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Psychiatric Associates Services PLLC

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Company Details

Name: Psychiatric Associates Services PLLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Active-Existing
Date of registration: 11 Dec 2018 (7 years ago)
Financial Date End: 31 Dec 2025
Entity Number: 3369116
Place of Formation: IDAHO
File Number: 646600
ZIP code: 83703
County: Ada County
Principal Address: 2522 N 31ST ST BOISE, ID 83703
Mailing Address: 2522 N 31ST ST BOISE, ID 83703-5439

Agent

Name Role Address
William Short Agent 2522 N 31ST ST, BOISE, ID 83703

Member

Name Role Address Appointed On
William J Short Member 2522 N. 31ST, BOISE, ID 83703 2020-11-04

National Provider Identifier

NPI Number:
1053074302
Certification Date:
2023-09-28

Authorized Person:

Name:
WILLIAM SHORT
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
363A00000X - Physician Assistant
Is Primary:
Yes

Contacts:

Fax:
2085495832
Fax:
2085497017

Form 5500 Series

Employer Identification Number (EIN):
832929475
Plan Year:
2024
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2023
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
8
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
7
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Annual Report 0005961816 2024-11-04
Annual Report 0005469809 2023-11-07
Annual Report 0005025697 2022-12-09
Annual Report 0004493530 2021-11-09
Annual Report 0004053032 2020-11-04

USAspending Awards / Financial Assistance

Date:
2021-01-25
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
79370.00
Total Face Value Of Loan:
79370.00
Date:
2020-04-15
Awarding Agency Name:
Small Business Administration
Transaction Description:
TO AID SMALL BUSINESSES IN MAINTAINING WORK FORCE DURING COVID-19 PANDEMIC.
Obligated Amount:
0.00
Face Value Of Loan:
126400.00
Total Face Value Of Loan:
126400.00

Paycheck Protection Program

Date Approved:
2020-04-14
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
126400
Current Approval Amount:
126400
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
127141.08
Date Approved:
2021-01-25
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
79370
Current Approval Amount:
79370
Race:
White
Ethnicity:
Not Hispanic or Latino
Gender:
Male Owned
Veteran:
Non-Veteran
Forgiveness Amount:
79754.89

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Date of last update: 06 Jul 2025

Sources: Idaho Secretary of State