| Name: | Lincoln Psychiatric Services, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 14 Jun 2002 (23 years ago) |
| Identification Number: | 000125305 |
| ZIP code: | 02865 |
| County: | Providence County |
| Principal Address: | 652 GEORGE WASHINGTON HIGHWAY, LINCOLN, RI, 02865, USA |
| Purpose: | PSYCHIATRIC SERVICES PHYSICIAN OFFICE |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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 | |||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1194943845 | 2007-04-20 | 2010-09-16 | 652 GEORGE WASHINGTON HWY, SUITE 400, LINCOLN, RI, 028654267, US | 652 GEORGE WASHINGTON HWY, SUITE 400, LINCOLN, RI, 028654267, US | |||||||||||||||||||||||||||||||||||
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| Phone | +1 401-334-1830 |
| Fax | 4013341833 |
Authorized person
| Name | DR. WALTER D FITZHUGH III |
| Role | PRESIDENT |
| Phone | 4013341830 |
Taxonomy
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | MD09313 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 2084A0401X - Addiction Medicine (Psychiatry & Neurology) Physician |
| License Number | 78755 |
| State | MA |
| Is Primary | No |
| Taxonomy Code | 364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist |
| License Number | PPNS00043 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| WALTER D. FITZHUGH II MD | PRESIDENT | 10 SEAVIEW DRIVE BARRINGTON, RI 02816 USA |
| Name | Role | Address |
|---|---|---|
| WALTER D. FITZHUGH, III MD | Agent | 652 GEORGE WASHINGTON HIGHWAY SUITE 400, LINCOLN, RI, 02865, USA |
| Number | Name | File Date |
|---|---|---|
| 202453997810 | Annual Report | 2024-05-07 |
| 202327341150 | Annual Report - Amended | 2023-02-02 |
| 202327339850 | Annual Report | 2023-02-02 |
| 202209093270 | Annual Report | 2022-02-01 |
| 202196051970 | Annual Report | 2021-04-28 |
| 202040493880 | Annual Report | 2020-05-19 |
| 201986941350 | Annual Report | 2019-02-19 |
| 201863133070 | Annual Report | 2018-04-30 |
| 201863133160 | Annual Report | 2018-04-30 |
| 201863132730 | Reinstatement | 2018-04-30 |
Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
