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Primary and Psychiatric Integrated Care, Inc.

Company Details

Name: Primary and Psychiatric Integrated Care, Inc.
Jurisdiction: Rhode Island
Entity type: Professional Service Corporation
Status: Revoked Entity
Date of Organization in Rhode Island: 02 Jul 2020 (5 years ago)
Date of Dissolution: 12 Sep 2023 (2 years ago)
Date of Status Change: 12 Sep 2023 (2 years ago)
Identification Number: 001709448
ZIP code: 02917
County: Providence County
Purpose: APRN CNP FAMILY INDIVIDUAL LIFESPAN PSYCHIATRIC MEDICATION MANAGEMENT
Principal Address: Google Maps Logo 5 ROGLER FARM ROAD, SMITHFIELD, RI, 02917, USA

Industry & Business Activity

NAICS

621399 Offices of All Other Miscellaneous Health Practitioners

This U.S. industry comprises establishments of independent health practitioners (except physicians; dentists; chiropractors; optometrists; mental health specialists; physical, occupational, and speech therapists; audiologists; and podiatrists). 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

Agent

Name Role Address
MICHAEL COLUCCI Agent 16 ANN DRIVE, JOHNSTON, RI, 02919, USA

CEO

Name Role Address
HOLLIE A COLUCCI CEO 5 ROGLER FARM ROAD SMITHFIELD, RI 02917 USA

National Provider Identifier

NPI Number:
1508483694
Certification Date:
2021-12-16

Authorized Person:

Name:
HOLLIE ANN COLUCCI
Role:
CEO
Phone:

Taxonomy:

Selected Taxonomy:
207Q00000X - Family Medicine Physician
Is Primary:
No
Selected Taxonomy:
363LF0000X - Family Nurse Practitioner
Is Primary:
Yes

Contacts:

Fax:
4012509703

Filings

Number Name File Date
202341540850 Revocation Certificate For Failure to File the Annual Report for the Year 2023-09-12
202338217910 Revocation Notice For Failure to File An Annual Report 2023-06-19
202331890660 Statement of Change of Registered/Resident Agent 2023-03-28
202330849290 Revocation Notice For Failure to Maintain a Registered Agent 2023-03-15
202327082260 Agent Resigned 2023-01-31

Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State