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South Shore Center

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Company Details

Name: South Shore Center
Jurisdiction: Rhode Island
Entity type: Domestic Non-Profit Corporation
Status: Merged Into An Entity Of Record
Date of Organization in Rhode Island: 18 Feb 1964 (61 years ago)
Date of Dissolution: 30 Jun 2013 (12 years ago)
Date of Status Change: 30 Jun 2013 (12 years ago)
Identification Number: 000032027
ZIP code: 02813
City: Charlestown
County: Washington County
Purpose: HEALTH CARE
Historical names: Washington County Community Mental Health Center,Inc.
SOUTH SHORE MENTAL HEALTH CENTER, INC.
Principal Address: Google Maps Logo 4705A OLD POST ROAD BOX 899, CHARLESTOWN, RI, 02813, USA

Contact Details

Phone +1 401-364-7705

Agent

Name Role Address
ADLER POLLOCK & SHEEHAN P.C. Agent ONE CITIZENS PLAZA 8TH FLOOR, PROVIDENCE, RI, 02903, USA

PRESIDENT

Name Role Address
RICHARD H LECLERC PRESIDENT 28 WESTWOOD ROAD NORTH SMITHFIELD, RI 02892 USA

SECRETARY

Name Role Address
SANDRA J PANZERI SECRETARY THE 1900 HOUSE, 59 KINGSTOWN ROAD NARRAGANSETT, RI 02882 USA

CHAIR

Name Role Address
HOWARD E WALKER ESQ CHAIR 39A BERRIE LANE ROCKVILLE, RI 02873 USA

SR VICE PRESIDENT - FINANCE

Name Role Address
SCOTT DICHRISTOFERO SR VICE PRESIDENT - FINANCE 44 ROLLING ACRES DRIVE CUMBERLAND, RI 02864 USA

TREASURER

Name Role Address
JOHN MICROULIS TREASURER P.O. BOX 5309 WAKEFIELD, RI 02880 USA

DIRECTOR

Name Role Address
JOHN MICROULIS DIRECTOR P.O. BOX 5309 WAKEFIELD, RI 02880 USA
VINCENT CARLONE DIRECTOR P.O. BOX 307 BLOCK ISLAND, RI 02807 USA
LOUIS R GIANCOLA DIRECTOR 6 BARBERRY HILL ROAD PROVIDENCE, RI 02906 USA
TONIA T HEALEY DIRECTOR 127 CLIFF DRIVE NARRAGANSETT, RI 02882 USA
JANELLE M HAYES DIRECTOR 12 OAKLAWN TERRACE WESTERLY, RI 02891 USA
CAROLYN C TRAXLER DIRECTOR 109 SOUTHWINDS DRIVE WAKEFIELD, RI 02879 USA
JOHN C TICKNER DIRECTOR 1591 COMMODORE PERRY HIGHWAY WAKEFIELD, RI 02879 USA
BARRY M WEPMAN MD DIRECTOR 300 KENYON AVENUE WAKEFIELD, RI 02879 USA
HOWARD E WALKIER DIRECTOR 39A BERRIE LANE ROCKVILLE, RI 02873 USA
SANDRA J PANZERI DIRECTOR THE 1900 HOUSE, 59 KINGSTOWN ROAD NARRAGANSETT, RI 02882 USA

VICE CHAIR

Name Role Address
CAROLYN C TRAXLER VICE CHAIR 109 SOUTHWINDS DRIVE WAKEFIELD, RI 02879 USA

CHIEF OPERATING OFFICER

Name Role Address
DOROTHY YEAMEN CHIEF OPERATING OFFICER 69 PUNCH BOWL TRAIL WEST KINGSTON, RI 02892 USA

National Provider Identifier

NPI Number:
1255327391
Link:
View on NPI website

Authorized Person:

Name:
DOROTHY A YEAMEN
Role:
COO
Phone:
4013647705

Taxonomy:

Selected Taxonomy:
101YM0800X - Mental Health Counselor
Is Primary:
No
Selected Taxonomy:
104100000X - Social Worker
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
101YA0400X - Addiction (Substance Use Disorder) Counselor
Is Primary:
No
Selected Taxonomy:
106H00000X - Marriage & Family Therapist
Is Primary:
No

Contacts:

Phone:
+1 401-364-7705
Fax:
4013649104

Form 5500 Series

Employer Identification Number (EIN):
050306183
Plan Year:
2010
Number Of Participants:
32
Sponsor's telephone number:
4013647705
File:
View File
Plan Administrator / Signatory:
SCOTT DICHRISTOFERO(Plan administrator)
SCOTT DICHRISTOFERO(Employer/plan sponsor)

Events

Type Date Old Value New Value
Merged 2013-06-30 South Shore Center GATEWAY HEALTHCARE, INC. on
Name Change 2010-05-28 SOUTH SHORE MENTAL HEALTH CENTER, INC. South Shore Center
Name Change 1992-07-23 Washington County Community Mental Health Center,Inc. SOUTH SHORE MENTAL HEALTH CENTER, INC.

Licenses

License No License Type Status Date Issued Expiration Date
2980141 PWS Transient-Non Community Active 1988-02-04 2026-06-30

Filings

Number Name File Date
201322148270 Annual Report 2013-06-03
201293517390 Annual Report 2012-05-29
201180055510 Annual Report 2011-06-10
201064790720 Miscellaneous Filing (No Fee) 2010-07-19
201062836330 Annual Report 2010-06-07

Court Cases

Court Case Summary

Filing Date:
1992-09-15
Nature Of Judgment:
Missing
Jury Demand:
Missing
Nature Of Suit:
Medical Malpractice

Parties

Party Name:
BERDICK SR
Party Role:
Plaintiff
Party Name:
South Shore Center
Party Role:
Defendant

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Date of last update: 07 Jul 2025

Sources: Rhode Island Department of State

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