NPIMap

Organization Active NPI

South County Psychiatry LLC

  • Psychiatry Physician
  • North Kingstown, RI
National Provider Identifier
1003454034
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
SOUTH COUNTY PSYCHIATRY LLC
Practice address
420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638
Phone
(401) 268-5333
Fax
(401) 268-5330
NPI assigned
Dec 20, 2019
Organization subpart
No

Authorized official

NPPES NPI Registry
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.

Practitioners 85

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 85

Medicare participation

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

Medicare enrollment records 4

Medicare enrollment files
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
Ste 213
Old Lyme, CT 06371
Phone (860) 434-1190

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

333 Union St
New Bedford, MA 02740
Phone (508) 990-0777

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

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

Specialties & licenses 6

NPPES NPI Registry
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

NPPES NPI Registry

Primary practice location

420 Scrabbletown Rd Ste a
North Kingstown, RI 02852-3638

Mailing address

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

Other practice location 1

333 Union St
New Bedford, MA 02740-3665
Phone (617) 671-0728

Other practice location 2

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

Other practice location 3

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

Other practice location 4

1170 Pontiac Ave
Cranston, RI 02920-7944
Phone (401) 895-9937

Other practice location 5

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

Other practice location 6

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 26, 2025.

{
    "created_epoch": "1576800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1003454034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 SCRABBLETOWN RD STE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523638",
            "telephone_number": "401-268-5333",
            "fax_number": "401-268-5330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 SCRABBLETOWN RD STE A",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028523638",
            "telephone_number": "401-268-5333",
            "fax_number": "401-268-5330"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "333 Union St",
            "address_purpose": "LOCATION",
            "city": "New Bedford",
            "state": "MA",
            "postal_code": "027403665",
            "country_code": "US",
            "telephone_number": "617-671-0728",
            "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"
        },
        {
            "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": "1170 Pontiac Ave",
            "address_purpose": "LOCATION",
            "city": "Cranston",
            "state": "RI",
            "postal_code": "029207944",
            "country_code": "US",
            "telephone_number": "401-895-9937",
            "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": "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"
        }
    ],
    "basic": {
        "organization_name": "SOUTH COUNTY PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-20",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "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 North Kingstown, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; 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.