| Name: | Rhode Island Psychology, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 09 Mar 2018 (7 years ago) |
| Identification Number: | 001682269 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 989 RESERVOIR AVENUE SUITE 104, CRANSTON, RI, 02910, USA |
| Purpose: | CLINICAL PSYCHOLOGY OFFICE PROVIDING PSYCHOTHERAPY |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1912461005 | 2019-01-23 | 2021-12-21 | 989 RESERVOIR AVE STE 104, CRANSTON, RI, 029105138, US | 989 RESERVOIR AVE STE 104, CRANSTON, RI, 029105138, US | |||||||||||||||||||
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| Phone | +1 401-424-1846 |
| Fax | 4015723364 |
Authorized person
| Name | DR. MICHAEL SCHAFFER |
| Role | CLINICAL PSYCHOLOGIST |
| Phone | 4014241846 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 1041C0700X - Clinical Social Worker |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MICHAEL SCHAFFER | Agent | 989 RESERVOIR AVE SUITE 104, CRANSTON, RI, 02910, USA |
| Name | Role | Address |
|---|---|---|
| MICHAEL SCHAFFER | Manager | 989 RESERVOIR AVENUE, SUITE 104 CRANSTON, RI 02910 USA |
| Number | Name | File Date |
|---|---|---|
| 202341770860 | Annual Report | 2023-09-19 |
| 202326535000 | Annual Report | 2023-01-24 |
| 202214464720 | Statement of Change of Registered/Resident Agent | 2022-04-11 |
| 202214463750 | Annual Report | 2022-04-11 |
| 202101755690 | Annual Report | 2021-09-20 |
| 202055430300 | Annual Report | 2020-09-16 |
| 201921167320 | Annual Report | 2019-09-19 |
| 201859954960 | Articles of Organization | 2018-03-09 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 5064457405 | 2020-05-11 | 0165 | PPP | 989 Reservoir Ave, Suite 104, Cranston, RI, 02910 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
