NPIMap

Organization Active NPI

South County Psychiatry LLC

  • Psychiatry Physician
  • Cranston, RI
National Provider Identifier
1003454034
Registry record updated Oct 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOUTH COUNTY PSYCHIATRY LLC
Practice address
1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
Phone
(401) 343-4343
NPI assigned
Dec 20, 2019
Last updated
Oct 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Anthony L Gallo Jr., MDNPI 1780622449
Title
Owner/ Physician
Phone
(401) 268-5333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC0700X
Clinical Child & Adolescent PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC2200X
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X
Registered DietitianGroup: 193200000X MULTI-SPECIALTY GROUP 133V00000X
Obesity Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RB0002X
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944

Mailing address

1170 Pontiac Ave Ste 100
Cranston, RI 02920-7944
Phone (401) 343-4343

Other practice location 1

420 Scrabbletown Rd Ste A
North Kingstown, RI 02852-3638
Phone (401) 268-5333

Other practice location 2

47 Danielson Pike
North Scituate, RI 02857-1892
Phone (401) 895-7897

Other practice location 3

52 Brigham St Ste 5
New Bedford, MA 02740-2210
Phone (617) 671-0728

Other practice location 4

19 Halls Rd # 234
Old Lyme, CT 06371-1457
Phone (959) 666-3777

Other practice location 5

145 Pine Haven Shores Rd Ste 1191
Shelburne, VT 05482-7821
Phone (401) 268-5333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI, CT, MA, VT4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20200218000767 RI Part B Supplier - Clinic/Group Practice 4880021658 Receives reassigned benefits from 45 practitioners
Practice locations: Cranston, RI; North Kingstown, RI; North Scituate, RI
O20211217000071 CT Part B Supplier - Clinic/Group Practice 4880021658 Receives reassigned benefits from 4 practitioners
Practice locations: Old Lyme, CT
O20220322002314 MA Part B Supplier - Clinic/Group Practice 4880021658 Receives reassigned benefits from 7 practitioners
Practice locations: New Bedford, MA
O20250430001360 VT Part B Supplier - Clinic/Group Practice 4880021658 Receives reassigned benefits from 4 practitioners
Practice locations: Shelburne, VT

National Provider Directory

National Provider Directory

Locations

243A Bank St
New London, CT 06320
Phone (401) 268-5333

19 Halls Rd
#234
Old Lyme, CT 06371
Phone (860) 434-5398

50 N 2nd St
Ste 1NE
New Bedford, MA 02740
Phone (401) 268-5333

52 Brigham St
Ste 5
New Bedford, MA 02740
Phone (508) 993-8332

1170 Pontiac Ave
Cranston, RI 02920
Phone (401) 500-0424

1170 Pontiac Ave
Ste 100
Cranston, RI 02920

420 Scrabbletown Rd
Ste A
North Kingstown, RI 02852
Phone (401) 268-5333

47 Danielson Pike
North Scituate, RI 02857
Phone (401) 258-5419

145 Pine Haven Shores Rd
Ste 1191
Shelburne, VT 05482
Phone (401) 268-5333

Practitioners & affiliated clinicians

Practitioners 88

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 88

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793145600000",
    "number": "1003454034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE STE 100",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-343-4343",
            "fax_number": "401-296-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE STE 100",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-343-4343"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Scrabbletown Rd Ste A",
            "address_purpose": "LOCATION",
            "city": "North Kingstown",
            "state": "RI",
            "postal_code": "028523638",
            "country_code": "US",
            "telephone_number": "401-268-5333",
            "fax_number": "401-268-5330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "47 Danielson Pike",
            "address_purpose": "LOCATION",
            "city": "North Scituate",
            "state": "RI",
            "postal_code": "028571892",
            "country_code": "US",
            "telephone_number": "401-895-7897",
            "fax_number": "401-296-3995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "52 Brigham St Ste 5",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027402210",
            "country_code": "US",
            "telephone_number": "617-671-0728",
            "fax_number": "617-671-0728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 Halls Rd # 234",
            "address_purpose": "LOCATION",
            "city": "Old Lyme",
            "state": "CT",
            "postal_code": "063711457",
            "country_code": "US",
            "telephone_number": "959-666-3777",
            "fax_number": "855-268-5333",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Pine Haven Shores Rd Ste 1191",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054827821",
            "country_code": "US",
            "telephone_number": "401-268-5333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COUNTY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2026-10-28",
        "certification_date": "2026-10-28",
        "status": "A",
        "authorized_official_last_name": "GALLO",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER/ PHYSICIAN",
        "authorized_official_telephone_number": "401-268-5333",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranston, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.