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  5. Garden City Psychiatry, LLC

Garden City Psychiatry, LLC

Company Details

Name: Garden City Psychiatry, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 13 Jun 2016 (9 years ago)
Identification Number: 001664080
ZIP code: 02920
County: Providence County
Principal Address: 105 SOCKANOSSET CROSSROAD SUITE 320, CRANSTON, RI, 02920, USA
Purpose: PROVIDING MENTAL HEALTH MEDICATION MANAGEMENT TO ADULTS AND CHILDREN
NAICS: 621330 - Offices of Mental Health Practitioners (except Physicians)

National Provider Identifier

NPI Enumeration Date Last Update Date Mailing Address Practice Location Address
1801246616 2016-06-13 2016-06-13 105 SOCKANOSSET CROSS RD, SUITE 320, CRANSTON, RI, 029205560, US 105 SOCKANOSSET CROSS RD, SUITE 320, CRANSTON, RI, 029205560, US

Contacts
Phone +1 401-487-4637

Authorized person
Name MS. ADELE PALAZZO
Role APRN
Phone 4014874637

Taxonomy
Taxonomy Code 364SP0809X - Adult Psychiatric/Mental Health Clinical Nurse Specialist
License Number APRN00019
State RI
Is Primary Yes

form 5500

Plan Name Plan Year EIN/PN Received Sponsor Total number of participants
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2023 812914871 2024-07-29 GARDEN CITY PSYCHIATRY, LLC 6
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2024-07-29
Name of individual signing MELANIE KOEHLER
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2022 812914871 2023-07-20 GARDEN CITY PSYCHIATRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2023-07-20
Name of individual signing CHAD CARROLL
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2021 812914871 2022-10-10 GARDEN CITY PSYCHIATRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2022-10-10
Name of individual signing MELANIE KOEHLER
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2020 812914871 2021-07-07 GARDEN CITY PSYCHIATRY, LLC 4
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2021-07-07
Name of individual signing MELANIE KOEHLER
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2019 812914871 2020-07-30 GARDEN CITY PSYCHIATRY, LLC 5
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2020-07-30
Name of individual signing MELANIE KOEHLER
Valid signature Filed with authorized/valid electronic signature
GARDEN CITY PSYCHIATRY, LLC 401(K) PLAN 2018 812914871 2019-07-24 GARDEN CITY PSYCHIATRY, LLC 0
File View Page
Three-digit plan number (PN) 001
Effective date of plan 2018-01-01
Business code 541600
Sponsor’s telephone number 4019466400
Plan sponsor’s address 105 SOCKANOSSET CROSS ROAD, CRANSTON, RI, 02920

Signature of
Role Plan administrator
Date 2019-07-24
Name of individual signing MELANIE KOEHLER
Valid signature Filed with authorized/valid electronic signature

Agent

Name Role Address
ADELE M. PALAZZO Agent 105 SOCKANOSSET CROSSROAD SUITE 320, CRANSTON, RI, 02920, USA

Manager

Name Role Address
ADELE M. PALAZZO Manager 308 DEAN COURT CRANSTON, RI 02920
MELANIE KOEHLER Manager 71 PEACOCK ROAD WARWICK, RI 02886 USA

Filings

Number Name File Date
202457004370 Annual Report 2024-06-20
202457004640 Annual Report 2024-06-20
202457004730 Annual Report 2024-06-20
202457004820 Annual Report 2024-06-20
202457004910 Annual Report 2024-06-20
202457004280 Reinstatement 2024-06-20
202197483040 Revocation Certificate For Failure to File the Annual Report for the Year 2021-06-03
202194405180 Revocation Notice For Failure to File An Annual Report 2021-03-16
201922392820 Annual Report 2019-10-03
201876360470 Annual Report 2018-08-31

Related by officers

No related officers

Related by address

No related companies by address

Date of last update: 26 Oct 2024

Sources: Rhode Island Department of State

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