| Name: | KANEPSYCH, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 17 Jan 2013 (12 years ago) |
| Date of Dissolution: | 30 Jul 2018 (6 years ago) |
| Date of Status Change: | 30 Jul 2018 (6 years ago) |
| Identification Number: | 000795958 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 355 HOPE STREET #1, PROVIDENCE, RI, 02906, USA |
| Purpose: | PRIVATE PRACTICE PSYCHIATRY |
| NAICS: | 62 - Health Care and Social Assistance |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1407198237 | 2013-03-19 | 2013-03-19 | 355 HOPE ST, UNIT 1, PROVIDENCE, RI, 029061633, US | 355 HOPE ST, UNIT 1, PROVIDENCE, RI, 029061633, US | |||||||||||||||||||||||||||
|
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| Phone | +1 401-262-0229 |
| Fax | 4014326500 |
Authorized person
| Name | DR. JOSHUA KANE |
| Role | OWNER |
| Phone | 4017435192 |
Taxonomy
| Taxonomy Code | 101YM0800X - Mental Health Counselor |
| License Number | MHC00534 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | MD12468 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JOSHUA KANE | Agent | 257 CYPRESS ST, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 201873358380 | Revocation Certificate For Failure to File the Annual Report for the Year | 2018-07-30 |
| 201865259660 | Revocation Notice For Failure to File An Annual Report | 2018-05-15 |
| 201608829590 | Statement of Change of Registered/Resident Agent | 2016-09-14 |
| 201608829400 | Annual Report | 2016-09-14 |
| 201580039390 | Annual Report | 2015-09-21 |
| 201445901370 | Annual Report | 2014-09-12 |
| 201309996140 | Articles of Organization | 2013-01-17 |
Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
