| Entity Name: | JANIE THOMAS KONDELL, PSY.D., P.A. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Florida Profit Corporation |
| Status: | Active |
| Date Filed: | 11 Jan 1995 (30 years ago) |
| Last Event: | NAME CHANGE AMENDMENT |
| Event Date Filed: | 17 Dec 1999 (25 years ago) |
| Document Number: | P95000002965 |
| FEI/EIN Number | 65-0551937 |
| Address: | 3363 Sheridan Street, Suite 213, HOLLYWOOD, FL 33021 |
| Mail Address: | 3363 Sheridan Street, Suite 213, HOLLYWOOD, FL 33021 |
| ZIP code: | 33021 |
| County: | Broward |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1558601757 | 2013-02-25 | 2013-02-25 | 3325 HOLLYWOOD BLVD, SUITE 203, HOLLYWOOD, FL, 330216999, US | 3325 HOLLYWOOD BLVD, SUITE 203, HOLLYWOOD, FL, 330216999, US | |||||||||||||||||||||||||||||||
|
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| Phone | +1 954-962-0454 |
| Fax | 9549620989 |
Authorized person
| Name | DR. JANIE THOMAS KONDELL |
| Role | PRESIDENT |
| Phone | 9549620454 |
Taxonomy
| Taxonomy Code | 103T00000X - Psychologist |
| License Number | PY5414 |
| State | FL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | INDIVIDUAL PRACTITIONER |
| Number | 1770640427 |
| State | FL |
| Issuer | INDIVIDUAL PRACTITIONER |
| Number | 177064427 |
| State | FL |
| Name | Role | Address |
|---|---|---|
| KONDELL, JANIE T | Agent | 3325 HOLLYWOOD BLVD., SUITE 503, HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| KONDELL, JANIE T | Director | 3363 Sheridan Street, Suite 213 HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| KONDELL, JANIE T | President | 3363 Sheridan Street, Suite 213 HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| KONDELL, JANIE T | Secretary | 3363 Sheridan Street, Suite 213 HOLLYWOOD, FL 33021 |
| Name | Role | Address |
|---|---|---|
| KONDELL, JANIE T | Treasurer | 3363 Sheridan Street, Suite 213 HOLLYWOOD, FL 33021 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| CHANGE OF PRINCIPAL ADDRESS | 2023-01-24 | 3363 Sheridan Street, Suite 213, HOLLYWOOD, FL 33021 | No data |
| CHANGE OF MAILING ADDRESS | 2023-01-24 | 3363 Sheridan Street, Suite 213, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT ADDRESS CHANGED | 2016-01-25 | 3325 HOLLYWOOD BLVD., SUITE 503, HOLLYWOOD, FL 33021 | No data |
| REGISTERED AGENT NAME CHANGED | 2000-01-26 | KONDELL, JANIE T | No data |
| NAME CHANGE AMENDMENT | 1999-12-17 | JANIE THOMAS KONDELL, PSY.D., P.A. | No data |
| AMENDMENT AND NAME CHANGE | 1995-01-17 | JANIE S. THOMAS, P.A. | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2025-01-14 |
| ANNUAL REPORT | 2024-02-05 |
| ANNUAL REPORT | 2023-01-24 |
| ANNUAL REPORT | 2022-02-01 |
| ANNUAL REPORT | 2021-02-02 |
| ANNUAL REPORT | 2020-01-09 |
| ANNUAL REPORT | 2019-03-13 |
| ANNUAL REPORT | 2018-01-15 |
| ANNUAL REPORT | 2017-01-09 |
| ANNUAL REPORT | 2016-01-25 |
Date of last update: 02 Feb 2025
Sources: Florida Department of State
