| Name: | JAMES A GALLO MD, INC |
| Jurisdiction: | Rhode Island |
| Entity type: | Professional Service Corporation |
| Status: | Activ |
| Date of Organization in Rhode Island: | 25 Sep 2012 (13 years ago) |
| Identification Number: | 000793395 |
| ZIP code: | 02886 |
| County: | Kent County |
| Principal Address: | 828 TOLL GATE RD, WARWICK, RI, 02886, USA |
| Purpose: | OFFICE OF PHYSICIANS, MENTAL HEALTH TREATMENT |
NAICS
621112 Offices of Physicians, Mental Health SpecialistsThis U.S. industry comprises establishments of health practitioners having the degree of M.D. (Doctor of Medicine) or D.O. (Doctor of Osteopathy) primarily engaged in the independent practice of psychiatry or psychoanalysis. 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 | |||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1740918986 | 2022-08-14 | 2022-08-14 | PO BOX 8201, CRANSTON, RI, 029200201, US | 828 TOLL GATE RD, WARWICK, RI, 028862721, US | |||||||||||||||||||
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| Phone | +1 401-615-3043 |
Authorized person
| Name | BRIAN HARRINGTON |
| Role | OFFICE MANAGER |
| Phone | 4019352955 |
Taxonomy
| Taxonomy Code | 2084P0800X - Psychiatry Physician |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | NPI |
| Number | 1801978622 |
| State | RI |
| Name | Role | Address |
|---|---|---|
| JAMES A. GALLO | Agent | 828 TOLLGATE ROAD, WARWICK, RI, 02886, USA |
| Name | Role | Address |
|---|---|---|
| JAMES ALLAN GALLO MD | PRESIDENT | 80 W REACH DR JAMESTOWN , RI 02835-2230 USA |
| Name | Role | Address |
|---|---|---|
| SARAH GALLO WEINREICH RNP | VICE PRESIDENT | 828 TOLL GATE RD WARWICK, RI 02886 USA |
| Number | Name | File Date |
|---|---|---|
| 202447483970 | Annual Report | 2024-02-28 |
| 202331428610 | Annual Report | 2023-03-20 |
| 202209125430 | Annual Report | 2022-02-01 |
| 202186692130 | Annual Report | 2021-01-17 |
| 202034480500 | Annual Report | 2020-02-16 |
| 201883468130 | Annual Report | 2018-12-31 |
| 201859300000 | Annual Report | 2018-02-26 |
| 201729644500 | Annual Report | 2017-01-07 |
| 201690793540 | Annual Report | 2016-01-17 |
| 201554161780 | Annual Report | 2015-01-25 |
| Loan Number | Loan Funded Date | SBA Origination Office Code | Loan Delivery Method | Borrower Street Address | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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| 7220847700 | 2020-05-01 | 0165 | PPP | 828 TOLL GATE RD, WARWICK, RI, 02886-2721 | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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Date of last update: 17 Oct 2024
Sources: Rhode Island Department of State
