| Name: | Dmitry Meyerson, Ph. D., LLC |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Limited Liability Company |
| Status: | Activ |
| Date of Organization in Rhode Island: | 23 Dec 2020 (4 years ago) |
| Identification Number: | 001716709 |
| ZIP code: | 02889 |
| County: | Kent County |
| Principal Address: | 177 AIRPORT ROAD, WARWICK, RI, 02889, USA |
| Purpose: | CLINICAL PSYCHOLOGY ASSESSMENT AND TREATMENT CENTER |
| Fictitious names: |
Meyerson & Associates: Comprehensive Psychological Assessment & Treatment Services (CPATS) (trading name, 2023-11-15 - ) |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. 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 | |||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1639836117 | 2021-11-19 | 2021-11-19 | 177 AIRPORT RD, WARWICK, RI, 028891046, US | 177 AIRPORT RD, WARWICK, RI, 028891046, US | |||||||||||||||||||||||||
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| Phone | +1 401-329-2210 |
| Fax | 4013401052 |
Authorized person
| Name | DR. DMITRY MEYERSON |
| Role | CEO/OWNER |
| Phone | 4013292210 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | RI-1972033827 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| DMITRY MEYERSON, PH. D. | Agent | 177 AIRPORT ROAD, WARWICK, RI, 02889, USA |
| Number | Name | File Date |
|---|---|---|
| 202445360110 | Annual Report | 2024-02-02 |
| 202342768370 | Fictitious Business Name Statement | 2023-11-15 |
| 202335594050 | Annual Report | 2023-05-12 |
| 202212453410 | Annual Report | 2022-03-08 |
| 202101453550 | Annual Report | 2021-09-14 |
| 202081457410 | Articles of Organization | 2020-12-23 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 3949067807 | 2020-05-27 | 0165 | PPP | 211 QUAKER LN STE 102, WEST WARWICK, RI, 02893-2151 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 28 Oct 2024
Sources: Rhode Island Department of State
