| Name: | Frederick Psychological Services LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 12 Aug 2018 (6 years ago) |
| Identification Number: | 001687210 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 5600 POST ROAD UNIT 114-182, EAST GREENWICH, RI, 02818, USA |
| Mailing Address: | 5600 POST ROAD UNIT 114-182, EAST GREENWICH, RI, 02818, US |
| Purpose: | WE ARE A PSYCHOLOGY PRACTICE OFFERING THERAPIES AND SERVICES TO IMPROVE PSYCHOLOGICAL, EMOTIONAL, AND COGNITIVE FUNCTIONING AND WELL-BEING. |
| NAICS: | 621330 - Offices of Mental Health Practitioners (except Physicians) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1073094181 | 2018-08-27 | 2022-11-03 | 2639 S COUNTY TRL, EAST GREENWICH, RI, 028181727, US | 2639 S COUNTY TRL, EAST GREENWICH, RI, 028181727, US | |||||||||||||||||||
|
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| Fax | 4012143047 |
| Phone | +1 401-214-8558 |
Authorized person
| Name | MS. REBECCA FREDERICK |
| Role | OWNER |
| Phone | 4012148558 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PS01388 |
| State | RI |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KYLE FREDERICK | Agent | 5600 POST ROAD UNIT 114-182, EAST GREENWICH, RI, 02818, USA |
| Number | Name | File Date |
|---|---|---|
| 202457574080 | Statement of Change of Registered/Resident Agent Office | 2024-07-03 |
| 202457573830 | Annual Report - Amended | 2024-07-03 |
| 202450787900 | Statement of Change of Registered/Resident Agent Office | 2024-04-11 |
| 202450119260 | Annual Report | 2024-04-04 |
| 202450117130 | Annual Report | 2024-04-04 |
| 202449512740 | Revocation Notice For Failure to Maintain a Registered Office | 2024-03-27 |
| 202448585970 | Registered Office Not Maintained | 2024-01-02 |
| 202329125730 | Annual Report | 2023-02-23 |
| 202221680850 | Annual Report | 2022-07-26 |
| 202219431060 | Revocation Notice For Failure to File An Annual Report | 2022-06-22 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
