| Name: | Maria Eguia-Brusco, Ph.D., Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 21 Dec 2010 (14 years ago) |
| Identification Number: | 000566150 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | 1130 TEN ROD ROAD SUITE E-101, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | PSYCHOLOGY 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912201682 | 2011-01-10 | 2014-07-02 | 11 ALHAMBRA CIRCLE, CRANSTON, RI, 02905, US | 1130 TEN ROD RD., SUITE E101, NORTH KINGSTOWN, RI, 02852, US | |||||||||||||||||||
|
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| Phone | +1 401-921-5400 |
| Fax | 4019215402 |
Authorized person
| Name | DR. MARIA EUGENIA EGUIA-BRUSCO |
| Role | PRESIDENT |
| Phone | 4019215400 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS00699 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | Agent | 1130 TEN ROD ROAD SUITE E-101, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | PRESIDENT | 1130 TEN ROD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | TREASURER | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | SECRETARY | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Name | Role | Address |
|---|---|---|
| MARIA EGUIA-BRUSCO | VICE PRESIDENT | 1130 TEN ROAD ROAD, SUITE E-101 NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 202450258680 | Annual Report | 2024-04-05 |
| 202329263900 | Annual Report | 2023-02-24 |
| 202214321320 | Annual Report | 2022-04-08 |
| 202193212130 | Annual Report | 2021-02-27 |
| 202032983850 | Annual Report | 2020-01-24 |
| 201997431820 | Annual Report | 2019-06-18 |
| 201861218670 | Annual Report | 2018-03-30 |
| 201735224820 | Annual Report | 2017-02-28 |
| 201690298900 | Annual Report | 2016-01-08 |
| 201690260330 | Statement of Change of Registered/Resident Agent Office | 2016-01-08 |
Date of last update: 14 Oct 2024
Sources: Rhode Island Department of State
