Imperialhealth Clinic PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

IMPERIALHEALTH CLINIC PLLC

Doing business as

IMPERIAL HEALTH PSYCHIATRY

Practice address

1626 W Highway 287 Business Ste 104
Waxahachie, TX 75165-4728

Phone

(469) 414-2615

Fax

(469) 242-9743

NPI assigned

Nov 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Stephanie Omotayo, DNPNPI 1184139362

Title

Owner

Phone

(469) 414-2615

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• IMPERIAL HEALTH PSYCHIATRY Doing business as

Tax ID family

Imperial Health Clinic2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Imperialhealth Clinic PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Waxahachie, TX
  • NPI 1699346494
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephanie Omotayo, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Waxahachie, TX
  • NPI 1184139362

  Family

  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1732579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751587200000",
    "number": "1306662010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1626 W HIGHWAY 287 BUSINESS STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654728",
            "telephone_number": "469-414-2615",
            "fax_number": "469-242-9743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1626 W HIGHWAY 287 BUSINESS STE 104",
            "city": "WAXAHACHIE",
            "state": "TX",
            "postal_code": "751654728",
            "telephone_number": "469-414-2615",
            "fax_number": "469-242-9743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMPERIALHEALTH CLINIC PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-26",
        "last_updated": "2025-07-04",
        "certification_date": "2025-07-04",
        "status": "A",
        "authorized_official_last_name": "OMOTAYO",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "469-414-2615",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "AP135407",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IMPERIAL HEALTH PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "IMPERIAL HEALTH PSYCHIATRY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Psychiatric/Mental Health Nurse Practitioner in Waxahachie, TX
• Providers in Waxahachie, TX by specialty
• Psychiatric/Mental Health Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.