| Name: | Elevate Psychological Services, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 11 Sep 2018 (7 years ago) |
| Identification Number: | 001688105 |
| ZIP code: | 02818 |
| County: | Kent County |
| Principal Address: | 58 MAIN STREET SUITE 303, EAST GREENWICH, RI, 02818, USA |
| Purpose: | PRIVATE PSYCHOLOGY PRACTICE, SINGLE OWNED ENTITY, SINGLE PERSON RAN. DR. TARA BOGS IS A LICENSED CLINICAL PSYCHOLOGIST WHO TREATS CLIENTS IN AN OUTPATIENT CAPACITY. |
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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1467189217 | 2022-08-02 | 2022-08-02 | 147 BLUEBERRY DR, EAST GREENWICH, RI, 028182615, US | 58 MAIN ST STE 303, EAST GREENWICH, RI, 028183888, US | |||||||||||||||||||
|
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| Phone | +1 401-626-5334 |
Authorized person
| Name | DR. TARA B BOGS |
| Role | PSYCHOLOGIST/ OWNER |
| Phone | 4016265334 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 1043385081 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| TARA BOGS | Agent | 147 BLUEBERRY DR, EAST GREENWICH, RI, 02818, USA |
| Name | Role | Address |
|---|---|---|
| TARA BOGS | Manager | 147 BLUEBERRY DR. EAST GREENWICH, RI 02818 USA |
| Number | Name | File Date |
|---|---|---|
| 202445776010 | Annual Report | 2024-02-06 |
| 202329801030 | Annual Report | 2023-03-02 |
| 202213976990 | Annual Report | 2022-04-05 |
| 202104392090 | Annual Report | 2021-11-01 |
| 202053608800 | Annual Report | 2020-09-11 |
| 201916256220 | Annual Report | 2019-08-29 |
| 201877145580 | Articles of Organization | 2018-09-11 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
