OrganizationActive
Brain and Wellness Institute LLC
NPI 1942702386 · Child & Adolescent Psychiatry Physician · Chicago, IL
Provider details
- NPI number
- 1942702386
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Nagamani Pavuluri, Owner(312) 636-8671
- License
- 036101082 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1165 N Clark St Ste 700
Chicago, IL 60610-2821
Phone: (312) 636-8671
Street-level locationGet directions
Mailing address
30 W Oak St Apt 14a
Chicago, IL 60610-8724
Registry dates
- Enumerated
- 2018-03-01
- Last updated
- 2024-05-23
- Certified
- 2024-05-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.