| Entity Name: | OUTPATIENT PSY CARE, INC. |
| Jurisdiction: | FLORIDA |
| Filing Type: | Domestic Profit |
| Status: | Active |
| Date Filed: | 08 Nov 1995 (29 years ago) |
| Document Number: | P95000086019 |
| FEI/EIN Number | 650621726 |
| Address: | 3271 NW 7th St., Miami, FL, 33125, US |
| Mail Address: | P.O. BOX 347604, CORAL GABLES, FL, 33234, US |
| ZIP code: | 33125 |
| County: | Miami-Dade |
| Place of Formation: | FLORIDA |
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1306897954 | 2006-05-16 | 2024-07-02 | PO BOX 347604, CORAL GABLES, FL, 332347604, US | 3271 NW 7TH ST., SUITE # 203, MIAMI, FL, 33125, US | |||||||||||||||||||||||||||||||||||||
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| Phone | +1 305-984-8422 |
| Phone | +1 786-220-6902 |
| Fax | 8667260526 |
Authorized person
| Name | DR. VIVIAN D.J. GONZALEZ-DIAZ |
| Role | PRESIDENT |
| Phone | 7862206902 |
Taxonomy
| Taxonomy Code | 103G00000X - Clinical Neuropsychologist |
| License Number | PY5395 |
| State | FL |
| Is Primary | No |
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| License Number | PY5395 |
| State | FL |
| Is Primary | Yes |
| Taxonomy Code | 251B00000X - Case Management Agency |
| Is Primary | No |
| Taxonomy Code | 251S00000X - Community/Behavioral Health Agency |
| Is Primary | No |
| Plan Name | Plan Year | EIN/PN | Received | Sponsor | Total number of participants | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| OUTPATIENT PSY CARE, INC. 401(K) PROFIT SHARING PLAN | 2023 | 650621726 | 2024-07-25 | OUTPATIENT PSY CARE, INC. | 5 | |||||||||||||||||||||||
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| Role | Plan administrator |
| Date | 2024-07-25 |
| Name of individual signing | VIVIAN GONZALEZ |
| Valid signature | Filed with authorized/valid electronic signature |
| File | View Page |
| Three-digit plan number (PN) | 001 |
| Effective date of plan | 2022-01-01 |
| Business code | 621330 |
| Sponsor’s telephone number | 7863936518 |
| Plan sponsor’s address | 3271 NW 7TH ST,, #203, MIAMI, FL, 33125 |
Signature of
| Role | Plan administrator |
| Date | 2023-12-13 |
| Name of individual signing | ISMARAY CARVAJAL |
| Valid signature | Filed with authorized/valid electronic signature |
| Name | Role | Address |
|---|---|---|
| GONZALEZ-DIAZ VIVIAN | Agent | 3271 NW 7th St., Miami, FL, 33125 |
| Name | Role | Address |
|---|---|---|
| GONZALEZ-DIAZ VIVIAN D.J. P | President | P.O. BOX 347604, CORAL GABLES, FL, 33234 |
| Event Type | Filed Date | Value | Description |
|---|---|---|---|
| REGISTERED AGENT ADDRESS CHANGED | 2018-04-29 | 3271 NW 7th St., #203, Miami, FL 33125 | No data |
| CHANGE OF PRINCIPAL ADDRESS | 2016-04-25 | 3271 NW 7th St., #203, Miami, FL 33125 | No data |
| CHANGE OF MAILING ADDRESS | 2006-04-30 | 3271 NW 7th St., #203, Miami, FL 33125 | No data |
| REGISTERED AGENT NAME CHANGED | 1997-05-16 | GONZALEZ-DIAZ, VIVIAN | No data |
| Name | Date |
|---|---|
| ANNUAL REPORT | 2024-03-21 |
| ANNUAL REPORT | 2023-02-02 |
| ANNUAL REPORT | 2022-03-16 |
| ANNUAL REPORT | 2021-01-29 |
| ANNUAL REPORT | 2020-01-27 |
| ANNUAL REPORT | 2019-04-24 |
| ANNUAL REPORT | 2018-04-29 |
| ANNUAL REPORT | 2017-04-18 |
| ANNUAL REPORT | 2016-04-25 |
| ANNUAL REPORT | 2015-04-28 |
Date of last update: 03 Feb 2025
Sources: Florida Department of State
