| Name: | South County Behavioral Medicine, Inc. |
| Jurisdiction: | Rhode Island |
| Entity type: | Domestic Profit Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 27 Sep 2000 (25 years ago) |
| Identification Number: | 000114628 |
| ZIP code: | 02879 |
| County: | Washington County |
| Principal Address: | 177 NORTH WEEDEN ROAD, WAKEFIELD, RI, 02879, USA |
| Purpose: | TO PROVIDE PSYCHOLOGICAL TREATMENT AND ASSESSMENT |
NAICS
621330 Offices of Mental Health Practitioners (except Physicians)This industry comprises establishments of independent mental health practitioners (except physicians) primarily engaged in (1) the diagnosis and treatment of mental, emotional, and behavioral disorders and/or (2) the diagnosis and treatment of individual or group social dysfunction brought about by such causes as mental illness, alcohol and substance abuse, physical and emotional trauma, or stress. These practitioners operate private or group practices in their own offices (e.g., centers, clinics) or in the facilities of others, such as hospitals or HMO medical centers. Learn more at the U.S. Census Bureau
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1255592044 | 2008-06-24 | 2008-06-24 | PO BOX 360, WAKEFIELD, RI, 028800360, US | 24 SALT POND RD, UNIT D3, WAKEFIELD, RI, 028794314, US | |||||||||||||
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| Phone | +1 401-789-2306 |
Authorized person
| Name | JON KIMPTON |
| Role | OWNER/ PRESIDENT |
| Phone | 4017892306 |
Taxonomy
| Taxonomy Code | 103TC0700X - Clinical Psychologist |
| Is Primary | Yes |
| Name | Role | Address |
|---|---|---|
| JON KIMPTON | Agent | 177 NORTH WEEDEN ROAD, WAKEFIELD, RI, 02879, USA |
| Name | Role | Address |
|---|---|---|
| JON KIMPTON | PRESIDENT | 177 NORTH WEEDEN ROAD WAKEFIELD, RI 02879 USA |
| Number | Name | File Date |
|---|---|---|
| 202454676750 | Annual Report | 2024-05-21 |
| 202331445770 | Annual Report | 2023-03-20 |
| 202217443100 | Annual Report | 2022-05-17 |
| 202193116410 | Annual Report | 2021-02-25 |
| 202036216170 | Annual Report | 2020-03-11 |
| 201986367510 | Annual Report | 2019-02-11 |
| 201986367330 | Statement of Change of Registered/Resident Agent Office | 2019-02-11 |
| 201985055760 | Revocation Notice For Failure to Maintain a Registered Office | 2019-01-24 |
| 201984532730 | Registered Office Not Maintained | 2019-01-07 |
| 201859570890 | Annual Report | 2018-02-28 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 2866087301 | 2020-04-29 | 0165 | PPP | 24 SALT POND RD Unit D3, WAKEFIELD, RI, 02879-4314 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 10 Apr 2025
Sources: Rhode Island Department of State
