| Entity Name: | CENTER FOR CLINICAL PSYCHOLOGY, PLLC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Limited Liability Co. |
| Status: | Active |
| Date Filed: | 23 Nov 2016 (8 years ago) |
| Document Number: | L16000214335 |
| FEI/EIN Number | 81-4540937 |
| Mail Address: | 11089 HARBOUR SPRINGS CIRCLE, BOCA RATON, FL, 33428, US |
| Address: | 4851 West Hillsboro Blvd., Suite A1, Coconut Creek, FL, 33073, US |
| ZIP code: | 33073 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1629511282 | 2016-11-29 | 2024-04-25 | 11089 HARBOUR SPRINGS CIR, BOCA RATON, FL, 334281244, US | 4851 W HILLSBORO BLVD STE A1, COCONUT CREEK, FL, 330734355, US | |||||||||||||||
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| Phone | +1 561-463-2235 |
| Fax | 5613002950 |
Authorized person
| Name | DR. ILENE KASKEL |
| Role | LICENSED PSYCHOLOGIST/ MANAGER |
| Phone | 4514632235 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| KASKEL ILENE F | Agent | 11089 HARBOUR SPRINGS CIRCLE, BOCA RATON, FL, 33428 |
| Name | Role | Address |
|---|---|---|
| KASKEL ILENE F | Manager | 11089 HARBOUR SPRINGS CIRCLE, BOCA RATON, FL, 33428 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-11 | 4851 West Hillsboro Blvd., Suite A1, Coconut Creek, FL 33073 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-03 |
| ANNUAL REPORT | 2024-01-03 |
| ANNUAL REPORT | 2023-01-05 |
| AMENDED ANNUAL REPORT | 2022-07-20 |
| ANNUAL REPORT | 2022-01-05 |
| ANNUAL REPORT | 2021-01-03 |
| ANNUAL REPORT | 2020-01-03 |
| ANNUAL REPORT | 2019-01-04 |
| ANNUAL REPORT | 2018-01-13 |
| ANNUAL REPORT | 2017-01-03 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
