| South County Psychiatry Llc | |
|
420 Scrabbletown Rd Ste A North Kingstown RI 02852-3638 | |
| (401) 268-5333 | |
| (401) 268-5330 |
| Full Name | South County Psychiatry Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 420 Scrabbletown Rd Ste A, North Kingstown, Rhode Island |
| Authorized Official Name and Position | Anthony L Gallo (OWNER/ PHYSICIAN) |
| Authorized Official Contact | 4012685333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| South County Psychiatry Llc 420 Scrabbletown Rd Ste A North Kingstown RI 02852-3638 Ph: (401) 268-5333 | South County Psychiatry Llc 420 Scrabbletown Rd Ste A North Kingstown RI 02852-3638 Ph: (401) 268-5333 |
| NPI Number | 1003454034 |
|---|---|
| Provider Enumeration Date | 12/20/2019 |
| Last Update Date | 06/23/2023 |
| Certification Date | 06/23/2023 |
| Medicare PECOS PAC ID | 4880021658 |
|---|---|
| Medicare Enrollment ID | O20200218000767 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003454034 | NPI | - | NPPES |
| Provider Name | Vincent Pera |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1912962440 PECOS PAC ID: 1254318561 Enrollment ID: I20040706000400 |
| Provider Name | Mark Zimmerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1508842857 PECOS PAC ID: 4082665559 Enrollment ID: I20050202000705 |
| Provider Name | Shari G Bronsky |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386604890 PECOS PAC ID: 5597756205 Enrollment ID: I20080204000659 |
| Provider Name | Anthony Gallo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780622449 PECOS PAC ID: 7416934799 Enrollment ID: I20081113000364 |
| Provider Name | Theresa Jerominek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1992877393 PECOS PAC ID: 2567526957 Enrollment ID: I20090129000544 |
| Provider Name | Thomas F Sheeran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851504245 PECOS PAC ID: 1759416902 Enrollment ID: I20100313000027 |
| Provider Name | Abigail K Mansfield Marcaccio |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1073836946 PECOS PAC ID: 1355479221 Enrollment ID: I20100513000678 |
| Provider Name | Michael D Burgard |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1346458205 PECOS PAC ID: 7012181910 Enrollment ID: I20111110000361 |
| Provider Name | Talya R Benoff |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972824522 PECOS PAC ID: 9931324464 Enrollment ID: I20140625001826 |
| Provider Name | Christina D Scully |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1881989879 PECOS PAC ID: 8123248085 Enrollment ID: I20140929000726 |
| Provider Name | Theresa Ann Morgan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407262058 PECOS PAC ID: 2769602234 Enrollment ID: I20141003002078 |
| Provider Name | Douglas M Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750731592 PECOS PAC ID: 2264729698 Enrollment ID: I20160928000888 |
| Provider Name | Olga V Obraztsova |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710339668 PECOS PAC ID: 0345529483 Enrollment ID: I20161114001846 |
| Provider Name | Molly Meth |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568943538 PECOS PAC ID: 9830440676 Enrollment ID: I20180918003210 |
| Provider Name | Andrea Franson Elmere |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487895785 PECOS PAC ID: 4385823277 Enrollment ID: I20181009000143 |
| Provider Name | Kristin Davidoff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447626023 PECOS PAC ID: 5698027159 Enrollment ID: I20181010002899 |
| Provider Name | Camille Gregorian |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578037958 PECOS PAC ID: 0143569723 Enrollment ID: I20190226000727 |
| Provider Name | Jennifer Nitanya Barlow |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083177810 PECOS PAC ID: 9537492129 Enrollment ID: I20190613002379 |
| Provider Name | Shalyn Danielle Fava |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972070761 PECOS PAC ID: 7517390255 Enrollment ID: I20191210002545 |
| Provider Name | Gina D'aguanno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083283196 PECOS PAC ID: 8628465127 Enrollment ID: I20220503000071 |
| Provider Name | Alyssa R Francis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1720746191 PECOS PAC ID: 5193196731 Enrollment ID: I20230119000390 |
| Provider Name | Courtney Ann Stanton |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831795475 PECOS PAC ID: 8820462500 Enrollment ID: I20230320002110 |
| Provider Name | Holly Schiff |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1184262057 PECOS PAC ID: 3476988635 Enrollment ID: I20230413001178 |
| Provider Name | Gabrielle Pesaturo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467118521 PECOS PAC ID: 7214322635 Enrollment ID: I20230530002237 |
| Provider Name | Susan Elizabeth Ramsey |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1578242186 PECOS PAC ID: 1456713700 Enrollment ID: I20230817002840 |
| Provider Name | Elaine K Walen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1396152898 PECOS PAC ID: 5991168684 Enrollment ID: I20230829000653 |
| Provider Name | Michelle Kurzbach |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710669577 PECOS PAC ID: 0345685020 Enrollment ID: I20240304003844 |
| Provider Name | Deirdre A Gale |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1396897989 PECOS PAC ID: 2466898929 Enrollment ID: I20240307001047 |
| Provider Name | Lisa Maleiko |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1548048093 PECOS PAC ID: 8123474913 Enrollment ID: I20240528000242 |
| Provider Name | Julia Maietta |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356020945 PECOS PAC ID: 3375085830 Enrollment ID: I20240612000718 |
Holistic Healing Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd Ste F207b, North Kingstown, RI 02852 Phone: 401-477-9922 | |
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Michael Pendergast Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd, Building D, Suite 307-c, North Kingstown, RI 02852 Phone: 401-301-4526 | |
Martha Dempster, Licsw, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd, Suite D-104, North Kingstown, RI 02852 Phone: 401-935-9784 Fax: 401-295-5552 | |
Perspectives Corporation Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1130 Ten Rod Rd, Building B Suite 101, North Kingstown, RI 02852 Phone: 401-294-3990 Fax: 401-294-9879 | |
Forwardview Academy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 646 Camp Ave, North Kingstown, RI 02852 Phone: 401-295-2888 Fax: 401-295-3232 |