| 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)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 | |||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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
