Paradise 2 PRP LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

23093 Issued in MD

Legal business name

PARADISE 2 PRP LLC

Practice address

7902 Belair Rd
Suite 4
Nottingham, MD 21236-3707

Phone

(443) 691-8522

Fax

(410) 325-1642

NPI assigned

May 21, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Igor Chernyakhovsky

Title

Managing Member

Phone

(443) 691-8522

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1242864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1242864000000",
    "number": "1891920724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7902 BELAIR RD",
            "address_2": "SUITE 4",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363707",
            "telephone_number": "443-691-8522",
            "fax_number": "410-325-1642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 BELAIR RD",
            "address_2": "SUITE 4",
            "city": "NOTTINGHAM",
            "state": "MD",
            "postal_code": "212363707",
            "telephone_number": "443-691-8522",
            "fax_number": "410-325-1642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADISE 2 PRP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-21",
        "last_updated": "2009-05-21",
        "status": "A",
        "authorized_official_last_name": "CHERNYAKHOVSKY",
        "authorized_official_first_name": "IGOR",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "443-691-8522",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "MD",
            "license": "23093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Page
• Gabriella Pagnotta, LCPC
• Leonilo Fajardo Pallasigui
• Joseph Ryan Palmer, DPT
• Ilynne D Panopio
• Paradise Omhc
• Bailey Pararas, LMSW
• Kamryn Parker
• Lindsey Nadeau Parker, DPT
• Nichole Monique Parrish, LGSW

• Adult Mental Health Clinic/Center in Nottingham, MD
• Providers in Nottingham, MD by specialty
• Adult Mental Health Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2009; 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.