Menu
Search icon
  1. Home Page
    2. ›
  2. Counties
    3. ›
  3. Providence County
    4. ›
  4. 02905
    5. ›
  5. Psychological Centers, Inc.

Psychological Centers, Inc.

Company Details

Name: Psychological Centers, Inc.
Jurisdiction: Rhode Island
Entity type: Domestic Profit Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 22 Aug 2000 (24 years ago)
Date of Dissolution: 01 Dec 2015 (9 years ago)
Date of Status Change: 01 Dec 2015 (9 years ago)
Identification Number: 000114064
ZIP code: 02905
County: Providence County
Principal Address: 49 PAVILION, PROVIDENCE, RI, 02905, USA
Purpose: TO ENGAGE IN THE BUSINESS OF PSYCHOLOGICAL SERVICES

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1881754828 2006-12-11 2012-06-15 49 PAVILION AVE, SUITE 105, PROVIDENCE, RI, 029051534, US 49 PAVILION AVE, SUITE 105, PROVIDENCE, RI, 029051534, US

Contacts
Phone +1 401-490-8900

Authorized person
Name PAUL BLOCK
Role CO-DIRECTOR
Phone 4014908900

Taxonomy
Taxonomy Code 101YM0800X - Mental Health Counselor
Is Primary No
Taxonomy Code 103T00000X - Psychologist
Is Primary No
Taxonomy Code 103TA0400X - Addiction (Substance Use Disorder) Psychologist
Is Primary No
Taxonomy Code 103TB0200X - Cognitive & Behavioral Psychologist
Is Primary No
Taxonomy Code 103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary No
Taxonomy Code 1041C0700X - Clinical Social Worker
Is Primary No
Taxonomy Code 251S00000X - Community/Behavioral Health Agency
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2013 050512777 2014-10-31 PSYCHOLOGICAL CENTERS, INC. 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908911
Plan sponsor’s address 49 PAVILLION AVE SUITE 105, PROVIDENCE, RI, 02905

Signature of
Role Plan administrator
Date 2014-10-30
Name of individual signing PAUL BLOCK
Valid signature Filed with authorized/valid electronic signature
Role Employer/plan sponsor
Date 2014-10-30
Name of individual signing PAUL BLOCK
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2013 050512777 2014-05-05 PSYCHOLOGICAL CENTERS 16
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908906
Plan sponsor’s address 49 PAVILLION AVE., SUITE 105, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 49 PAVILLION AVE., SUITE 105, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908906

Signature of
Role Plan administrator
Date 2014-05-05
Name of individual signing PAUL BLOCK
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2012 050512777 2013-10-07 PSYCHOLOGICAL CENTERS 19
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908906
Plan sponsor’s address 49 PAVILLION AVE., SUITE 105, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 49 PAVILLION AVE., SUITE 105, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908906

Signature of
Role Plan administrator
Date 2013-10-07
Name of individual signing PAUL BLOCK
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2011 050512777 2012-03-13 PSYCHOLOGICAL CENTERS 25
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908906
Plan sponsor’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908906

Signature of
Role Plan administrator
Date 2012-03-13
Name of individual signing ANNE-MARIE BORA
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2010 050512777 2011-03-09 PSYCHOLOGICAL CENTERS 28
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908911
Plan sponsor’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908911

Signature of
Role Plan administrator
Date 2011-03-09
Name of individual signing KELLY MADDEN
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2009 050512777 2010-05-25 PSYCHOLOGICAL CENTERS 31
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908911
Plan sponsor’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908911

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing KELLY MADDEN
Valid signature Filed with authorized/valid electronic signature
PSYCHOLOGICAL CENTERS, INC. 401(K) P/S PLAN 2009 050512777 2010-05-25 PSYCHOLOGICAL CENTERS 31
Three-digit plan number (PN) 001
Effective date of plan 2007-01-01
Business code 621112
Sponsor’s telephone number 4014908911
Plan sponsor’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905

Plan administrator’s name and address
Administrator’s EIN 050512777
Plan administrator’s name PSYCHOLOGICAL CENTERS
Plan administrator’s address 765 ALLENS AVENUE, STE. 102, PROVIDENCE, RI, 02905
Administrator’s telephone number 4014908911

Signature of
Role Plan administrator
Date 2010-05-25
Name of individual signing KELLY MADDEN
Valid signature Filed with incorrect/unrecognized electronic signature

Agent

Name Role Address
PAUL BLOCK, PH.D. Agent 49 PAVILION, PROVIDENCE, RI, 02905, USA

PRESIDENT

Name Role Address
PAUL BLOCK PHD PRESIDENT 12 TERRACE DRIVE BARRINGTON, RI 02806 USA

SECRETARY

Name Role Address
PAUL BLOCK PHD SECRETARY 765 ALLENS AVENUE PROVIDENCE, RI 02905

OTHER OFFICER

Name Role Address
PAUL BLOCK OTHER OFFICER 49 PAVILION AVENUE PROVIDENCE, RH 02905 UNI

Filings

Number Name File Date
201588621100 Revocation Certificate For Failure to File the Annual Report for the Year 2015-12-01
201578310250 Revocation Notice For Failure to File An Annual Report 2015-09-08
201434184560 Annual Report 2014-01-24
201312430080 Annual Report 2013-02-22
201294033880 Statement of Change of Registered/Resident Agent Office 2012-06-15
201294033790 Annual Report - Amended 2012-06-15
201290975120 Annual Report 2012-03-15
201173609920 Annual Report 2011-01-19
201055964790 Annual Report 2010-01-07
200839563620 Annual Report 2008-12-22

Related by officers

PAUL BLOCK

Center for At Risk Youth, Inc. Cadence Consultants, LLC

Related by address

No related companies by address

Date of last update: 08 Oct 2024

Sources: Rhode Island Department of State

Privacy policy Policy
About us About us
Contacts Contact us

© 2025 riorgs.com, Part of Big Data Integrated