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PSYCHIATRY FACULTY PRACTICE, INC.

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Company Details

Name: PSYCHIATRY FACULTY PRACTICE, INC.
Jurisdiction: New York
Legal type: DOMESTIC NOT-FOR-PROFIT CORPORATION (UNIVERSITY FACULTY PRACTICE CORPORATION)
Status: Active
Date of registration: 31 Dec 2014 (11 years ago)
Entity Number: 4686968
ZIP code: 13210
County: Onondaga
Place of Formation: New York
Address: 713 HARRISON STREET, SYRACUSE, NY, United States, 13210

Contact Details

Phone +1 315-464-3265

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 713 HARRISON STREET, SYRACUSE, NY, United States, 13210

Unique Entity ID

Unique Entity ID:
L7TPBCQHKL28
CAGE Code:
94PA8
UEI Expiration Date:
2025-10-31

Business Information

Doing Business As:
PSYCHIATRY FACULTY PRACTI
Division Name:
PSYCHIATRY FACULTY PRACTICE, INC
Division Number:
PSYCHIATRY
Activation Date:
2024-11-04
Initial Registration Date:
2021-08-13

Commercial and government entity program

CAGE number:
94PA8
Status:
Obsolete
Type:
Non-Manufacturer
CAGE Update Date:
2024-11-04
SAM Expiration:
2025-10-31

Contact Information

POC:
THERESA WESTON

National Provider Identifier

NPI Number:
1881084820

Authorized Person:

Name:
BARBARA A SVOBODA
Role:
PRACTICE PLAN ADMINISTRATOR
Phone:

Taxonomy:

Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
3154643282

Form 5500 Series

Employer Identification Number (EIN):
472657089
Plan Year:
2024
Number Of Participants:
91
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
94
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
85
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
68
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
58
Sponsors Telephone Number:

Filings

Filing Number Date Filed Type Effective Date
141231000563 2014-12-31 CERTIFICATE OF INCORPORATION 2014-12-31

Tax Exempt

Employer Identification Number (EIN) :
47-2657089
Classification:
Educational Organization, Local Association of Employees, Horticultural Organization, Business League, Voluntary Employees' Beneficiary Association (Govt. Emps.), Mutual Ditch or Irrigation Co., Cemetery Company, Other Mutual Corp. or Assoc.
Ruling Date:
2016-04
National Taxonomy Of Exempt Entities:
Mental Health & Crisis Intervention: Mental Health Treatment F31 Psychiatric, Mental Health Hospital
Deductibility:
Type of organization and use of contribution: A public charity. Deductibility Limitation: 50% (60% for cash contributions)

Determination Letters

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State