Vivian Tantoh

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

929987 Issued in TX

Practice address

14 Wellham Ave NW
Glen Burnie, MD 21061-2200

Phone

(443) 209-7100

NPI assigned

Oct 24, 2018

Last updated

Aug 18, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Vivian Tantoh Mondo Former name

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Arise and Shine Health Center LLCGroup PAC ID 5092139501, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Arise & Shine Health Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Glen Burnie, MD
  • NPI 1942824750

  DC

  Medicare reassignment Care Compare group Authorized official
• Umbrella Therapeutic Services, Inc.

  • Community/Behavioral Health Agency
  • Washington, DC
  • NPI 1003324864

  Single Specialty

  Medicare reassignment NPD
• Arise & Shine Health Center LLC

  • Community/Behavioral Health Agency
  • Glen Burnie, MD
  • NPI 1801580568
  NPD Authorized official
• Arise & Shine Health Center LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Glen Burnie, MD
  • NPI 1497533525
  NPD (past) Authorized official
• Arise & Shine Health Center LLC

  • Clinic/Center
  • Glen Burnie, MD
  • NPI 1942089800
  Authorized official Same address or phone

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

{
    "created_epoch": "1540339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787011200000",
    "number": "1801363213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 WELLHAM AVE NW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612200",
            "telephone_number": "443-209-7100",
            "fax_number": "443-557-0810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 WELLHAM AVE NW",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210612200",
            "telephone_number": "443-209-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTOH",
        "first_name": "VIVIAN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-24",
        "last_updated": "2026-08-18",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "929987",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "TANTOH MONDO",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Candy Siu-Wai Tang, PHARMD
• Hsin Yi Amy Tang, MD
• Danielle Tankard, RDH, BS
• Yvonne Annette Tanner, DDS
• Robert S Tano, MD
• Fidelia Tanyi
• Paul Angelo Tarantino, M.D.
• Ramachandra R Tata, MD
• Becky Tatani
• Taylor Made Home Therapy Services

• Psychiatric/Mental Health Nurse Practitioner in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Psychiatric/Mental Health Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.