| Name: | CENTER FOR PSYCHOLOGY AND LEARNING, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 04 Sep 2014 (11 years ago) |
| Identification Number: | 000978769 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 789 PARK AVE, CRANSTON, RI, 02910, USA |
| Purpose: | PSYCHOLOGICAL CONSULTATION, ASSESSMENT, AND THERAPY. |
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 | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1154722171 | 2014-09-09 | 2014-09-09 | 340 BROADWAY, PROVIDENCE, RI, 029091102, US | 340 BROADWAY, PROVIDENCE, RI, 029091102, US | |||||||||||||||||||||||||||
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| Phone | +1 401-421-4561 |
| Fax | 4015213456 |
Authorized person
| Name | DR. DANA M OSOWIECKI |
| Role | MANAGER |
| Phone | 4015278617 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PS00738 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PS1153 |
| State | RI |
| Is Primary | Yes |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTER FOR PSYCHOLOGY AND LEAR 401(K) PROFIT SHARING PLAN & TRUST | 2022 | 471754382 | 2023-07-05 | CENTER FOR PSYCHOLOGY AND LEARNING | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2023-07-05 |
| Name of individual signing | DANA OSOWIECKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 4015278617 |
| Plan sponsor’s address | 789 PARK AVE, CRANSTON, RI, 02910 |
Signature of
| Role | Plan administrator |
| Date | 2022-07-05 |
| Name of individual signing | DANA M. OSOWIECKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 4015278617 |
| Plan sponsor’s address | 789 PARK AVE, CRANSTON, RI, 02910 |
Signature of
| Role | Plan administrator |
| Date | 2021-07-09 |
| Name of individual signing | DANA OSOWIECKI |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2017-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 4015278617 |
| Plan sponsor’s address | 789 PARK AVE, CRANSTON, RI, 02910 |
Signature of
| Role | Plan administrator |
| Date | 2020-07-16 |
| Name of individual signing | DANA OSOWIECKI |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| DANA M. OSOWIECKI | Agent | 789 PARK AVE, CRANSTON, RI, 02910, USA |
| Number | Name | File Date |
|---|---|---|
| 202446796170 | Annual Report | 2024-02-19 |
| 202328953370 | Annual Report | 2023-02-21 |
| 202220701790 | Annual Report | 2022-07-05 |
| 202219313960 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
| 202104313860 | Annual Report | 2021-10-30 |
| 202198829270 | Statement of Change of Registered/Resident Agent Office | 2021-06-30 |
| 202077824110 | Annual Report | 2020-11-30 |
| 201925945870 | Annual Report | 2019-10-29 |
| 201880109270 | Annual Report | 2018-10-25 |
| 201748991410 | Annual Report | 2017-08-31 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 1183908508 | 2021-02-18 | 0165 | PPS | 789 Park Ave, Cranston, RI, 02910-2036 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7029477208 | 2020-04-28 | 0165 | PPP | 789 PARK AVE, CRANSTON, RI, 02910-2036 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
