Imisio Healthcare Services
NPI 1902768104 · Mental Health Clinic/Center (Including Community Mental Health Center) · Pikesville, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Imisio Healthcare Services is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Pikesville, MD (NPI 1902768104).
Provider details
- NPI number
- 1902768104
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Omokorede Fatile, President(718) 749-4346
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2025-11-26
- Last updated
- 2025-11-26
- Certified
- 2025-11-26
Frequently asked questions
- What is Imisio Healthcare Services's NPI number?
- Imisio Healthcare Services's National Provider Identifier (NPI) is 1902768104, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Imisio Healthcare Services?
- Imisio Healthcare Services is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Imisio Healthcare Services located?
- Imisio Healthcare Services's practice location on file with NPPES is 1515 Reisterstown Rd Ste 304, Pikesville, MD 21208-4336.
- What is Imisio Healthcare Services's phone number?
- The practice phone number listed in the NPPES registry for Imisio Healthcare Services is (410) 505-0506.
- Does Imisio Healthcare Services accept Medicare?
- Imisio Healthcare Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Imisio Healthcare Services?
- The authorized official listed on Imisio Healthcare Services's NPPES record is Omokorede Fatile, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Imisio Healthcare Services's NPI active?
- Yes — Imisio Healthcare Services's NPI (1902768104) is active in the NPPES registry as of the last update on 2025-11-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.