| Entity Name: | PSYCHOLOGICAL TESTING ASSOCIATES, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 21 May 2004 (21 years ago) |
| Document Number: | P04000081800 |
| FEI/EIN Number | 43-2052719 |
| Address: | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 |
| Mail Address: | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 |
| ZIP code: | 33324 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1508983503 | 2007-03-23 | 2007-09-27 | 7469 NW 4TH ST, PLANTATION, FL, 333172216, US | 7469 NW 4TH ST, PLANTATION, FL, 333172216, US | |||||||||||||||||||
|
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| Phone | +1 954-792-0772 |
| Fax | 9547921221 |
Authorized person
| Name | DR. MATTHEW D SIMON |
| Role | PRESIDENT |
| Phone | 9547920772 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY 6724 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| SIMON, MATTHEW DR. | Agent | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| SIMON, MATTHEW DR. | President | 301 NW 84th Ave, Suite 200 PLANTATION, FL 33324 |
| Name | Role | Address |
|---|---|---|
| SIMON, CHERYL | Vice President | 301 NW 84th Ave, Suite 200 PLANTATION, FL 33324 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2022-01-20 | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2021-11-03 | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 | No data |
| CHANGE OF MAILING ADDRESS | 2021-11-03 | 301 NW 84th Ave, Ste 200, PLANTATION, FL 33324 | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-18 |
| ANNUAL REPORT | 2022-01-20 |
| ANNUAL REPORT | 2021-02-03 |
| ANNUAL REPORT | 2020-01-18 |
| ANNUAL REPORT | 2019-02-26 |
| ANNUAL REPORT | 2018-02-28 |
| ANNUAL REPORT | 2017-01-07 |
| ANNUAL REPORT | 2016-03-01 |
| ANNUAL REPORT | 2015-03-04 |
Date of last update: 05 Jan 2025
Sources: Florida Department of State
