Organization Active NPI

Mad World Wellness PLLC

  • Clinical Social Worker
  • Prescott, MI
National Provider Identifier
1912798190
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MAD WORLD WELLNESS PLLC
Practice address
5806 Sage Lake Rd
Prescott, MI 48756-9625
Phone
(989) 390-5646
NPI assigned
May 15, 2025
Last updated
May 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Authorized official

Name
Mrs. Christine J Badour, LMSWNPI 1669030227
Title
Resident Member
Phone
(989) 390-5646

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

5806 Sage Lake Rd
Prescott, MI 48756-9625

Mailing address

5806 Sage Lake Rd
Prescott, MI 48756-9625
Phone (989) 390-5646

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": "1747267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1912798190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5806 SAGE LAKE RD",
            "city": "PRESCOTT",
            "state": "MI",
            "postal_code": "487569625",
            "telephone_number": "989-390-5646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5806 SAGE LAKE RD",
            "city": "PRESCOTT",
            "state": "MI",
            "postal_code": "487569625",
            "telephone_number": "989-390-5646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAD WORLD WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "BADOUR",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "RESIDENT MEMBER",
        "authorized_official_telephone_number": "989-390-5646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; 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.