| Name: | MONA R. BARBERA, Ph.D., INC. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Jun 2002 (23 years ago) |
| Identification Number: | 000125220 |
| ZIP code: | 02909 |
| County: | Providence County |
| Principal Address: | 341 BROADWAY, PROVIDENCE, RI, 02909, USA |
| Purpose: | PSYCHOLOGY PRACTICE |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1902084379 | 2008-02-07 | 2008-02-07 | 341 BROADWAY, PROVIDENCE, RI, 029091143, US | 341 BROADWAY, PROVIDENCE, RI, 029091143, US | |||||||||||||||||||
|
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| Phone | +1 401-272-2029 |
| Fax | 8665751707 |
Authorized person
| Name | MONA R. BARBERA |
| Role | PRESIDENT |
| Phone | 4012722029 |
Taxonomy
| Taxonomy Code | 103TP0814X - Psychoanalysis Psychologist |
| License Number | PS00735 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KEVIN G. DODD | Agent | 1033 OAKLAWN AVENUE, CRANSTON, RI, 02920, USA |
| Name | Role | Address |
|---|---|---|
| MONA R BARBERA | PRESIDENT | 341 BROADWAY PROVIDENCE, RI 02909- USA |
| Number | Name | File Date |
|---|---|---|
| 202446725800 | Annual Report | 2024-02-14 |
| 202328734690 | Annual Report | 2023-02-15 |
| 202208267320 | Annual Report | 2022-01-19 |
| 202187795920 | Annual Report | 2021-01-25 |
| 202184211630 | Statement of Change of Registered/Resident Agent Office | 2021-01-04 |
| 202031765240 | Annual Report | 2020-01-09 |
| 201984192600 | Annual Report | 2019-01-10 |
| 201856015970 | Annual Report | 2018-01-10 |
| 201730446650 | Annual Report | 2017-01-17 |
| 201690481140 | Annual Report | 2016-01-13 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
