| 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 (7 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)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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 4186078300 | 2021-01-23 | 0165 | PPS | 2 Regency Plz, Providence, RI, 02903-3160 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9442437700 | 2020-05-01 | 0165 | PPP | 2 Regency Plaza Suite 18, Providence, RI, 02903 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
