| Name: | Plaza Psychology and Psychiatry, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 26 Mar 2002 (23 years ago) |
| Identification Number: | 000123816 |
| ZIP code: | 02895 |
| County: | Providence County |
| Principal Address: | 191 SOCIAL STREET SUITE 102, WOONSOCKET, RI, 02895, USA |
| Purpose: | TO RENDER PSYCHOLOGICAL, PSYCHIATRIC AND RELATED SERVICES |
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 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1306890546 | 2006-05-20 | 2015-12-29 | 68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI, 028953323, US | 68 CUMBERLAND ST, SUITE 102, WOONSOCKET, RI, 028953323, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 401-356-1940 |
| Fax | 4013561949 |
Authorized person
| Name | PENELOPE A. YANNI |
| Role | MEDICAL DIRECTOR |
| Phone | 4013561940 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 363LP0808X - Psychiatric/Mental Health Nurse Practitioner |
| Is Primary | No |
Other Provider Identifiers
| Issuer | BEACON |
| Number | 1028940 |
| State | RI |
| Issuer | UNITED HEALTHCARE |
| Number | 1306890546 |
| State | RI |
| Issuer | BLUE CROSS BLUE SHIELD |
| Number | 1306890546 |
| State | RI |
| Issuer | MEDICAID |
| Number | PP44291 |
| State | RI |
| Issuer | AETNA |
| Number | 9427305 |
| State | RI |
| Issuer | NEIGHBORHOOD HEALTH PLAN |
| Number | 1028940 |
| State | RI |
| Issuer | TUFT'S |
| Number | 360121 |
| State | RI |
| Issuer | RITE SHARE |
| Number | PP54298 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| LLOYD R. GARIEPY | Agent | 191 SOCIAL STREET SUITE 280, WOONSOCKET, RI, 02895, USA |
| Name | Role | Address |
|---|---|---|
| PENELOPE YANNI | PRESIDENT | 264 PRAY HILL ROAD CHEPACHET, RI 02814 USA |
| Name | Role | Address |
|---|---|---|
| NICHOLAS JOHNSON | TREASURER | 25 ANDOVER STREET APT. S1 WORCESTER , MA 01606 USA |
| Name | Role | Address |
|---|---|---|
| MARY DUCHARME | SECRETARY | 68 CUMBERLAND STREET WOONSOCKET , RI 02895 USA |
| Number | Name | File Date |
|---|---|---|
| 202446526010 | Annual Report | 2024-02-15 |
| 202326912540 | Annual Report | 2023-01-30 |
| 202208809980 | Annual Report | 2022-01-28 |
| 202187565910 | Annual Report | 2021-01-22 |
| 201930875430 | Annual Report | 2019-12-31 |
| 201984877390 | Annual Report | 2019-01-22 |
| 201858082600 | Annual Report | 2018-02-12 |
| 201730817450 | Annual Report | 2017-01-25 |
| 201690831710 | Annual Report | 2016-01-19 |
| 201555107660 | Annual Report | 2015-02-16 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 8211637100 | 2020-04-15 | 0165 | PPP | 68 Cumberland St Suite 102, Woonsocket, RI, 02895 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
