IMPERIALHEALTH CLINIC PLLC
NPI 1306662010
Nurse Practitioner - Psychiatric/Mental Health in Waxahachie, TX

Q: What is Imperialhealth Clinic PLLC's NPI number?

The NPI number for Imperialhealth Clinic PLLC is 1306662010. It was assigned to this organization in the NPPES registry on November 26, 2024. The provider is doing business as Imperial Health Psychiatry.

Q: What is Imperialhealth Clinic PLLC's specialty?

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

Active since November 26, 2024CLIA 45D2262482 · Waiver

1626 W HIGHWAY 287 BUSINESS STE 104, WAXAHACHIE, TX 75165(469) 414-2615(469) 242-9743 Get Directions Write a Review

NPPES record last updated: July 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 4, 2025, Jun 17, 2025, Jun 6, 2025 (3 updates tracked since 2025).

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About Imperialhealth Clinic Pllc NPPES

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

IMPERIALHEALTH CLINIC PLLC (NPI 1306662010), doing business as Imperial Health Psychiatry, is a healthcare organization registered as a psychiatric/mental health in Waxahachie, Texas and active in the NPI registry since November 2024. The organization holds a CLIA Waiver certificate valid through July 23, 2027 and lists Stephanie Omotayo, Owner, as its authorized official.

NPPES Registry Identity

NPI1306662010

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameIMPERIALHEALTH CLINIC PLLC

Location Address1626 W HIGHWAY 287 BUSINESS STE 104Waxahachie, TX 75165-4728

Mailing Address1626 W Highway 287 Business Ste 104Waxahachie, TX 75165-4728 · (469) 414-2615 · Fax (469) 242-9743

Phone(469) 414-2615

Fax(469) 242-9743

Organization SubpartNo

Authorized OfficialStephanie OmotayoOwner · (469) 414-2615

Enumeration DateNovember 26, 2024

Last NPPES UpdateJuly 4, 20253 updates tracked since enumeration

NPPES CertifiedJuly 4, 2025

✔ NPI 1306662010 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

1626 W HIGHWAY 287 BUSINESS STE 104, Waxahachie, TX 75165

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Other Names 1

Doing Business AsImperial Health Psychiatry

Other Identifiers 1

OtherAP135407TX · State License

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 45D2262482

Imperialhealth Clinic PLLC · Waxahachie, TX

Active · expires Jul 23, 2027

CLIA Number45D2262482

Laboratory TypePractitioner Other

Certificate Effective DateJuly 24, 2025

Certificate Expiration DateJuly 23, 2027

Laboratory DirectorStephanie Omotayo

Laboratory Phone(469) 414-2615

Laboratory LocationImperialhealth Clinic PLLC1626 W Highway 287 Bus Ste 104, Waxahachie, TX 75165

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

IMPERIALHEALTH CLINIC PLLC

Nurse Practitioner (Psychiatric/Mental Health)

1626 W HIGHWAY 287 BUSINESS STE 104
WAXAHACHIE, TX 75165

Ellis County (469) 414-2615

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 Imperialhealth Clinic PLLC's NPI number?

The NPI number for Imperialhealth Clinic PLLC is 1306662010. It was assigned to this organization in the NPPES registry on November 26, 2024. The provider is doing business as Imperial Health Psychiatry.

Where is Imperialhealth Clinic PLLC located?

Imperialhealth Clinic PLLC is located at 1626 W Highway 287 Business Ste 104, Waxahachie, TX 75165. The listed phone number is (469) 414-2615.

What is Imperialhealth Clinic PLLC's specialty?

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

Does Imperialhealth Clinic PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2262482) is associated with this NPI, valid through July 23, 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 Imperialhealth Clinic PLLC was last updated on July 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.