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NeuroPerformance Group, LLC

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Company Details

Name: NeuroPerformance Group, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Revoked Entity
Date of Organization in Rhode Island: 12 Jul 2016 (9 years ago)
Date of Dissolution: 03 Jun 2021 (4 years ago)
Date of Status Change: 03 Jun 2021 (4 years ago)
Identification Number: 001664960
ZIP code: 02903
County: Providence County
Purpose: HEALTH CARE AND SOCIAL ASSISTANCE
Principal Address: Google Maps Logo 2 REGENCY PLAZA SUITE 3, PROVIDENCE, RI, 02903, USA

Industry & Business Activity

NAICS

621330 Offices of Mental Health Practitioners (except Physicians)

This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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

Agent

Name Role Address
UNITED STATES CORPORATION AGENTS, INC. Agent 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA

National Provider Identifier

NPI Number:
1902329667

Authorized Person:

Name:
DR. REBECCA ANNE FREDERICK
Role:
OWNER, PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
103G00000X - Clinical Neuropsychologist
Is Primary:
Yes

Contacts:

Fax:
4014376959

Filings

Number Name File Date
202197484650 Revocation Certificate For Failure to File the Annual Report for the Year 2021-06-03
202194475390 Revocation Notice For Failure to File An Annual Report 2021-03-16
201929646160 Annual Report 2019-12-09
201872356350 Annual Report 2018-07-13
201870570000 Annual Report 2018-06-25

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Date of last update: 20 Jun 2025

Sources: Rhode Island Department of State