=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235000225
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PARAMOUNT MENTAL HEALTHCARE PLLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/15/2025
-----------------------------------------------------
Last Update Date | 09/15/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 225 WILMINGTON W CHESTER PIKE STE 200-3077
-----------------------------------------------------
City | CHADDS FORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19317-9011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-275-0380
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 225 WILMINGTON W CHESTER PIKE STE 200-3077
-----------------------------------------------------
City | CHADDS FORD
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 19317-9011
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-275-0380
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | FOUNDER
-----------------------------------------------------
Name | JOLOMI IKOMI
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 484-275-0380
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2084P0800X
-----------------------------------------------------
Taxonomy Name | Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 2084P0802X
-----------------------------------------------------
Taxonomy Name | Addiction Psychiatry Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------