Organization Active NPI

Mad Health & Wellness

  • Point of Service
  • Thousand Oaks, CA
National Provider Identifier
1689367799
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Point of ServiceTaxonomy code 305S00000X
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, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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, RDNPI 1215646328
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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1215646328MedicaidCO

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.