| Name: | East Side Psychotherapy, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 03 Jun 2011 (14 years ago) |
| Identification Number: | 000681557 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 205 WATERMAN STREET SUITE 201, PROVIDENCE, RI, 02906, USA |
| Purpose: | PRIVATE PSYCHOTHERAPY PRACTICE Title: 7-1.2-1701 |
| NAICS: | 621999 - All Other Miscellaneous Ambulatory Health Care Services |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1962002006 | 2020-10-28 | 2020-10-28 | 205 WATERMAN ST # 201, PROVIDENCE, RI, 029064313, US | 205 WATERMAN ST # 201, PROVIDENCE, RI, 029064313, US | |||||||||||||||||||
|
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| Phone | +1 401-263-2272 |
Authorized person
| Name | ELIZABETH ROBIN SHER |
| Role | PRESIDENT |
| Phone | 4012632722 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | ES72810 |
| State | MA |
| Name | Role | Address |
|---|---|---|
| JAMES O. REAVIS, ESQ. | Agent | 245 WATERMAN STREET SUITE 109, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| ELIZA SHER | PRESIDENT/SECRETARY/TREASURER | 205 WATERMAN STREET, SUITE 201 PROVIDENCE, RI 02906 USA |
| Number | Name | File Date |
|---|---|---|
| 202448099710 | Annual Report | 2024-03-08 |
| 202328590340 | Annual Report | 2023-02-16 |
| 202211651510 | Annual Report | 2022-02-25 |
| 202193659520 | Annual Report | 2021-03-07 |
| 202035040370 | Annual Report | 2020-02-24 |
| 201987211830 | Annual Report | 2019-02-21 |
| 201859722000 | Annual Report | 2018-03-05 |
| 201732229710 | Annual Report | 2017-02-03 |
| 201691364370 | Annual Report | 2016-01-28 |
| 201566220310 | Statement of Change of Registered/Resident Agent Office | 2015-07-27 |
Date of last update: 16 Oct 2024
Sources: Rhode Island Department of State
