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JACKSON PSYCHOLOGICAL, PLLC

Company Details

Name: JACKSON PSYCHOLOGICAL, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 26 May 2021 (4 years ago)
Entity Number: 6021955
ZIP code: 12074
County: Saratoga
Place of Formation: New York
Address: 6111 GREENS CORNER RD, GALWAY, NY, United States, 12074

DOS Process Agent

Name Role Address
THE LLC DOS Process Agent 6111 GREENS CORNER RD, GALWAY, NY, United States, 12074

Unique Entity ID

A UEI is a government-provided number, like a tax ID number, that’s used to identify businesses eligible for federal grants, awards and contracts.

Note: In April 2022, the federal government replaced its old identifier of choice, the Data Universal Numbering System (DUNS) number, with a government-issued UEI. Now all the federal government’s Integrated Award Environment systems use UEI numbers instead of DUNS numbers. So any entity doing business with the federal government must register for a UEI.

Unique Entity ID:
GD9MBEJLKF41
CAGE Code:
98LW4
UEI Expiration Date:
2023-02-15

Business Information

Division Name:
JACKSON PSYCHOLOGICAL, PLLC
Activation Date:
2022-01-21
Initial Registration Date:
2022-01-16

National Provider Identifier

NPI Number:
1043072622
Certification Date:
2024-01-29

Authorized Person:

Name:
MELISSA JOSEPHINE SHEEHY JACKSON
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
261QM0801X - Mental Health Clinic/Center (Including Community Mental Health Center)
Is Primary:
Yes

Contacts:

Fax:
5182057520

Filings

Filing Number Date Filed Type Effective Date
210526000136 2021-05-26 ARTICLES OF ORGANIZATION 2021-05-26

Date of last update: 22 Mar 2025

Sources: New York Secretary of State