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CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC

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Company Details

Name: CAPITAL DISTRICT BEHAVIORAL HEALTH PSYCHOLOGISTS, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Jan 2005 (20 years ago)
Entity Number: 3149125
ZIP code: 12110
County: Albany
Place of Formation: New York
Address: 20 CENTURY HILL DRIVE STE 202, LATHAM, NY, United States, 12110

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 20 CENTURY HILL DRIVE STE 202, LATHAM, NY, United States, 12110

National Provider Identifier

NPI Number:
1215152962

Authorized Person:

Name:
DR. NANCY L NICHOLSON
Role:
PARTNER
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

Fax:
5187857293

Form 5500 Series

Employer Identification Number (EIN):
205478053
Plan Year:
2023
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
6
Sponsors Telephone Number:

History

Start date End date Type Value
2006-09-11 2016-02-04 Name CAPITAL DISTRICT BEHAVIORAL HEALTH, PLLC
2005-01-11 2006-09-11 Name NICHOLSON, DRUM AND CARLSON, PSYCHOLOGISTS, PLLC
2005-01-11 2007-06-28 Address 713 TROY-SCHENECTADY RD, LATHAM, NY, 12110, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
160204000637 2016-02-04 CERTIFICATE OF AMENDMENT 2016-02-04
150406002008 2015-04-06 BIENNIAL STATEMENT 2015-01-01
070628000918 2007-06-28 CERTIFICATE OF CHANGE 2007-06-28
060911000534 2006-09-11 CERTIFICATE OF AMENDMENT 2006-09-11
050413000055 2005-04-13 AFFIDAVIT OF PUBLICATION 2005-04-13

USAspending Awards / Financial Assistance

Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
101013.00
Total Face Value Of Loan:
101013.00

Paycheck Protection Program

Date Approved:
2020-04-15
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
101013
Current Approval Amount:
101013
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
101591.4

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Date of last update: 29 Mar 2025

Sources: New York Secretary of State