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UPSHUR BREN PSYCHOLOGY GROUP, P.C.

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Company Details

Name: UPSHUR BREN PSYCHOLOGY GROUP, P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 19 Jul 2021 (4 years ago)
Entity Number: 6232301
ZIP code: 10803
County: Westchester
Place of Formation: New York
Address: 629 fifth avenue, suite 224, PELHAM, NY, United States, 10803

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
the corporation DOS Process Agent 629 fifth avenue, suite 224, PELHAM, NY, United States, 10803

National Provider Identifier

NPI Number:
1710764329
Certification Date:
2023-09-08

Authorized Person:

Name:
ERIN SCHALLMOSER
Role:
INTAKE COORDINATOR/EXECUTIVE ASST.
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103T00000X - Psychologist
Is Primary:
No
Selected Taxonomy:
103TB0200X - Cognitive & Behavioral Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No

Contacts:

Filings

Filing Number Date Filed Type Effective Date
210730001535 2021-07-19 CERTIFICATE OF INCORPORATION 2021-07-19

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Date of last update: 21 Mar 2025

Sources: New York Secretary of State