Brain and Wellness Institute LLC

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

036101082 Issued in IL

Legal business name

BRAIN AND WELLNESS INSTITUTE LLC

Practice address

1165 N Clark St Ste 700
Chicago, IL 60610-2821

Phone

(312) 636-8671

NPI assigned

Mar 1, 2018

Last updated

May 23, 2024By 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

Dr. Nagamani Pavuluri, MDNPI 1518979905

Title

Owner

Phone

(312) 636-8671

Specialties & licenses 1

Addresses

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.

• Nagamani Pavuluri, MD

  • Child & Adolescent Psychiatry Physician
  • Chicago, IL
  • NPI 1518979905
  NPD Authorized official

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716422400000",
    "number": "1942702386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 W OAK ST APT 14A",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606108724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1165 N CLARK ST STE 700",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606102821",
            "telephone_number": "312-636-8671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAIN AND WELLNESS INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-01",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A",
        "authorized_official_last_name": "PAVULURI",
        "authorized_official_first_name": "NAGAMANI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-636-8671",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IL",
            "license": "036101082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Lynnae Brahm, LCSW
• Anand Brahmandam, MBBS
• Manish D Brahmbhatt, MD
• Nimeet R Brahmbhatt, M.D.
• Sagar Brahmbhatt
• Brain Box Literacy Academy and Educational Services (Beloved Elder Elite)
• Brainerd Medical Center SC
• Constance S Brainin, PH.D.
• Braintrain Therapy LLC
• Brainwaves

• Child & Adolescent Psychiatry Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Child & Adolescent Psychiatry Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; 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.