| Name: | JONATHAN L CRIST DO, LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 20 May 2020 (5 years ago) |
| Identification Number: | 001707980 |
| ZIP code: | 02809 |
| County: | Bristol County |
| Principal Address: | 13A STATE STREET, BRISTOL, RI, 02809, USA |
| Mailing Address: | 1 IMPERIAL PLACE STE 1D, PROVIDENCE, RI, 02903, USA |
| Purpose: | SPECIALIZES IN TREATMENT OF MOOD AND ANXIETY DISORDERS IN ADULTS AND COLLEGE STUDENTS. PRACTICES A HOLISTIC APPROACH TO HEALTH, ONE THAT FOCUSES ON MIND/BODY INTEGRATION AND ENCOURAGES NON-MEDICATION METHODS OF TREATMENT WHEN POSSIBLE |
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 | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1821663766 | 2021-05-24 | 2021-05-24 | 13A STATE ST, BRISTOL, RI, 028091811, US | 13A STATE ST, BRISTOL, RI, 028091811, US | |||||||||||||||
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| Phone | +1 401-254-1200 |
| Fax | 4014044301 |
Authorized person
| Name | DR. JONATHAN L CRIST |
| Role | PSYCHIATRIST |
| Phone | 4012541200 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JONATHAN CRIST | Agent | 13A STATE STREET, BRISTOL, RI, 02809, USA |
| Number | Name | File Date |
|---|---|---|
| 202453393090 | Annual Report | 2024-04-30 |
| 202336087830 | Annual Report | 2023-05-25 |
| 202216711020 | Annual Report | 2022-05-03 |
| 202103203360 | Annual Report | 2021-10-14 |
| 202044343280 | Articles of Amendment | 2020-07-08 |
| 202040531690 | Articles of Organization | 2020-05-20 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2728617307 | 2020-04-29 | 0165 | PPP | 13A State Street, Bristol, RI, 02809 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 27 Oct 2024
Sources: Rhode Island Department of State
