| Name: | BERTRAM, GIBBES, Ph.D, INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 Jun 2008 (17 years ago) |
| Identification Number: | 000442059 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 481 KINGSTOWN ROAD, WAKEFIELD, RI, 02879, USA |
| Purpose: | PSYCHOLOGICAL SERVICES Title: 7-1.2-1701 |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1134375363 | 2008-08-07 | 2008-08-07 | 481A KINGSTOWN RD, SUITE D, WAKEFIELD, RI, 028793607, US | 481A KINGSTOWN RD, SUITE D, WAKEFIELD, RI, 028793607, US | |||||||||||||||||||||
|
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| Phone | +1 401-782-1667 |
| Fax | 4017821669 |
| Fax | 1047821669 |
Authorized person
| Name | BERTRAM ST. CYR LINARD GIBBES |
| Role | PRESIDENT |
| Phone | 4017821667 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00511 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| BERTRAM GIBBES | Agent | 481 KINGSTOWN ROAD, SOUTH KINGSTOWN, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| BERTRAM GIBBES | PRESIDENT | 52 HELME ROAD KINGSTON, RI 02881 USA |
| Number | Name | File Date |
|---|---|---|
| 202446347480 | Annual Report | 2024-02-14 |
| 202328948420 | Annual Report | 2023-02-21 |
| 202216894840 | Annual Report | 2022-05-05 |
| 202193125430 | Annual Report | 2021-03-02 |
| 202036940930 | Annual Report | 2020-03-30 |
| 201985991680 | Annual Report | 2019-02-05 |
| 201859020430 | Annual Report | 2018-02-22 |
| 201734520950 | Annual Report | 2017-02-22 |
| 201693151040 | Annual Report | 2016-02-25 |
| 201557007850 | Annual Report | 2015-03-12 |
Date of last update: 13 Oct 2024
Sources: Rhode Island Department of State
