| Name: | Jo-Ann L. Donatelli, Ph.D., Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 01 Aug 2016 (8 years ago) |
| Identification Number: | 001665561 |
| ZIP code: | 02906 |
| County: | Providence County |
| Principal Address: | 1 RICHMOND SQUARE SUITE 100C, PROVIDENCE, RI, 02906, USA |
| Purpose: | PSYCHOLOGICAL SERVICES |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1518414689 | 2016-09-07 | 2016-09-07 | 1 RICHMOND SQUARE, SUITE 100C, PROVIDENCE, RI, 029065154, US | 1 RICHMOND SQUARE, SUITE 154E, PROVIDENCE, RI, 029065100, US | |||||||||||||||||||||||||
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| Phone | +1 401-533-9994 |
| Fax | 4015311532 |
Authorized person
| Name | DR. JO-ANN LYNN DONATELLI |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 4015697640 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PS01056 |
| State | RI |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | JD69104 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JO-ANN L. DONATELLI | Agent | ONE RICHMOND SQUARE SUITE 100C, PROVIDENCE, RI, 02906, USA |
| Name | Role | Address |
|---|---|---|
| JO-ANN LYNN DONATELLI | PRESIDENT | 1 RICHMOND SQUARE PROVIDENCE, RI 02906 |
| Number | Name | File Date |
|---|---|---|
| 202449204230 | Annual Report | 2024-03-23 |
| 202330749680 | Annual Report | 2023-03-14 |
| 202209544970 | Annual Report | 2022-02-07 |
| 202198360160 | Annual Report | 2021-06-17 |
| 202196939160 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202035638720 | Annual Report | 2020-03-02 |
| 201987804870 | Annual Report | 2019-02-28 |
| 201859591840 | Annual Report | 2018-03-02 |
| 201735068000 | Annual Report | 2017-02-28 |
| 201603097660 | Articles of Incorporation | 2016-08-01 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State
