| Entity Name: | SEAN P. JENNINGS PSY.D., INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 26 Dec 2000 (24 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 04 Apr 2016 (9 years ago) |
| Document Number: | P01000000969 |
| FEI/EIN Number | 593688908 |
| Address: | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL, 32701 |
| Mail Address: | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL, 32701 |
| ZIP code: | 32701 |
| County: | Seminole |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1689884777 | 2007-05-23 | 2020-08-22 | 108 ROBIN RD STE 2006, ALTAMONTE SPRINGS, FL, 327015035, US | 108 ROBIN RD STE 2006, ALTAMONTE SPRINGS, FL, 327015035, US | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| Phone | +1 407-831-2880 |
| Fax | 4078312881 |
Authorized person
| Name | DR. SEAN PATRICK JENNINGS |
| Role | PRESIDENT |
| Phone | 4078312880 |
Taxonomy
| Taxonomy Code | 101Y00000X - Counselor |
| License Number | MH6241 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TA0400X - Addiction (Substance Use Disorder) Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC2200X - Clinical Child & Adolescent Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TF0000X - Family Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TF0200X - Forensic Psychologist |
| License Number | PY6877 |
| State | FL |
| Is Primary | No |
| Name | Role | Address |
|---|---|---|
| JENNINGS SEAN PDr. | Agent | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL, 32701 |
| Name | Role | Address |
|---|---|---|
| JENNINGS SEAN P | Director | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL, 32701 |
| Registration Number | Fictitious Name | Status | Filed Date | Expiration Date | Cancellation Date | Mailing Address |
|---|---|---|---|---|---|---|
| G19000043532 | INSTITUTE OF PLAYFUL HEALING | EXPIRED | 2019-04-05 | 2024-12-31 | No data | 108 ROBIN ROAD, SUITE 2006, ALTAMONTE SPRINGS, FL, 32701 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REINSTATEMENT | 2016-04-04 | No data | No data |
| REGISTERED AGENT NAME CHANGED | 2016-04-04 | JENNINGS, SEAN P, Dr. | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2009-09-25 | No data | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2005-04-15 | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL 32701 | No data |
| CHANGE OF MAILING ADDRESS | 2005-04-15 | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL 32701 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2005-04-15 | 108 ROBIN ROAD STE #2006, ALTAMONTE SPRINGS, FL 32701 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-04-30 |
| ANNUAL REPORT | 2023-04-30 |
| ANNUAL REPORT | 2022-05-03 |
| ANNUAL REPORT | 2021-03-27 |
| ANNUAL REPORT | 2020-05-01 |
| ANNUAL REPORT | 2019-03-31 |
| ANNUAL REPORT | 2018-06-24 |
| ANNUAL REPORT | 2017-04-07 |
| REINSTATEMENT | 2016-04-04 |
| ANNUAL REPORT | 2008-04-30 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
