| 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 Specialists |
| 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
