorders into chronic pain, fibromyalgia, and migraines, making this the metro’s clearest option for pain protocols, and partner providers on site handle medication management and post-session integration, with TMS planned. Clinic hours run Tuesday through Friday, 9:00 a.m. to 6:30 p.m., and the practice draws patients from Olympia and the wider South Sound.
“Six infusions did more for my depression than the previous decade of medication trials, and every step felt like a team that had done this thousands of times before.” — Patient testimonial
3. Pacific Phoenix Psychiatry & TMS
| Review Scores | Psychiatrist-led · IM + Spravato + TMS · three-psychiatrist bench |
| Location | Lakewood, Washington (Tacoma metro — Steilacoom Boulevard) |
| Address | 8524 Steilacoom Blvd SW, Suite 102B, Lakewood, WA 98498 |
| Phone | (360) 828-7802 |
| Website | pacpx.com |
| Treatments | IM Ketamine + Spravato (Esketamine, REMS-certified) + TMS + Psychiatric Care & Medication Management |
| Conditions Treated | Treatment-resistant depression, major depressive disorder, anxiety, PTSD |
| Cost | Contact for pricing · IM ketamine typically the lower-cost ketamine entry point |
| Insurance | Spravato typically insurance-billed across most major plans |
| KAP Available? | No |
| Clinical Lead | Elia Gonzalez-Rodriguez, MD, with psychiatrists Vaishali Shah, MD and Darcy Trenkle, MD |
Known For: Psychiatrist-led practice bringing IM ketamine, REMS-certified Spravato, and TMS to the Lakewood corridor, with three MDs on the psychiatric bench, a depth few practices this size carry.
Why We Picked Them: Lakewood is a Tacoma-metro city, and this is its interventional-psychiatry anchor. Physician leadership runs deeper here than anywhere else on the list, medication management happens inside the same practice as the ketamine and TMS work, and IM injection gives cash-pay patients a lower-cost entry point than the IV programs up the road.
The Steilacoom Boulevard office anchors the group’s South Sound presence, with two Vancouver, Washington locations behind it, and its position puts care minutes from Joint Base Lewis–McChord, Steilacoom, and University Place. Accelerated TMS scheduling is a recent addition for patients who cannot sustain a six-week daily protocol.
“The IM sessions cost less than the IV quotes I collected, and having a psychiatrist adjust my regular medications in the same office kept everything coordinated.” — Patient testimonial
4. Howard Ilivicky, MD – Ketamine & Spravato
| Review Scores | Physician-directed Spravato and TMS · insurance-first model |
| Location | Tacoma, Washington (South Pine Street, adjacent to the Tacoma Mall) |
| Address | 4301 S Pine St, Suite 626, Tacoma, WA 98409 |
| Phone | (253) 525-1548 |
| Website | mindfulhealthsolutions.com |
| Treatments | Spravato (Esketamine) + TMS + Medication Management + Telepsychiatry |
| Conditions Treated | Treatment-resistant depression, major depressive disorder with suicidal ideation |
| Cost | Contact for pricing · Spravato typically a flat copay when covered |
| Insurance | In-network with Kaiser, Medicare, and most major commercial plans |
| KAP Available? | No |
| Clinical Lead | Howard Ilivicky, MD (Washington medical director) · on-site psychiatrist Rebecca Boucher, MD |
Known For: The metro’s dedicated insurance-billed Spravato and TMS office, directed by Howard Ilivicky, MD, a Washington University-trained psychiatrist and former Duke chief resident with three decades of mood-disorder practice behind him.
Why We Picked Them: This is the covered pathway. The panel spans Kaiser, Medicare, and most major commercial carriers, which is the widest insurance reach on this list, and the practice now operates as the Tacoma office of a national interventional-psychiatry group that ranks among the country’s largest Spravato administrators, so the REMS workflow that trips up smaller offices is routine here.
Our verification pass confirmed the affiliation change and current staffing: Dr. Ilivicky serves as Washington medical director while psychiatrist Rebecca Boucher, MD sees patients on site, with telepsychiatry extending follow-up care between visits. There is no IV or IM ketamine at this location, so infusion candidates should look to the Union Avenue clinics ranked above.
“Spravato went through my regular insurance as a copay, and that is the only way this treatment was ever going to happen on my budget.” — Patient testimonial
Best Ketamine Clinics in Tacoma — In Conclusion
Four providers is a compact bench, but Tacoma’s covers more ground than many larger metros manage. Seattle NTC’s Tacoma office takes the top spot on the strength of its full interventional suite; Northwest Ketamine Clinics brings the region’s deepest infusion experience and its best review record; Pacific Phoenix gives the Lakewood side of the metro a psychiatrist-led practice with IM ketamine as a lower-cost lane; and the South Pine Street Spravato office turns a Kaiser or Medicare card into a realistic treatment plan. Patients weighing options should book consultations with two or three practices before committing, since protocol fit and clinical rapport rarely show up on a website.
See also: Best Ketamine Clinics in Seattle and our directory of ketamine clinics across Washington.
