OrganizationActive
Vivian Imo Psychiatry, LLC
NPI 1013775014 · Psychiatric/Mental Health Nurse Practitioner · Glen Burnie, MD
Provider details
- NPI number
- 1013775014
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Vivian Imo, Owner(301) 821-7488
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(57/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1412 Crain Hwy N Ste 6b
Glen Burnie, MD 21061-9306
Phone: (301) 337-6669
Fax: (301) 477-8931
Street-level locationGet directions
Mailing address
1412 Crain Hwy N Ste 6b
Glen Burnie, MD 21061-9306
Other names (DBA / former)
- Doing business as
- Vipsychiatry
- Doing business as
- Vipsychiatry
Registry dates
- Enumerated
- 2024-03-13
- Last updated
- 2026-02-16
- Certified
- 2026-02-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.