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IMISIO HEALTHCARE SERVICES
NPI 1902768104
Clinic/Center - Mental Health (Including Community Mental Health Center) in Pikesville, MD

Active since November 26, 2025
1515 REISTERSTOWN RD STE 304, PIKESVILLE, MD 21208(410) 505-0506(240) 466-6507 Get Directions Write a Review

NPPES record last updated: November 26, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Imisio Healthcare Services NPPES

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

IMISIO HEALTHCARE SERVICES (NPI 1902768104) is a healthcare organization registered as a mental health (including community mental health center) in Pikesville, Maryland and active in the NPI registry since November 2025. The organization lists Omokorede Fatile, President, as its authorized official.

NPPES Registry Identity

NPI1902768104
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameIMISIO HEALTHCARE SERVICES
Location Address1515 REISTERSTOWN RD STE 304Pikesville, MD 21208-4336
Mailing Address1515 Reisterstown Rd Ste 304Pikesville, MD 21208-4336 · (410) 505-0506 · Fax (240) 466-6507
Phone(410) 505-0506
Fax(240) 466-6507
Organization SubpartNo
Authorized OfficialOmokorede FatilePresident · (718) 749-4346
Enumeration DateNovember 26, 2025
NPPES CertifiedNovember 26, 2025
✔ NPI 1902768104 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
1515 REISTERSTOWN RD STE 304, Pikesville, MD 21208
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Other Providers at the Same Location NPPES

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

OMOKOREDE FATILE
Nurse Practitioner (Psychiatric/Mental Health)
1515 REISTERSTOWN RD STE 304
PIKESVILLE, MD 21208
Baltimore County (718) 749-4346

Frequently Asked Questions

What is IMISIO HEALTHCARE SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1902768104, enumerated as an "organization" on November 26, 2025.

Where is the provider located?

The provider is located at 1515 REISTERSTOWN RD STE 304 PIKESVILLE, MD 21208 and the phone number is (410) 505-0506.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0801X and a focus in Mental Health (Including Community Mental Health Center).