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PSYCHOLOGIST ON WHEELS, P.C.

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Company Details

Name: PSYCHOLOGIST ON WHEELS, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 16 Oct 2007 (18 years ago)
Entity Number: 3580747
ZIP code: 11010
County: Nassau
Place of Formation: New York
Address: 393 FRANKLIN AVE, STE 101, FRANKLIN SQUARE, NY, United States, 11010

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
RENEE LAVERN CLAUSELLE DOS Process Agent 393 FRANKLIN AVE, STE 101, FRANKLIN SQUARE, NY, United States, 11010

Chief Executive Officer

Name Role Address
RENEE LAVERN CLAUSELLE Chief Executive Officer 393 FRANKLIN AVE, STE 101, FRANKLIN SQUARE, NY, United States, 11010

National Provider Identifier

NPI Number:
1447586318

Authorized Person:

Name:
DR. RENEE CLAUSELLE
Role:
PRESIDENT/DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
Yes

Contacts:

Fax:
5163944767

Form 5500 Series

Employer Identification Number (EIN):
261300653
Plan Year:
2024
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
1
Sponsors Telephone Number:
Plan Year:
2016
Number Of Participants:
15
Sponsors Telephone Number:

History

Start date End date Type Value
2010-04-13 2012-01-24 Address 393 FRANKLIN AVENUE SUITE 101, FRANKLIN SQUARE, NY, 11010, USA (Type of address: Service of Process)
2007-10-16 2010-04-13 Address 60 DORTHEA LANE, ELMONT, NY, 11003, USA (Type of address: Service of Process)
2007-10-16 2024-09-20 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0

Filings

Filing Number Date Filed Type Effective Date
120124002228 2012-01-24 BIENNIAL STATEMENT 2011-10-01
100413000467 2010-04-13 CERTIFICATE OF CHANGE (BY AGENT) 2010-04-13
071016000511 2007-10-16 CERTIFICATE OF INCORPORATION 2007-10-16

Paycheck Protection Program

Jobs Reported:
4
Initial Approval Amount:
$13,108
Date Approved:
2020-05-01
Loan Status:
Charged Off
SBA Guaranty Percentage:
100
Current Approval Amount:
$13,108
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Servicing Lender:
Wells Fargo Bank, National Association
Use of Proceeds:
Payroll: $13,108

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State