| Entity Name: | HOLLYWOOD PSYCHOLOGY CENTER, INC |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 27 Sep 2006 (18 years ago) |
| Last Event: | REINSTATEMENT |
| Event Date Filed: | 25 Jan 2021 (4 years ago) |
| Document Number: | P06000124441 |
| FEI/EIN Number | 205649319 |
| Address: | 5771 Johnson St,, #4738, Hollywood, FL, 33021, US |
| Mail Address: | 5771 Johnson St,, #4738, Hollywood, FL, 33021, US |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1811190978 | 2007-06-07 | 2014-10-02 | 3595 SHERIDAN ST, #103, HOLLYWOOD, FL, 330213657, US | 3595 SHERIDAN ST, #103, HOLLYWOOD, FL, 330213657, US | |||||||||||||||||
|
|||||||||||||||||||||
| Phone | +1 954-981-8200 |
Authorized person
| Name | DR. ANDREW S GAST |
| Role | DIRECTOR |
| Phone | 9549818200 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY7707 |
| State | FL |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| Gast Andrew | Agent | 4851 NORTH 36 COURT, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| GAST ANDREW | President | 4851 NORTH 36 COURT, HOLLYWOOD, FL, 33021 |
| Name | Role | Address |
|---|---|---|
| Gast Jodi B | Vice President | 4851 N. 36th Ct., HOLLYWOOD, FL, 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-21 | 5771 Johnson St,, #4738, Hollywood, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-21 | 5771 Johnson St,, #4738, Hollywood, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2021-01-25 | Gast, Andrew | No data |
| REINSTATEMENT | 2021-01-25 | No data | No data |
| ADMIN DISSOLUTION FOR ANNUAL REPORT | 2018-09-28 | No data | No data |
| NAME CHANGE AMENDMENT | 2016-07-28 | HOLLYWOOD PSYCHOLOGY CENTER, INC | No data |
| AMENDMENT | 2008-06-16 | No data | No data |
| NAME CHANGE AMENDMENT | 2007-04-23 | HOLLYWOOD PSYCHOLOGY CENTER, PA | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-02 |
| ANNUAL REPORT | 2024-01-26 |
| ANNUAL REPORT | 2023-01-21 |
| ANNUAL REPORT | 2022-01-07 |
| REINSTATEMENT | 2021-01-25 |
| ANNUAL REPORT | 2017-01-13 |
| Name Change | 2016-07-28 |
| ANNUAL REPORT | 2016-01-15 |
| ANNUAL REPORT | 2015-01-09 |
| ANNUAL REPORT | 2014-01-14 |
Date of last update: 01 Feb 2025
Sources: Florida Department of State
