Parkside Psychology Group PLLC

Primary specialty

PsychologistTaxonomy code 103T00000X

Legal business name

PARKSIDE PSYCHOLOGY GROUP PLLC

Practice address

41 Madison Ave FL 25
New York, NY 10010-2212

Phone

(917) 482-6782

Fax

(646) 202-2401

NPI assigned

Oct 28, 2015

Organization subpart

No

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

Authorized official

Name

Ravil Raj Sharma, PSY.D.

Title

Member

Phone

(917) 482-6782

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1445990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494288000000",
    "number": "1811369077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 MADISON AVE FL 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102212",
            "telephone_number": "917-482-6782",
            "fax_number": "646-202-2401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 MADISON AVE FL 25",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100102212",
            "telephone_number": "917-482-6782",
            "fax_number": "646-202-2401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARKSIDE PSYCHOLOGY GROUP PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-28",
        "last_updated": "2017-05-09",
        "status": "A",
        "authorized_official_last_name": "SHARMA",
        "authorized_official_first_name": "RAVIL",
        "authorized_official_middle_name": "RAJ",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "917-482-6782",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kira Parks, LMSW
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• Michael L Parks, M.D.
• Zachary J Parks, LMSW
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• Elizabeth R Parlakian
• Ananya Parlapalli, DDS

• Psychologist in New York, NY
• Providers in New York, NY by specialty
• Psychologist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.