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JOSHUA NELSON, PH.D., LICENSED CLINICAL PSYCHOLOGIST, P.C.

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Company Details

Name: JOSHUA NELSON, PH.D., LICENSED CLINICAL PSYCHOLOGIST, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 18 Sep 2006 (19 years ago)
Entity Number: 3413746
ZIP code: 10010
County: New York
Place of Formation: New York
Address: 71 W. 23RD ST, # 1115, NEW YORK, NY, United States, 10010

Shares Details

Shares issued 20000

Share Par Value 1

Type PAR VALUE

Chief Executive Officer

Name Role Address
JOSHUA NELSON PH.D. Chief Executive Officer 71 W. 23RD ST, # 1115, NEW YORK, NY, United States, 10010

DOS Process Agent

Name Role Address
JOSHUA NELSON PH.D DOS Process Agent 71 W. 23RD ST, # 1115, NEW YORK, NY, United States, 10010

Unique Entity ID

CAGE Code:
61FS1
UEI Expiration Date:
2014-06-15

Business Information

Activation Date:
2013-06-18
Initial Registration Date:
2010-06-14

Commercial and government entity program

CAGE number:
61FS1
Status:
Active
Type:
Non-Manufacturer
CAGE Update Date:
2024-02-28

Contact Information

POC:
JOSHUA NELSON

National Provider Identifier

NPI Number:
1043490915

Authorized Person:

Name:
DR. JOSHUA NELSON
Role:
PSYCHOLOGIST
Phone:

Taxonomy:

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

Contacts:

History

Start date End date Type Value
2006-09-18 2008-09-02 Address 138 WEST 25TH ST 6TH FLOOR, NUMBER 10, NEW YORK, NY, 10001, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
200903061554 2020-09-03 BIENNIAL STATEMENT 2020-09-01
180905007544 2018-09-05 BIENNIAL STATEMENT 2018-09-01
140916006614 2014-09-16 BIENNIAL STATEMENT 2014-09-01
100913003307 2010-09-13 BIENNIAL STATEMENT 2010-09-01
080902002934 2008-09-02 BIENNIAL STATEMENT 2008-09-01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State