Organization Active NPI

Midwest Institute Inc

  • Addiction Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1871755264
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Psychiatry PhysicianTaxonomy code 2084P0802X
License
35023979 Issued in OH
Legal business name
MIDWEST INSTITUTE INC
Practice address
3540 Secor Rd
Ste 209
Toledo, OH 43606
Phone
(419) 536-5151
Fax
(419) 893-2120
NPI assigned
Jun 27, 2008
Last updated
Jun 27, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Dr. George Y Venk, MD
Title
Staff Psychiatrist VP
Phone
(419) 536-5151

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X C00433 MI
Psychiatry Physician 2084P0800X 35023979 OH
Addiction Psychiatry Physician 2084P0802X 35023979 OH Primary

Addresses

Primary practice location

3540 Secor Rd
Ste 209
Toledo, OH 43606

Mailing address

3540 Secor Rd Ste 209
Toledo, OH 43606
Phone (419) 536-5151

Other names 1

  • Midwest Institute for Treatment & Study of Alcoholism Former legal business name

National Provider Directory

National Provider Directory

Locations

3540 Secor Rd
Ste 209
Toledo, OH 43606
Phone (419) 536-5151

NPI Registry JSON

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

{
    "created_epoch": "1214524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1871755264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 SECOR RD STE 209",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-536-5151",
            "fax_number": "419-893-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 SECOR RD",
            "address_2": "STE 209",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "43606",
            "telephone_number": "419-536-5151",
            "fax_number": "419-893-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST INSTITUTE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-27",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "VENK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "STAFF PSYCHIATRIST VP",
        "authorized_official_telephone_number": "419-536-5151",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C00433",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35023979",
            "primary": false
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "OH",
            "license": "35023979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Midwest Institute for Treatment & Study of Alcoholism",
            "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 Jun 27, 2008; 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.