| Name: | East Side Psychiatric Associates, Ltd. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Dec 2014 (10 years ago) |
| Identification Number: | 001018679 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 355 HOPE ST, PROVIDENCE, RI, 02906-1633, USA |
| Purpose: | PSYCHIATRIC SERVICES |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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 | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912396805 | 2015-01-14 | 2015-01-14 | 295 ANGELL ST STE 5, PROVIDENCE, RI, 029062119, US | 295 ANGELL ST STE 5, PROVIDENCE, RI, 029062119, US | |||||||||||||||||||||||
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| Phone | +1 401-860-4101 |
Authorized person
| Name | PAUL CHRISTOPHER |
| Role | PRESIDENT |
| Phone | 4016804101 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| License Number | 12771 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BLUE CROSS AND BLUE CHIP |
| Number | 1881756500 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| ORSON AND BRUSINI LTD. | Agent | 211 QUAKER LANE SUITE 201, WEST WARWICK, RI, 02893, USA |
| Name | Role | Address |
|---|---|---|
| KATHRYN FLEMING-IVES | PRESIDENT | 355 HOPE STREET, UNIT 1 PROVIDENCE, RI 02906 USA |
| Name | Role | Address |
|---|---|---|
| PAUL CHRISTOPHER | VICE PRESIDENT | 355 HOPE STREET, UNIT 1 PROVIDENCE, RI 02906 USA |
| PAUL P (MD) CHRISTOPHER | VICE PRESIDENT | 355 HOPE ST PROVIDENCE, RI 029061633 USA |
| Name | Role | Address |
|---|---|---|
| PAUL P (MD) CHRISTOPHER | OTHER OFFICER | 10 JEFFERSON DRIVE EAST GREENWICH, RI 02818 UNI |
| Number | Name | File Date |
|---|---|---|
| 202443653430 | Annual Report | 2024-01-01 |
| 202325858290 | Annual Report | 2023-01-09 |
| 202224249900 | Statement of Change of Registered Office by the Registered Agent | 2022-10-21 |
| 202207573620 | Annual Report | 2022-01-01 |
| 202183220930 | Annual Report | 2021-01-01 |
| 202031034490 | Annual Report | 2020-01-03 |
| 201912356500 | Annual Report | 2019-08-14 |
| 201907153260 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
| 201878167220 | Annual Report | 2018-09-25 |
| 201875621950 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
Date of last update: 20 Oct 2024
Sources: Rhode Island Department of State
