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VIVIAN IMO PSYCHIATRY, LLC
NPI 1013775014
Nurse Practitioner - Psychiatric/Mental Health in Glen Burnie, MD

Active since March 13, 2024CLIA 21D2336051 · Waiver
1412 CRAIN HWY N STE 6B, GLEN BURNIE, MD 21061(301) 337-6669(301) 477-8931 Get Directions Write a Review

NPPES record last updated: February 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Vivian Imo Psychiatry, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VIVIAN IMO PSYCHIATRY, LLC (NPI 1013775014), doing business as Vipsychiatry, is a healthcare organization registered as a psychiatric/mental health in Glen Burnie, Maryland and active in the NPI registry since March 2024. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Vivian Adaeze Imo, Owner, as its authorized official.

NPPES Registry Identity

NPI1013775014
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameVIVIAN IMO PSYCHIATRY, LLC
Location Address1412 CRAIN HWY N STE 6BGlen Burnie, MD 21061-9306
Mailing Address1412 Crain Hwy N Ste 6bGlen Burnie, MD 21061-9306 · (301) 377-6669 · Fax (301) 477-8931
Phone(301) 337-6669
Fax(301) 477-8931
Organization SubpartNo
Authorized OfficialVivian Adaeze ImoOwner · (301) 821-7488
Enumeration DateMarch 13, 2024
Last NPPES UpdateFebruary 16, 2026
NPPES CertifiedFebruary 16, 2026
✔ NPI 1013775014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
1412 CRAIN HWY N STE 6B, Glen Burnie, MD 21061
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Other Names 1

Doing Business AsVipsychiatry

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 21D2336051

Vivian Imo Psychiatry LLC Dba Vipsychiatry · Glen Burnie, MD
Active · expires Dec 22, 2027
CLIA Number21D2336051
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorVivian Imo
Laboratory Phone(301) 377-6669
Laboratory LocationVivian Imo Psychiatry LLC Dba Vipsychiatry1412 Crain Hwy North Suite 6B, Glen Burnie, MD 21061
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LIFE SUPPORT CLINICAL COUNSELING SERVICE LLC/PRP
Community/Behavioral Health
1412 CRAIN HWY N STE 6B
GLEN BURNIE, MD 21061
Anne Arundel County (410) 980-3163
DR. VIVIAN ADAEZE IMO DNP, CRNP-PMH
Nurse Practitioner (Psychiatric/Mental Health)
1412 CRAIN HWY N STE 6B
GLEN BURNIE, MD 21061
Anne Arundel County (301) 377-6669
RECOVERYRX LLC
Nurse Practitioner (Psychiatric/Mental Health)
1412 CRAIN HWY N STE 6B
GLEN BURNIE, MD 21061
Anne Arundel County (410) 449-7007

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vivian Imo Psychiatry, LLC's NPI number?

The NPI number for Vivian Imo Psychiatry, LLC is 1013775014. It was assigned to this organization in the NPPES registry on March 13, 2024. The provider is doing business as VIPsychiatry.

Where is Vivian Imo Psychiatry, LLC located?

Vivian Imo Psychiatry, LLC is located at 1412 Crain Hwy N Ste 6B, Glen Burnie, MD 21061. The listed phone number is (301) 337-6669.

What is Vivian Imo Psychiatry, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Does Vivian Imo Psychiatry, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2336051) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vivian Imo Psychiatry, LLC was last updated on February 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.