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NEW YORK BEHAVIORAL HEALTH PSYCHOLOGICAL OFFICE, PLLC

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Company Details

Name: NEW YORK BEHAVIORAL HEALTH PSYCHOLOGICAL OFFICE, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 31 Mar 2008 (17 years ago)
Entity Number: 3651694
ZIP code: 11576
County: New York
Place of Formation: New York
Address: 55 Bryant Ave., Suite #305, Roslyn, NY, United States, 11576

DOS Process Agent

Name Role Address
NEW YORK BEHAVIORAL HEALTH PSYCHOLOGICAL OFFICE, PLLC DOS Process Agent 55 Bryant Ave., Suite #305, Roslyn, NY, United States, 11576

National Provider Identifier

NPI Number:
1629200233

Authorized Person:

Name:
J FULLER
Role:
CLINICAL DIRECTOR
Phone:

Taxonomy:

Selected Taxonomy:
251S00000X - Community/Behavioral Health Agency
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2017-09-25 2025-03-04 Address 380 LEXINGTON AVE FL 17, NEW YORK, NY, 10168, USA (Type of address: Service of Process)
2014-03-06 2017-09-25 Address 330 MADISON AVENUE, SUITE 966, NEW YORK, NY, 10017, USA (Type of address: Service of Process)
2014-02-10 2014-03-06 Address 330 MADISON AVENUE SUITE 966, NEW YORK, NY, 10017, USA (Type of address: Service of Process)
2008-03-31 2014-02-10 Address 310 EAST HOUSTON STREET, #PHA, NEW YORK, NY, 10002, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250304002915 2025-03-04 BIENNIAL STATEMENT 2025-03-04
221031003162 2022-10-31 BIENNIAL STATEMENT 2022-03-01
170925000132 2017-09-25 CERTIFICATE OF CHANGE 2017-09-25
140306007304 2014-03-06 BIENNIAL STATEMENT 2014-03-01
140210000536 2014-02-10 CERTIFICATE OF CHANGE 2014-02-10

USAspending Awards / Financial Assistance

Date:
2020-05-18
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:
46900.00
Total Face Value Of Loan:
46900.00

Paycheck Protection Program

Date Approved:
2020-05-18
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
46900
Current Approval Amount:
46900
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
47351.01

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Date of last update: 28 Mar 2025

Sources: New York Secretary of State