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BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES P.C.

BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES P.C.

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Company Details

Name:	BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES P.C.
Jurisdiction:	New York
Legal type:	DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status:	Active
Date of registration:	16 Aug 2011 (14 years ago)
Entity Number:	4131218
ZIP code:	11003
County:	Nassau
Place of Formation:	New York
Address:	140 EVANS AVENUE, ELMONT, NY, United States, 11003
Principal Address:	22 WEST COLUMBIA ST, HEMPSTEAD, NY, United States, 11550

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

Chief Executive Officer

Name	Role	Address
KIMBERLY SHAMOUN	Chief Executive Officer	140 EVANS AVENUE, ELMONT, NY, United States, 11003

DOS Process Agent

Name	Role	Address
BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES P.C.	DOS Process Agent	140 EVANS AVENUE, ELMONT, NY, United States, 11003

National Provider Identifier

NPI Number:

1346591013

Certification Date:

2021-11-30

Link:

View on NPI website

Authorized Person:

Name:

DR. KIMBERLY SHAMOUN

Role:

PRESIDENT

Phone:

5163311587

Taxonomy:

Selected Taxonomy:

251S00000X - Community/Behavioral Health Agency

Is Primary:

Yes

Contacts:

Phone:

+1 516-331-1587

Fax:

5162164231

History

Start date	End date	Type	Value
2024-02-21	2024-02-21	Address	140 EVANS AVENUE, ELMONT, NY, 11003, USA (Type of address: Chief Executive Officer)
2017-02-13	2024-02-21	Address	140 EVANS AVENUE, ELMONT, NY, 11003, USA (Type of address: Chief Executive Officer)
2017-02-13	2024-02-21	Address	140 EVANS AVENUE, ELMONT, NY, 11003, USA (Type of address: Service of Process)
2013-10-03	2017-02-13	Address	237 12TH AVE, SEA CLIFF, NY, 11579, USA (Type of address: Chief Executive Officer)
2013-10-03	2017-08-25	Address	140 EVANS AVE, ELMONT, NY, 11003, USA (Type of address: Principal Executive Office)

Filings

Filing Number	Date Filed	Type	Effective Date
240221000263	2024-02-21	BIENNIAL STATEMENT	2024-02-21
190805061244	2019-08-05	BIENNIAL STATEMENT	2019-08-01
170825006218	2017-08-25	BIENNIAL STATEMENT	2017-08-01
170213006051	2017-02-13	BIENNIAL STATEMENT	2015-08-01
131003002394	2013-10-03	BIENNIAL STATEMENT	2013-08-01

Trademarks Section

Serial Number:

88246458

Mark:

BIPS BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES PC

Status:

REGISTERED

Mark Type:

SERVICE MARK

Application Filing Date:

2019-01-01

Mark Drawing Type:

Illustration: Drawing or design which also includes word(s)/letter(s)/number(s)

Mark Literal Elements:

BIPS BEHAVIORAL INTERVENTION PSYCHOLOGICAL SERVICES PC

USPTO Link:

View Trademark Status and Document Retrieval (TSDR)

Goods And Services

For:

Behavioral health services; Psychological services, namely, providing therapeutic services to children with special needs and their families

First Use:

2012-05-31

International Classes:

044 - Primary Class

Class Status:

Active

Paycheck Protection Program

Jobs Reported:

Initial Approval Amount:

$106,692

Date Approved:

2020-04-13

Loan Status:

Paid in Full

SBA Guaranty Percentage:

100

Current Approval Amount:

$106,692

Race:

White

Ethnicity:

Not Hispanic or Latino

Gender:

Female Owned

Veteran:

Non-Veteran

Forgiveness Amount:

$107,243.24

Servicing Lender:

HSBC Bank USA, National Association

Use of Proceeds:

Payroll: $106,692