| Name: | Newport County Community Mental Health Center, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Non-Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 30 Jun 1977 (48 years ago) |
| Identification Number: | 000027420 |
| ZIP code: | 02842 |
| County: | Newport County |
| Principal Address: | 127 JOHNNY CAKE HILL ROAD, MIDDLETOWN, RI, 02842, USA |
| Purpose: | MENTAL HEALTH SERVICES |
| NAICS: | 622310 - Specialty (except Psychiatric and Substance Abuse) Hospitals |
| Fictitious names: |
Newport Mental Health (trading name, 2017-07-03 - ) NEWPORT TRAINING INSTITUTE (trading name, 1980-01-23 - 1985-01-23) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1225801731 | 2023-11-06 | 2023-12-27 | 127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI, 028425674, US | 127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI, 028425674, US | |||||||||||||||
|
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| Phone | +1 401-843-1213 |
| Fax | 4018486398 |
Authorized person
| Name | ANN MARIE FORTE |
| Role | CONTRACT LIAISON AND CREDENTIALING |
| Phone | 4018481213 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 403(B) THRIFT PLAN OF NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC. | 2018 | 050374759 | 2019-10-08 | NEWPORT COUNTY COMMUNITY MENTAL HEALTH CENTER, INC. | 30 | |||||||||||||||||||||||
|
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| Role | Plan administrator |
| Date | 2019-10-08 |
| Name of individual signing | JAMES COSTA |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2017-08-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 4018461213 |
| Plan sponsor’s address | 127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI, 028425674 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-08 |
| Name of individual signing | JAMES COSTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Three-digit plan number (PN) | 003 |
| Effective date of plan | 2017-08-01 |
| Business code | 621420 |
| Sponsor’s telephone number | 4018461213 |
| Plan sponsor’s address | 127 JOHNNY CAKE HILL RD, MIDDLETOWN, RI, 028425674 |
Signature of
| Role | Plan administrator |
| Date | 2019-10-08 |
| Name of individual signing | JAMES COSTA |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| JAMES M. LEHANE | Agent | 127 JOHNNYCAKE HILL ROAD, MIDDLETOWN, RI, 02842, USA |
| Name | Role | Address |
|---|---|---|
| DAYNA GLADSTEIN | PRESIDENT | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH ARVER | TREASURER | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| HILLARY DAVIDSON | SECRETARY | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| DAYNA GLADSTEIN | CEO | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| AKINOLA OGUNGBADERO | CFO | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| NICKI COLOSI-TRILLING | BOARD CHAIR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| MADELINE TURANO | VICE CHAIR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Name | Role | Address |
|---|---|---|
| BARBARA AUDINO | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| TYLER BERNADYN | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| KAREN CADWALADER | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| JANICE DEFRANCIS | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| BRIAN GEER | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| MARK HORAN | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| ANGELA MCCALLA | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| OSASEMWINHIA OGBOGHODO | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| KENDRA TOPPA | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| BARBARA WINKLER | DIRECTOR | 127 JOHNNYCAKE HILL RD. MIDDLETOWN, RI 02842 USA |
| Number | Name | File Date |
|---|---|---|
| 202458878880 | Annual Report | 2024-08-16 |
| 202455810810 | Revocation Notice For Failure to File An Annual Report | 2024-06-17 |
| 202327157210 | Annual Report | 2023-03-16 |
| 202209044010 | Annual Report | 2022-02-01 |
| 202102152650 | Annual Report | 2021-09-27 |
| 202101342700 | Revocation Notice For Failure to File An Annual Report | 2021-09-13 |
| 202041684340 | Annual Report | 2020-06-09 |
| 201908166160 | Annual Report | 2019-07-29 |
| 201870535720 | Annual Report | 2018-06-25 |
| 201746947590 | Fictitious Business Name Statement | 2017-07-03 |
Date of last update: 06 Oct 2024
Sources: Rhode Island Department of State
