| Name: | CANAAN PSYCHOTHERAPY INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Sep 2001 (24 years ago) |
| Identification Number: | 000120545 |
| ZIP code: | 02817 |
| County: | Kent County |
| Principal Address: | 140 LAKE DRIVE, WEST GREENWICH, RI, 02817, USA |
| Purpose: | TO MARKET, PROMOTE AND PROVIDE THERAPEUTIC COUNSELING CLIENTS. |
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
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1982118295 | 2017-11-22 | 2023-10-08 | 140 LAKE DR, WEST GREENWICH, RI, 028171563, US | 85 BEACH ST, WESTERLY, RI, 028912717, US | |||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-338-3782 |
| Fax | 4013973488 |
| Phone | +1 401-596-6866 |
Authorized person
| Name | MRS. CYNTHIA P LONGWAY |
| Role | PRESIDENT |
| Phone | 4013383782 |
Taxonomy
| Taxonomy Code | 364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | CAPRN00031 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | OPTUM |
| Number | 1861447831 |
| State | RI |
| Issuer | BEACON HEALTH OPTIONS |
| Number | BNP001353 |
| State | RI |
| Issuer | BCBSRI |
| Number | 1861447831 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| RUI P. ALVES, ESQ. | Agent | ONE FINANCIAL PLAZA 18TH FLOOR C/O BARTON GILMAN LLP, PROVIDENCE, RI, 02903, USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | TREASURER | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | SECRETARY | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | PRESIDENT | 140 LAKE DRIVE WEST GREENWICH, RI 02817- USA |
| Name | Role | Address |
|---|---|---|
| CYNTHIA P LONGWAY | VICE PRESIDENT | 140 LAKE DRIVE WEST GREENWICH, RI 02817 USA |
| Number | Name | File Date |
|---|---|---|
| 202453333410 | Annual Report | 2024-04-30 |
| 202334761570 | Annual Report | 2023-04-30 |
| 202217981170 | Annual Report | 2022-05-31 |
| 202191424030 | Annual Report | 2021-02-16 |
| 202073753900 | Annual Report | 2020-11-10 |
| 202073753270 | Statement of Change of Registered/Resident Agent Office | 2020-11-10 |
| 202055016810 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201986349110 | Annual Report | 2019-02-11 |
| 201755228200 | Annual Report | 2017-12-20 |
| 201730006430 | Annual Report | 2017-01-12 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2467657200 | 2020-04-16 | 0165 | PPP | 140 lake drive, west greenwich, RI, 02817 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
