NPIMap

Organization Active NPI

Venkat Talasila

  • Mental Health Counselor
  • Bay City, MI
National Provider Identifier
1942468459
Registry record updated May 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
4301407245 Issued in MI
Legal business name
VENKAT TALASILA
Practice address
200 S Wenona St
Ste G29
Bay City, MI 48706-8820
Phone
(989) 893-3212
Fax
(989) 893-0461
NPI assigned
May 30, 2008
Last updated
May 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2008

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

Authorized official

Name
Dr. Venkat Talasila, MDNPI 1124029335
Title
Psychiatrist
Phone
(989) 893-3212

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
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 4301407245 MI Primary

Addresses

Primary practice location

200 S Wenona St
Ste G29
Bay City, MI 48706-8820

Mailing address

200 S Wenona St
Ste G29
Bay City, MI 48706-8820
Phone (989) 893-3212

Other identifiers 2

IdentifierTypeStateIssuer
103117160MedicaidMI
2600731330OtherMIBC

National Provider Directory

National Provider Directory

Locations

200 S Wenona St
Ste G29
Bay City, MI 48706
Phone (989) 893-3212

Practitioners & affiliated clinicians

Practitioners 5

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212105600000",
    "number": "1942468459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "STE G29",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-893-3212",
            "fax_number": "989-893-0461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S WENONA ST",
            "address_2": "STE G29",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487068820",
            "telephone_number": "989-893-3212",
            "fax_number": "989-893-0461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENKAT TALASILA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2008-05-30",
        "status": "A",
        "authorized_official_last_name": "TALASILA",
        "authorized_official_first_name": "VENKAT",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "989-893-3212",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "4301407245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103117160",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC",
            "identifier": "2600731330",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay City, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.