| Name: | RI BH Medical Services, P.C. |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 10 Jul 2019 (6 years ago) |
| Identification Number: | 001697860 |
| Principal Address: | 307 S. EVERGREEN AVENUE SUITE 101, WOODBURY, NJ, 08096, USA |
| Purpose: | MEDICAL SERVICES PROVIDED BY LICENSED PROVIDERS |
NAICS
621111 Offices of Physicians (except Mental Health Specialists)This U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of general or specialized medicine (except psychiatry or psychoanalysis) or surgery. 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 | |||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1992359335 | 2019-07-24 | 2019-07-24 | 265 BROOKVIEW CENTRE WAY STE 400, KNOXVILLE, TN, 379194052, US | 79 BEACH ST, WESTERLY, RI, 028912717, US | |||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||
| Phone | +1 865-693-1000 |
Authorized person
| Name | DAVID ISTVAN |
| Role | PRESIDENT |
| Phone | 8656931000 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TA0700X - Adult Development & Aging Psychologist |
| Is Primary | No |
| Taxonomy Code | 103TB0200X - Cognitive & Behavioral Psychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TP0016X - Prescribing (Medical) Psychologist |
| Is Primary | No |
| Taxonomy Code | 2084B0040X - Behavioral Neurology & Neuropsychiatry Physician |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| CORPORATION SERVICE COMPANY | Agent | 222 JEFFERSON BOULEVARD SUITE 200, WARWICK, RI, 02888, USA |
| Name | Role | Address |
|---|---|---|
| JOHN R STAIR | ASSISTANT SECRETARY | 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA |
| Name | Role | Address |
|---|---|---|
| DAVID ISTVAN | PRESIDENT/DIRECTOR | 307 S EVERGREEN AVE STE 101 WOODBURY, NJ 08096 USA |
| Name | Role | Address |
|---|---|---|
| EUGENE JOHNSON | VICE PRESIDENT | 307 S EVERGREEN AVE STE 101 WOODBURY, NJ 08096 USA |
| Name | Role | Address |
|---|---|---|
| STEPHEN MURTAUGH | TREASURER/SECRETARY | 307 S EVERGREEN AVE STE 101 WOODBURY, NJ 08096 USA |
| Name | Role | Address |
|---|---|---|
| JOHN BARRACK | ASSISTANT TREASURER | 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA |
| LARA OWENS | ASSISTANT TREASURER | 265 BROOKVIEW CENTRE WAY STE 203 KNOXVILLE, TN 37919 USA |
| Number | Name | File Date |
|---|---|---|
| 202446364090 | Annual Report | 2024-02-14 |
| 202333075290 | Annual Report | 2023-04-17 |
| 202217110570 | Annual Report | 2022-05-10 |
| 202217110110 | Annual Report | 2022-05-10 |
| 202217110840 | Reinstatement | 2022-05-10 |
| 202199745290 | Revocation Certificate For Failure to File the Annual Report for the Year | 2021-07-29 |
| 202197001370 | Revocation Notice For Failure to File An Annual Report | 2021-05-19 |
| 202066618830 | Annual Report | 2020-10-20 |
| 202055234250 | Revocation Notice For Failure to File An Annual Report | 2020-09-16 |
| 201903107050 | Articles of Incorporation | 2019-07-10 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
