| 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 (9 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)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
| 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
