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NORTH END PSYCHIATRY LLC

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Company Details

Name: NORTH END PSYCHIATRY LLC
Jurisdiction: Idaho
Legal type: Limited Liability Company (D)
Status: Inactive-Dissolved (Administrative)
Date of registration: 20 Feb 2013 (12 years ago)
Financial Date End: 28 Feb 2023
Date dissolved: 10 May 2023
Entity Number: 375109
Place of Formation: IDAHO
File Number: 375109
ZIP code: 83702
County: Ada County
Principal Address: 1423 W FRANKLIN ST BOISE, ID 83702
Mailing Address: 1423 W FRANKLIN ST BOISE, ID 83702-5024

Agent

Name Role Address
RICHARD MONTGOMERY MD Agent 1423 W FRANKLIN ST, BOISE, ID 83702

Manager

Name Role Address Appointed On
James Saccomando Manager 1423 W FRANKLIN ST, BOISE, ID 83702-5024 2021-01-04

National Provider Identifier

NPI Number:
1720586969

Authorized Person:

Name:
RICHARD A MONTGOMERY
Role:
MEMBER
Phone:

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
No
Selected Taxonomy:
2084P0800X - Psychiatry Physician
Is Primary:
Yes

Contacts:

Fax:
2083452282

Form 5500 Series

Employer Identification Number (EIN):
462110485
Plan Year:
2021
Number Of Participants:
9
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2019
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2018
Number Of Participants:
6
Sponsors Telephone Number:
Plan Year:
2017
Number Of Participants:
7
Sponsors Telephone Number:

Filing

Filing Name Filing Number Filing date
Dissolution/Revocation - Administrative 0005235413 2023-05-10
Annual Report 0004592454 2022-02-03
Annual Report 0004115309 2021-01-04
Annual Report 0003724262 2020-01-01
Annual Report 0003430196 2019-02-14

USAspending Awards / Financial Assistance

Date:
2020-04-11
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:
40700.00
Total Face Value Of Loan:
40700.00

Paycheck Protection Program

Date Approved:
2020-04-11
Loan Status:
Paid in Full
SBA Guaranty Percentage:
100
Initial Approval Amount:
40700
Current Approval Amount:
40700
Race:
Unanswered
Ethnicity:
Unknown/NotStated
Gender:
Unanswered
Veteran:
Unanswered
Forgiveness Amount:
40991.03

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Date of last update: 03 Jun 2025

Sources: Idaho Secretary of State