| 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) |
| 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
