| Name: | RICBT, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Apr 2002 (23 years ago) |
| Identification Number: | 000124167 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD E305, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | RICBT ENGAGES IN THE BUSINESS OF PROVIDING PSYCHOTHERAPY AND COUNSELING SERVICES (I.E., MENTAL HEALTH SPECIALISTS) |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| Fictitious names: |
Rhode Island Cognitive Behavioral Therapy (trading name, 2010-02-23 - ) Rhode Island Center for Cognitive Behavioral Therapy, Inc. (trading name, 2010-02-23 - ) |
| Historical names: |
Rhode Island Center for Cognitive Behavior Therapy, Inc. The Rhode Island Center for Cognitive-Behavioral Therapy, Inc. |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1780776476 | 2006-09-29 | 2021-02-04 | 1130 TEN ROD RD STE E305, NORTH KINGSTOWN, RI, 028524176, US | 1130 TEN ROD RD, SUITE E305, NORTH KINGSTOWN, RI, 028524161, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-294-0451 |
| Fax | 4012940461 |
Authorized person
| Name | JUDY K JOHNSON |
| Role | PRACTICE MANAGER |
| Phone | 4012940451 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| Is Primary | No |
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | No |
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICBT RETIREMENT PLAN | 2017 | 330999953 | 2018-02-02 | RICBT, INC. | 24 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2018-02-02 |
| Name of individual signing | JUDY JOHNSON |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2016-01-01 |
| Business code | 621340 |
| Sponsor’s telephone number | 4012940451 |
| Plan sponsor’s address | 1130 TEN ROD ROAD, SUITE E305, NORTH KINGSTOWN, RI, 02852 |
Signature of
| Role | Plan administrator |
| Date | 2017-07-27 |
| Name of individual signing | JUDY JOHNSON |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| CT CORPORATION SYSTEM | Agent | 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA |
| Name | Role | Address |
|---|---|---|
| BENJAMIN JOHNSON PHD | PRESIDENT | 1130 TEN ROD ROAD, E305 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| BENJAMIN JOHNSON PHD | TREASURER | 1130 TEN ROD ROAD, E305 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| BENJAMIN JOHNSON PHD | SECRETARY | 1130 TEN ROD ROAD, E305 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| HEATHER ANASTASIA LANG | ASSISTANT SECRETARY | 1130 TEN ROD ROAD, E305, NORTH KINGSTOWN, RI 02852 USA |
| TIMOTHY JOSEPH LANGDON | ASSISTANT SECRETARY | 1130 TEN ROD ROAD, E305, NORTH KINGSTOWN, RI 02852 USA |
| Type | Date | Old Value | New Value |
|---|---|---|---|
| Name Change | 2010-02-23 | The Rhode Island Center for Cognitive-Behavioral Therapy, Inc. | RICBT, Inc. |
| Name Change | 2002-04-15 | Rhode Island Center for Cognitive Behavior Therapy, Inc. | The Rhode Island Center for Cognitive-Behavioral Therapy, Inc. |
| Number | Name | File Date |
|---|---|---|
| 202453322090 | Annual Report | 2024-04-30 |
| 202334431130 | Annual Report | 2023-04-28 |
| 202332049940 | Statement of Change of Registered/Resident Agent | 2023-03-30 |
| 202332050270 | Articles of Amendment | 2023-03-30 |
| 202216097520 | Annual Report | 2022-04-28 |
| 202193466650 | Annual Report | 2021-03-02 |
| 202034285600 | Annual Report | 2020-02-13 |
| 201988690940 | Annual Report | 2019-03-15 |
| 201862748400 | Annual Report - Amended | 2018-04-24 |
| 201862741140 | Articles of Amendment | 2018-04-24 |
Date of last update: 09 Oct 2024
Sources: Rhode Island Department of State
