Individual provider Active NPI

Viviane Akeng Mbah

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Monroe, MI
National Provider Identifier
1831050582
Registry record updated Nov 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
4704421206 Issued in MI
Practice address
2109 Carson LN
Monroe, MI 48162-9515
Phone
(313) 819-5130
NPI assigned
Nov 21, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 4704421206 MI Primary

Addresses

Primary practice location

2109 Carson LN
Monroe, MI 48162-9515

Mailing address

2109 Carson LN
Monroe, MI 48162-9515
Phone (313) 819-5130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
4704421206MIMDAddiction Medicine (Psychiatry & Neurology) Physician

NPI Registry JSON

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

{
    "created_epoch": "1763683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763683200000",
    "number": "1831050582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2109 CARSON LN",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629515",
            "telephone_number": "313-819-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2109 CARSON LN",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481629515",
            "telephone_number": "313-819-5130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AKENG MBAH",
        "first_name": "VIVIANE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-21",
        "last_updated": "2025-11-21",
        "certification_date": "2025-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "MI",
            "license": "4704421206",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 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.