Name: | Psychiatry Services of New England, Inc. |
Jurisdiction: | Rhode Island |
Entity type: | Professional Service Corporation |
Status: | Revoked Entity |
Date of Organization in Rhode Island: | 24 Feb 2017 (8 years ago) |
Date of Dissolution: | 18 Oct 2019 (5 years ago) |
Date of Status Change: | 18 Oct 2019 (5 years ago) |
Identification Number: | 001671269 |
ZIP code: | 02920 |
County: | Providence County |
Principal Address: | 53 APPLEGATE ROAD, CRANSTON, RI, 02920, USA |
Purpose: | MEDICAL DOCTOR PSYCHAITRY |
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 | |||||||||||||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
1982128914 | 2017-08-01 | 2017-08-01 | PO BOX 8617, CRANSTON, RI, 029200617, US | 2 WAKE ROBIN RD UNIT 102, LINCOLN, RI, 028654241, US | |||||||||||||||||||||
|
Phone | +1 617-981-0426 |
Phone | +1 844-999-7763 |
Fax | 4013004054 |
Authorized person
Name | THOMAS PAUL SIMEONE |
Role | OWNER |
Phone | 6179810426 |
Taxonomy
Taxonomy Code | 2084P0800X - Psychiatry Physician |
License Number | MD15006 |
State | RI |
Is Primary | Yes |
Name | Role | Address |
---|---|---|
JOHN F. REIS | Agent | 926 PARK AVENUE, CRANSTON, RI, 02910, USA |
Name | Role | Address |
---|---|---|
THOMAS P SIMEONE | PRESIDENT | P.O. BOX 8617 CRANSTON, RI 02920 USA |
Number | Name | File Date |
---|---|---|
201924663270 | Revocation Certificate For Failure to File the Annual Report for the Year | 2019-10-18 |
201907197660 | Revocation Notice For Failure to File An Annual Report | 2019-07-24 |
201859701320 | Annual Report | 2018-03-02 |
201734687590 | Articles of Incorporation | 2017-02-24 |
Date of last update: 26 Oct 2024
Sources: Rhode Island Department of State