Active NPIOrganization

Bluewater Psychiatry, LLC

Psychiatry & Neurology, Psychiatry in East Providence, Rhode Island

NPI Number1205709136
Practice location
450 Veterans Memorial Pkwy Ste 9A, East Providence, RI 02914-5300
Fax
401-922-5407
Last updated
April 17, 2026

Bluewater Psychiatry, LLC is a healthcare organization based in East Providence, RI. Bluewater Psychiatry, LLC practices in East Providence, RI. The NPI Number for Bluewater Psychiatry, LLC is 1205709136. The current practice location address for Bluewater Psychiatry, LLC is 450 Veterans Memorial Pkwy Ste 9A, East Providence, RI 02914-5300 and can be reached out via phone at 401-285-6040 and via fax at 401-922-5407.

Provider Profile Details

NPI Number
1205709136
Provider Name
Bluewater Psychiatry, LLC
Provider Entity Type
Organization
Address
450 Veterans Memorial Pkwy Ste 9A, East Providence, RI 02914-5300
Phone Number
401-285-6040
Fax Number
401-922-5407
Primary Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X
Organization Subpart
No
Authorized Official
Dr. Randy Freeman, DO · Medical Director · 401-285-6040
Provider Enumeration Date
September 26, 2025
Last Update Date
April 17, 2026
Certification Date
April 17, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
450 Veterans Memorial Pkwy Ste 9A
East Providence, RI 02914-5300
Zip
02914-5300
Phone Number
401-285-6040
Fax Number
401-922-5407
East Providence, RI 02914Get directions →

Provider Business Mailing Address Details

Address
450 Veterans Memorial Pkwy Ste 9A
East Providence, RI 02914-5300
City
East Providence
State
RI
Zip
02914-5300
Phone Number
401-285-6040
Fax Number
401-922-5407

License Information

Taxonomy
Psychiatry & Neurology, Psychiatry · 2084P0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bluewater Psychiatry, LLC?

The NPI number of Bluewater Psychiatry, LLC is 1205709136. It was assigned on September 26, 2025 and is currently active in the NPPES registry.

What is the specialty of Bluewater Psychiatry, LLC?

Bluewater Psychiatry, LLC is registered under the primary taxonomy Psychiatry & Neurology, Psychiatry (code 2084P0800X).

Where does Bluewater Psychiatry, LLC practice?

The practice location is 450 Veterans Memorial Pkwy Ste 9A, East Providence, RI 02914-5300. The office can be reached at 401-285-6040 (phone) or 401-922-5407 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1205709136 directly on the NPPES registry website.

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