| 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 |
| Fictitious names: |
NeuroPerformance of Rhode Island (trading name, 2020-05-07 - ) |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis 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 psychiatry or psychoanalysis. 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 9182927403 | 2020-05-19 | 0165 | PPP | Two Regency Plaza Suite 3, Providence, RI, 02903 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
