| Name: | CLINICAL & FORENSIC SERVICES INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 02 Oct 2014 (10 years ago) |
| Date of Dissolution: | 02 Nov 2017 (7 years ago) |
| Date of Status Change: | 02 Nov 2017 (7 years ago) |
| Identification Number: | 000991865 |
| ZIP code: | 02852 |
| County: | Washington County |
| Principal Address: | C/O JOSEPH GRILLO 426 SCRABBLETOWN ROAD SUITE C, NORTH KINGSTOWN, RI, 02852, USA |
| Purpose: | Clinical and Forensic Services, INC provides Out Patient Mental Health Services including: Psychotherapy, Psychological Assessment and Consultation. Forensic Services are provided by Dr Grillo, which include Competency to stand Trial, Criminal Responsibility, and Case Consultation. Title: 7-1.2-1701 |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1881082436 | 2015-01-06 | 2015-01-06 | 426 SCRABBLETOWN RD, SUITE C, NORTH KINGSTOWN, RI, 028523664, US | 426 SCRABBLETOWN RD, SUITE C, NORTH KINGSTOWN, RI, 028523664, US | |||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||
| Phone | +1 508-579-0099 |
Authorized person
| Name | DR. MEREDITH A MCELROY GRILLO |
| Role | VICE-PRESIDENT |
| Phone | 5085790099 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PSOO913 |
| State | RI |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PSO1000 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | PSO1000 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JOSEPH GRILLO | Agent | 426 SCRABBLETOWN ROAD SUITE C, NORTH KINGSTOWN, RI, 02852, USA |
| Name | Role | Address |
|---|---|---|
| JOSEPH A GRILLO | PRESIDENT | 426 SCRABBLETOWN RD NORTH KINGSTOWN, RI 02852 USA |
| Number | Name | File Date |
|---|---|---|
| 201752842670 | Revocation Certificate For Failure to File the Annual Report for the Year | 2017-11-02 |
| 201747906370 | Revocation Notice For Failure to File An Annual Report | 2017-07-27 |
| 201602563760 | Annual Report | 2016-07-22 |
| 201601624480 | Revocation Notice For Failure to File An Annual Report | 2016-07-07 |
| 201554610170 | Annual Report | 2015-02-05 |
| 201552647600 | Revocation Notice For Failure to Maintain a Registered Office | 2015-01-02 |
| 201552622210 | Registered Office Not Maintained | 2014-12-18 |
| 201447041010 | Articles of Incorporation | 2014-10-02 |
Date of last update: 19 Oct 2024
Sources: Rhode Island Department of State
