| 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 (6 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) |
| 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
