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MARK L. TAVITIAN, Ph.D., LTD.

Company Details

Name: MARK L. TAVITIAN, Ph.D., LTD.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Activ
Date of Organization in Rhode Island: 06 Nov 1991 (34 years ago)
Identification Number: 000066082
ZIP code: 02818
County: Kent County
Purpose: TO ENGAGE IN THE PRACTICE OF PSYCHOTHERAPY AND OTHER RELATED MATTERS INCLUDING CONSULTATION AND EDUCATION
Principal Address: Google Maps Logo 2843 SOUTH COUNTY TRAIL SUITE 111, EAST GREENWICH, RI, 02818, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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

Agent

Name Role Address
GREGORY P. MASSAD Agent 1050 MAIN STREET SUITE 8, EAST GREENWICH, RI, 02818, USA

TREASURER

Name Role Address
MARK L. TAVITIAN TREASURER 23 FOX RUN CRANSTON, RI 02921 USA

SECRETARY

Name Role Address
BARBARA A. VARGAS SECRETARY 27 WILLIAMS STREET CRANSTON, RI 02916 USA

PRESIDENT

Name Role Address
MARK L TAVITIAN PRESIDENT 23 FOX RUN CRANSTON, RI 02921 USA

VICE PRESIDENT

Name Role Address
SANDRA K. TAVITIAN VICE PRESIDENT 23 FOX RUN CRANSTON, RI 02921 USA

DIRECTOR

Name Role Address
MARK L. TAVITIAN DIRECTOR 23 FOX RUN CRANSTON, RI 02921 USA

National Provider Identifier

NPI Number:
1316204910

Authorized Person:

Name:
DR. MARK L. TAVITIAN
Role:
PRESIDENT
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
4018859898

Filings

Number Name File Date
202451334310 Annual Report - Amended 2024-04-17
202451091880 Annual Report 2024-04-15
202334962300 Annual Report 2023-05-01
202217078320 Annual Report 2022-05-10
202193096820 Annual Report 2021-02-26

USAspending Awards / Financial Assistance

Date:
2020-04-16
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
10100.00
Total Face Value Of Loan:
10100.00

Paycheck Protection Program

Date Approved:
2020-04-16
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
10100
Current Approval Amount:
10100
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
10214.01

Date of last update: 18 May 2025

Sources: Rhode Island Department of State