Madera Wellness Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MADERA WELLNESS CENTER, LLC

Practice address

7107 E Thomas Rd
Scottsdale, AZ 85251-6559

Phone

(480) 463-4793

NPI assigned

Jun 30, 2015

Last updated

Jun 30, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jose Luis Madera Jr., MSC,LPC

Title

Ceo/Owner

Phone

(480) 463-4793

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435622400000",
    "number": "1487037198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1628 W GLENROSA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850154734",
            "telephone_number": "480-463-4793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7107 E THOMAS RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852516559",
            "telephone_number": "480-463-4793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-30",
        "last_updated": "2015-06-30",
        "status": "A",
        "authorized_official_last_name": "MADERA",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "LUIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "480-463-4793",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MSC,LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maddela Medical Services, P.C.
• Jean Marie Madden, D.M.D.
• Jolene Rae Madden, M.ED., CCC-SLP
• Josie M Madden, PHARM.D.
• Marnie Lynn Madden, M.S., CCC-SLP
• Shahin Madi, D.M.D., M.S.
• Niveditha Madineni
• Madonna C Mallari MD PLLC
• Samuel Madrid, PA
• Christine Helen Madsen, NMD

• Professional Counselor in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Professional Counselor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2015; 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.