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Braver Medical, PLLC

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Company Details

Name: Braver Medical, PLLC
Jurisdiction: Rhode Island
Entity type: Foreign Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 18 Aug 2021 (4 years ago)
Branch of: Braver Medical, PLLC, CONNECTICUT (Company Number 2327260)
Identification Number: 001728300
ZIP code: 02806
County: Bristol County
Place of Formation: CONNECTICUT
Purpose: BEHAVIORAL HEALTH THERAPY FOR CHILDREN WITH ANXIETY.
Principal Address: Google Maps Logo 67 BAY ROAD, BARRINGTON, RI, 02806, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This 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

Agent

Name Role Address
NATIONAL REGISTERED AGENTS, INC. Agent 450 VETERANS MEMORIAL PARKWAY SUITE 7A, EAST PROVIDENCE, RI, 02914, USA

National Provider Identifier

NPI Number:
1972265536
Certification Date:
2022-11-20

Authorized Person:

Name:
BRADY CASE
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
4019032192
Fax:
4013436466

Filings

Number Name File Date
202450533660 Annual Report 2024-04-09
202332142560 Annual Report 2023-03-31
202222917360 Annual Report 2022-09-20
202219243500 Revocation Notice For Failure to File An Annual Report 2022-06-22
202100228140 Application for Registration 2021-08-18

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Date of last update: 04 Jun 2025

Sources: Rhode Island Department of State