NPIMap

Organization Active NPI

Minds United 57 LLC.

  • Peer Specialist
  • Toledo, OH
National Provider Identifier
1154039337
Registry record updated Nov 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Peer SpecialistTaxonomy code 175T00000X
Legal business name
MINDS UNITED 57 LLC.
Practice address
1920 Collingwood Blvd PH 1
Toledo, OH 43604-5087
Phone
(419) 490-3053
NPI assigned
Nov 7, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2022

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

Authorized official

Name
Joseph Oscar Kidd
Title
Director
Phone
(419) 490-3053

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Peer SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 175T00000X Primary

Addresses

Primary practice location

1920 Collingwood Blvd PH 1
Toledo, OH 43604-5087

Mailing address

1920 Collingwood Blvd PH 1
Toledo, OH 43604-5087
Phone (419) 490-3053

Other names 1

  • Minds United 57 LLC. Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667779200000",
    "number": "1154039337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1920 COLLINGWOOD BLVD PH 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045087",
            "telephone_number": "419-490-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1920 COLLINGWOOD BLVD PH 1",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436045087",
            "telephone_number": "419-490-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINDS UNITED 57 LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-11-07",
        "certification_date": "2022-11-07",
        "status": "A",
        "authorized_official_last_name": "KIDD",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "OSCAR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "419-490-3053"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Minds United 57 LLC.",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2022; 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.