| Name: | Quetzal Associates, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Dec 2015 (9 years ago) |
| Identification Number: | 001658747 |
| ZIP code: | 02806 |
| County: | Bristol County |
| Principal Address: | 21 CARPENTER AVE, BARRINGTON, RI, 02806, USA |
| Purpose: | PSYCHOLOGY PRIVATE PRACTICE Title: 7-1.2-1701 |
NAICS
621420 Outpatient Mental Health and Substance Abuse CentersThis industry comprises establishments with medical staff primarily engaged in providing outpatient services related to the diagnosis and treatment of mental health disorders and alcohol and other substance abuse. These establishments generally treat patients who do not require inpatient treatment. They may provide a counseling staff and information regarding a wide range of mental health and substance abuse issues and/or refer patients to more extensive treatment programs, if necessary. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1720444193 | 2016-01-14 | 2016-01-14 | 21 CARPENTER AVE, BARRINGTON, RI, 028062005, US | 1445 WAMPANOAG TRL, SUITE 106, RIVERSIDE, RI, 029151000, US | |||||||||||||||||||||||||||
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| Phone | +1 401-903-2413 |
| Fax | 4012890297 |
Authorized person
| Name | DR. KRISTIE PUSTER |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 4019032413 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PS01332 |
| State | RI |
| Is Primary | Yes |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PSO1360 |
| State | RI |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| KRISTIE PUSTER | Agent | 21 CARPENTER AVENUE, BARRINGTON, RI, 02806, USA |
| Name | Role | Address |
|---|---|---|
| KRISTIE PUSTER | PRESIDENT | 21 CARPENTER AVENUE BARRINGTON, RI 02806 USA |
| Number | Name | File Date |
|---|---|---|
| 202445887310 | Annual Report | 2024-02-07 |
| 202331649790 | Annual Report | 2023-03-25 |
| 202209968640 | Annual Report | 2022-02-10 |
| 202185698980 | Annual Report | 2021-01-10 |
| 202041139390 | Annual Report | 2020-05-31 |
| 201985002700 | Annual Report | 2019-01-23 |
| 201876698500 | Annual Report | 2018-09-04 |
| 201875644490 | Revocation Notice For Failure to File An Annual Report | 2018-08-24 |
| 201730004670 | Annual Report | 2017-01-12 |
| 201589032950 | Articles of Incorporation | 2015-12-10 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
