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MODERN PSYCHOLOGICAL SERVICES, PLLC

Company Details

Name: MODERN PSYCHOLOGICAL SERVICES, PLLC
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY
Status: Active
Date of registration: 11 Oct 2023 (2 years ago)
Entity Number: 7155373
ZIP code: 10024
County: Albany
Place of Formation: New York
Address: 2248 broadway #1681, NEW YORK, NY, United States, 10024

DOS Process Agent

Name Role Address
the pllc DOS Process Agent 2248 broadway #1681, NEW YORK, NY, United States, 10024

National Provider Identifier

NPI Number:
1447000112
Certification Date:
2024-04-20

Authorized Person:

Name:
DR. ASHLEY CAMPBELL
Role:
OWNER AND LICENSED PSYCHOLOGIST
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
103TF0200X - Forensic Psychologist
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
Yes

Contacts:

History

Start date End date Type Value
2023-10-11 2023-11-28 Address 2248 broadway #1681, NEW YORK, NY, 10024, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
231128003013 2023-11-28 CERTIFICATE OF PUBLICATION 2023-11-28
231011001881 2023-10-11 ARTICLES OF ORGANIZATION 2023-10-11

Date of last update: 20 Mar 2025

Sources: New York Secretary of State