Madeina Wellness

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MADEINA WELLNESS

Practice address

3049 W Grace St # 1
Chicago, IL 60618-4539

Phone

(630) 908-0447

NPI assigned

Jan 25, 2021

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ramalaxmi Shanmugavelayutham, LCSWNPI 1962998914

Title

Founder

Phone

(630) 908-0447

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ramalaxmi Shanmugavelayutham, LCSW

  • Clinical Social Worker
  • Chicago, IL
  • NPI 1962998914
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611532800000",
    "number": "1467042283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3049 W GRACE ST # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184539",
            "telephone_number": "630-908-0447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3049 W GRACE ST # 1",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606184539",
            "telephone_number": "630-908-0447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADEINA WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-25",
        "last_updated": "2021-01-25",
        "certification_date": "2021-01-25",
        "status": "A",
        "authorized_official_last_name": "SHANMUGAVELAYUTHAM",
        "authorized_official_first_name": "RAMALAXMI",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "630-908-0447",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https://rameyalcsw.wixsite.com/mysite-1",
            "affiliation": "N",
            "address_1": "3049 W Grace St # 1",
            "city": "Chicago",
            "state": "IL",
            "country_code": "US",
            "postal_code": "606184539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nanda Kishore Maddineni, SA-C
• Chelsea Berndl Maddock Sherrington, M.A., L.P.C.
• Jordan Alexander Maddox, DO
• Made It Out Services
• Made Resilient Physical Therapy and Sports Performance, PLLC
• Paige Madek, APRN, CRNA
• Madeline Haynes Psychotherapy
• Madeline McDonough Nutrition LLC
• Thomas W Mader
• Lisset Madera-Gonzalez

• Mental Health Clinic/Center (Including Community Mental Health Center) in Chicago, IL
• Providers in Chicago, IL by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.