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THRIVE MIND PSYCHIATRY PLLC

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Company Details

Name: THRIVE MIND PSYCHIATRY PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 19 Jan 2021 (4 years ago)
Entity Number: 5920532
ZIP code: 11238
County: New York
Place of Formation: New York
Address: 760 Bergen Street unit 1L, Brooklyn, NY, United States, 11238

DOS Process Agent

Name Role Address
THRIVE MIND PSYCHIATRY PLLC DOS Process Agent 760 Bergen Street unit 1L, Brooklyn, NY, United States, 11238

National Provider Identifier

NPI Number:
1275342123
Certification Date:
2025-04-21

Authorized Person:

Name:
DR. MARCEL GREEN
Role:
PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
2084P0804X - Child & Adolescent Psychiatry Physician
Is Primary:
No
Selected Taxonomy:
261QM1300X - Multi-Specialty Clinic/Center
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
3478518066

History

Start date End date Type Value
2025-01-23 2025-03-18 Name THRIVE MIND HEALTH AND HOLISTIC PLLC
2025-01-23 2025-03-18 Address 760 Bergen Street unit 1L, Brooklyn, NY, 11238, USA (Type of address: Service of Process)
2025-01-05 2025-01-23 Address 760 Bergen Street unit 1L, Brooklyn, NY, 11238, USA (Type of address: Service of Process)
2023-08-01 2025-01-05 Address 760 Bergen Street unit 1L, Brookly, NY, 11238, USA (Type of address: Service of Process)
2021-01-19 2023-08-01 Address 635 WEST 42ND STREET APT. 20G, NEW YORK, NY, 10036, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
250318002195 2025-03-17 CERTIFICATE OF AMENDMENT 2025-03-17
250123002319 2025-01-22 CERTIFICATE OF AMENDMENT 2025-01-22
250105000246 2025-01-05 BIENNIAL STATEMENT 2025-01-05
230801004695 2023-08-01 BIENNIAL STATEMENT 2023-01-01
210119000353 2021-01-19 ARTICLES OF ORGANIZATION 2021-01-19

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Date of last update: 22 Mar 2025

Sources: New York Secretary of State