| Name: | NeuroPerformance of Rhode Island, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 13 Dec 2019 (5 years ago) |
| Identification Number: | 001702684 |
| ZIP code: | 02910 |
| County: | Providence County |
| Principal Address: | 960 RESERVOIR AVE SUITE 4, CRANSTON, RI, 02910, USA |
| Mailing Address: | 960 RESERVOIR AVE STE 4, CRANSTON, RI, 02910, USA |
| Purpose: | NEUROPSYCHOLOGICAL TESTING, INDIVIDUAL/ MARITAL THERAPY, NEUROFEEDBACK |
| NAICS: | 621112 - Offices of Physicians, Mental Health Specialists |
| Fictitious names: |
NeuroPerformance of Rhode Island (trading name, 2020-05-07 - ) |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740810548 | 2020-01-21 | 2020-06-11 | 2 REGENCY PLZ STE 3, PROVIDENCE, RI, 029033149, US | 2 REGENCY PLZ STE 3, PROVIDENCE, RI, 029033149, US | |||||||||||||||||||
|
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| Phone | +1 401-383-8198 |
| Fax | 4014376959 |
Authorized person
| Name | DR. MELISSA PERKINS- BANAS |
| Role | NEUROPSYCHOLOGIST |
| Phone | 4013838198 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | Yes |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| MELISSA PERKINS-BANAS | Agent | 960 RESERVOIR AVE SUITE 4, CRANSTON, RI, 02910, USA |
| Number | Name | File Date |
|---|---|---|
| 202457788090 | Statement of Change of Registered/Resident Agent Office | 2024-07-10 |
| 202457787660 | Annual Report - Amended | 2024-07-10 |
| 202451595180 | Annual Report | 2024-04-19 |
| 202335266650 | Annual Report | 2023-05-04 |
| 202211995010 | Annual Report | 2022-03-03 |
| 202193441260 | Annual Report | 2021-03-02 |
| 202039409830 | Fictitious Business Name Statement | 2020-05-07 |
| 201929924150 | Articles of Organization | 2019-12-13 |
Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
