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North Road Psychiatry, LLC

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Company Details

Name: North Road Psychiatry, LLC
Jurisdiction: Rhode Island
Entity type: Domestic Limited Liability Company
Status: Activ
Date of Organization in Rhode Island: 20 Aug 2020 (5 years ago)
Identification Number: 001711760
ZIP code: 02879
City: Wakefield
County: Washington County
Purpose: PRIVATE PRACTICE PSYCHIATRIC NURSE PRACTIONER
Principal Address: Google Maps Logo 35 SOUTH COUNTY COMMONS WAY SUITE D11, SOUTH KINGSTOWN, RI, 02879, USA
Mailing Address: Google Maps Logo 35 SOUTH COUNTY COMMONS WAY D11, SOUTH KINGSTOWN, RI, 02879, 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
GLORIA MAZZA Agent 50 ROCKLAND DRIVE, WAKEFIELD, RI, 02879, USA

National Provider Identifier

NPI Number:
1215540042
Certification Date:
2020-08-31

Authorized Person:

Name:
GLORIA MARY MAZZA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
363LP0808X - Psychiatric/Mental Health Nurse Practitioner
Is Primary:
Yes

Contacts:

Filings

Number Name File Date
202455202750 Annual Report 2024-06-01
202341856500 Articles of Amendment 2023-09-23
202327430700 Annual Report 2023-02-03
202213614810 Annual Report 2022-03-28
202105679460 Annual Report 2021-12-02

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Date of last update: 16 Jul 2025

Sources: Rhode Island Department of State