Active NPI
Mad Health & Wellness
- Point of Service
- Thousand Oaks, CA
National Provider Identifier
1689367799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Point of Service
- Legal business name
- MAD HEALTH & WELLNESS
- Practice address
- 300 Rolling Oaks Dr Apt 306
Thousand Oaks, CA 91361-1254 - Phone
- (303) 720-4789
- NPI assigned
- Jun 2, 2023
- Last updated
- Jun 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Madeleine Naomi Weitzner, MS, MA, RD
- Title
- Director of Nutrition Services
- Phone
- (303) 720-4789
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Point of Service | 305S00000X | Primary |
Addresses
Primary practice location
300 Rolling Oaks Dr Apt 306
Thousand Oaks, CA 91361-1254
Mailing address
300 Rolling Oaks Dr Apt 306
Thousand Oaks, CA 91361-1254
Phone (303) 720-4789
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215646328 | Medicaid | CO |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Registered Dietitian
- Thousand Oaks, CA
- NPI 1215646328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1685664000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686009600000",
"number": "1689367799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 ROLLING OAKS DR APT 306",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611254",
"telephone_number": "303-720-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 ROLLING OAKS DR APT 306",
"city": "THOUSAND OAKS",
"state": "CA",
"postal_code": "913611254",
"telephone_number": "303-720-4789"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAD HEALTH & WELLNESS",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-02",
"last_updated": "2023-06-06",
"certification_date": "2023-06-06",
"status": "A",
"authorized_official_last_name": "WEITZNER",
"authorized_official_first_name": "MADELEINE",
"authorized_official_middle_name": "NAOMI",
"authorized_official_title_or_position": "DIRECTOR OF NUTRITION SERVICES",
"authorized_official_telephone_number": "303-720-4789",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MS, MA, RD"
},
"taxonomies": [
{
"code": "305S00000X",
"taxonomy_group": "",
"desc": "Point of Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1215646328",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thousand Oaks, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.