| Name: | PSYCHIATRIC PHYSICIAN CONSULTANTS OF R. I., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 28 Aug 1991 (34 years ago) |
| Date of Dissolution: | 12 Sep 2023 (2 years ago) |
| Date of Status Change: | 12 Sep 2023 (2 years ago) |
| Identification Number: | 000065387 |
| ZIP code: | 02906 |
| County: | Providence County |
| Purpose: | OFFICE THAT PROVIDES PSYCHIATRIC SERVICES |
| Principal Address: |
345 BLACKSTONE BOULEVARD, PROVIDENCE, RI, 02906, USA
|
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| Name | Role | Address |
|---|---|---|
| E. COLBY CAMERON, ESQ. | Agent | 301 PROMENADE STREET, PROVIDENCE, RI, 02908, USA |
| Name | Role | Address |
|---|---|---|
| C BRANDON QUALLAS MD | TREASURER | 345 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM BRADEN, MD | SECRETARY | 345 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| WILLIAM BRADEN MD | VICE PRESIDENT | 345 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| C. BRANDON QUALLS, MD | DIRECTOR | 345 BLACKSTONE BLVD PROVIDENCE, RI 02906 USA |
| WILLIAM BRADEN, MD | DIRECTOR | 345 BLACKSTON BLVD PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| C BRANDON QUALLS MD | PRESIDENT | 345 BLACKSTONE BOULEVARD PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202341453510 | Revocation Certificate For Failure to File the Annual Report for the Year | 2023-09-12 |
| 202338011680 | Revocation Notice For Failure to File An Annual Report | 2023-06-19 |
| 202216949540 | Annual Report | 2022-05-06 |
| 202195200360 | Annual Report | 2021-03-31 |
| 202037044970 | Annual Report | 2020-03-31 |
Date of last update: 18 May 2025
Sources: Rhode Island Department of State
