| Name: | Rhode Island Psychological Services, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Revoked Entity |
| Date of Organization in Rhode Island: | 12 Feb 2016 (9 years ago) |
| Date of Dissolution: | 22 Jul 2019 (6 years ago) |
| Date of Status Change: | 22 Jul 2019 (6 years ago) |
| Identification Number: | 001660460 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | EMILY GENTES 345 BLACKSTONE BLVD, PROVIDENCE, RI, 02906, USA |
| Mailing Address: | 345 BLACKSTONE BLVD, PROVIDENCE, RI, 02906, USA |
| Purpose: | PROVIDE PSYCHOLOGICAL 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1942660584 | 2016-02-24 | 2016-02-24 | 171 SEABREEZE DR, NORTH KINGSTOWN, RI, 028524040, US | 345 BLACKSTONE BLVD, PROVIDENCE, RI, 029064800, US | |||||||||||||||||||
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| Phone | +1 781-775-4883 |
| Phone | +1 401-455-6599 |
Authorized person
| Name | EMILY GENTES |
| Role | SOLE PROPRIETER |
| Phone | 7817754883 |
Taxonomy
| Taxonomy Code | 261QM0850X - Adult Mental Health Clinic/Center |
| License Number | PS01476 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| EMILY GENTES | Agent | 345 BLACKSTONE BLVD, PROVIDENCE, RI, 02906, USA |
| Number | Name | File Date |
|---|---|---|
| 201906438980 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-07-22 |
| 201992737710 | Revocation Notice For Failure to File An Annual Report | 2019-05-13 |
| 201857923850 | Statement of Change of Registered/Resident Agent | 2018-02-08 |
| 201857923210 | Annual Report | 2018-02-08 |
| 201692391140 | Articles of Organization | 2016-02-12 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
