| Entity Name: | CENTER FOR CHILD AND ADULT PSYCHIATRY LLC |
| Jurisdiction: | FLORIDA |
| Filing Type: |
Florida Limited Liability Co.
CENTER FOR CHILD AND ADULT PSYCHIATRY LLC is structured as a Limited Liability Company (LLC), a common business structure that offers its members limited liability protection, separating their personal assets from the company's debts and obligations. |
| Status: |
Active
The business entity is active. This status indicates that the business is currently operating and compliant with state regulations, suggesting a lower risk profile for lenders and potentially better creditworthiness. |
| Date Filed: | 22 Jan 2019 (6 years ago) |
| Document Number: | L19000023660 |
| FEI/EIN Number |
83-3390019
Federal Employer Identification (FEI) Number assigned by the IRS. |
| Address: | 3975 MORAN ROAD, TAMPA, FL, 33618, US |
| Mail Address: | 3975 MORAN ROAD, TAMPA, FL, 33618, US |
| ZIP code: | 33618 |
| County: | Hillsborough |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1861950420 | 2019-03-03 | 2019-03-03 | 1911 MONONGAHELA AVE UNIT 82661, PITTSBURGH, PA, 152186616, US | 2909 W BAY TO BAY BLVD STE 210, TAMPA, FL, 336298100, US | |||||||||||||||||||
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| Phone | +1 330-632-0173 |
| Phone | +1 813-995-1775 |
Authorized person
| Name | GREGORY THORKELSON |
| Role | PRESIDENT |
| Phone | 3306320172 |
Taxonomy
| Taxonomy Code | 2084P0804X - Child & Adolescent Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NATIONAL PLAN & PROVIDER ENUMERATION SYSTEM |
| Number | 1295225597 |
| Name | Role | Address |
|---|---|---|
| THORKELSON GREGORY | Authorized Member | 5725 FORWARD AVENUE, SUITE 401, PITTSBURGH, PA, 15217 |
| APEX FINANCIAL SOLUTIONS, LLC | Agent | - |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2024-04-29 | 3975 MORAN ROAD, TAMPA, FL 33618 | - |
| CHANGE OF MAILING ADDRESS | 2024-04-29 | 3975 MORAN ROAD, TAMPA, FL 33618 | - |
| REGISTERED AGENT NAME CHANGED | 2024-04-29 | APEX FINANCIAL SOLUTIONS | - |
| REGISTERED AGENT ADDRESS CHANGED | 2024-04-29 | 3975 MORAN ROAD, TAMPA, FL 33618 | - |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-02-05 |
| ANNUAL REPORT | 2024-04-29 |
| ANNUAL REPORT | 2023-04-28 |
| ANNUAL REPORT | 2022-04-29 |
| ANNUAL REPORT | 2021-03-03 |
| ANNUAL REPORT | 2020-05-09 |
| Florida Limited Liability | 2019-01-22 |
Date of last update: 01 Apr 2025
Sources: Florida Department of State
