| Entity Name: | COMPREHENSIVE PSYCHIATRIC SERVICES INCORPORATED |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Non-Profit |
| Status: | Inactive |
| Date Filed: | 25 Jan 2012 (13 years ago) |
| Date of dissolution: | 27 Mar 2018 (7 years ago) |
| Last Event: | VOLUNTARY DISSOLUTION |
| Event Date Filed: | 27 Mar 2018 (7 years ago) |
| Document Number: | N12000000918 |
| FEI/EIN Number | NOT APPLICABLE |
| Address: | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| Mail Address: | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| ZIP code: | 32835 |
| County: | Orange |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1750752838 | 2015-10-14 | 2015-10-14 | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 328353290, US | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 328353290, US | |||||||||||||||||||||||
|
|||||||||||||||||||||||||||
| Phone | +1 407-730-3837 |
Authorized person
| Name | STEPHEN RYAN |
| Role | CLINICAL DIRECTOR |
| Phone | 4077303837 |
Taxonomy
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| License Number | MH7827 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | MEDICAID |
| Number | 002812700 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| RYAN STEPHEN | Agent | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| AYALA YAMIRA | President | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| GLEASON ZACHARY | Vice President | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| Name | Role | Address |
|---|---|---|
| RYAN STEPHEN | Director | 6150 METROWEST BLVD STE 103, ORLANDO, FL, 32835 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-27 | No data | No data |
| AMENDMENT | 2017-02-16 | No data | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2017-02-16 | 6150 METROWEST BLVD STE 103, ORLANDO, FL 32835 | No data |
| AMENDMENT | 2015-05-19 | No data | No data |
| Name | Date |
|---|---|
| VOLUNTARY DISSOLUTION | 2018-03-27 |
| Amendment | 2017-02-16 |
| ANNUAL REPORT | 2017-01-06 |
| ANNUAL REPORT | 2016-03-30 |
| Amendment | 2015-05-19 |
| ANNUAL REPORT | 2015-04-27 |
| ANNUAL REPORT | 2014-03-04 |
| ANNUAL REPORT | 2013-03-24 |
| Domestic Non-Profit | 2012-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
