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SOUTH COUNTY PSYCHIATRY LLC

Company Details

Name: SOUTH COUNTY PSYCHIATRY LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 21 Nov 2019 (6 years ago)
Identification Number: 001702096
ZIP code: 02852
County: Washington County
Purpose: THE OPERATION OF A MEDICAL PRACTICE THAT PROVIDES PSYCHIATRIC SERVICES TO ITS PATIENTS
Fictitious names: The Weight and Wellness Institute (trading name, 2022-07-28 - )
SCP (trading name, 2024-12-16 - )
Principal Address: Google Maps Logo 420 SCRABBLETOWN ROAD SUITE A, NORTH KINGSTOWN, RI, 02852, USA

Industry & Business Activity

NAICS

621112 Offices of Physicians, Mental Health Specialists

This 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

Agent

Name Role Address
DOMENIC A. MOSCA, JR. Agent 130 TOWER HILL ROAD, NORTH KINGSTOWN, RI, 02852, USA

National Provider Identifier

NPI Number:
1003454034
Certification Date:
2025-02-11

Authorized Person:

Name:
ANTHONY L GALLO JR.
Role:
OWNER/ PHYSICIAN
Phone:

Taxonomy:

Selected Taxonomy:
207RB0002X - Obesity Medicine (Internal Medicine) Physician
Is Primary:
No
Selected Taxonomy:
1041C0700X - Clinical Social Worker
Is Primary:
No
Selected Taxonomy:
133V00000X - Registered Dietitian
Is Primary:
No
Selected Taxonomy:
103TC0700X - Clinical Psychologist
Is Primary:
No
Selected Taxonomy:
103TC2200X - Clinical Child & Adolescent Psychologist
Is Primary:
No

Contacts:

Fax:
4012685330

Form 5500 Series

Employer Identification Number (EIN):
843755178
Plan Year:
2023
Number Of Participants:
16
Sponsors Telephone Number:
Plan Year:
2022
Number Of Participants:
4
Sponsors Telephone Number:
Plan Year:
2021
Number Of Participants:
2
Sponsors Telephone Number:
Plan Year:
2020
Number Of Participants:
0
Sponsors Telephone Number:

Filings

Number Name File Date
202449397770 Annual Report 2024-03-25
202331554670 Annual Report 2023-03-23
202221748460 Fictitious Business Name Statement 2022-07-28
202214041110 Annual Report 2022-03-29
202102237500 Annual Report 2021-09-27

Expenditures

Agency Date Program Subprogram Amount
Department of Children, Youth and Families 2025-01-17 CHILD WELFARE FAMILY SERVICES 1625.0

Date of last update: 03 Jun 2025

Sources: Rhode Island Department of State