Bluewater Psychiatry, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BLUEWATER PSYCHIATRY, LLC

Practice address

450 Veterans Memorial Pkwy Ste 9a
East Providence, RI 02914-5300

Phone

(401) 285-6040

Fax

(401) 922-5407

NPI assigned

Sep 26, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Randy Freeman, DONPI 1700273166

Title

Medical Director

Phone

(401) 285-6040

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in RI

Enrollment records 1

Locations

Practitioners 2

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

• Randy Scott Freeman, D.O.

  • Psychiatry Physician
  • East Providence, RI
  • NPI 1700273166
  Medicare reassignment NPD Authorized official
• Brittany Ambrose

  • Psychiatric/Mental Health Nurse Practitioner
  • East Providence, RI
  • NPI 1902749088
  NPD (past)

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

{
    "created_epoch": "1758844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776384000000",
    "number": "1205709136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY STE 9A",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-285-6040",
            "fax_number": "401-922-5407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 VETERANS MEMORIAL PKWY STE 9A",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029145300",
            "telephone_number": "401-285-6040",
            "fax_number": "401-922-5407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUEWATER PSYCHIATRY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-26",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "401-285-6040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel Paul Bien, PT
• Mackenzie Anne Blair, RD
• Erin Mary Blais, P.T.
• Karyn K Blane, PSYD
• Brad D. Blankenhorn, M.D.
• Vamsy Siva Bobba, MD
• John R Boekamp, PHD
• Hannah Boettcher, PHD
• Bold Steps of Ri
• Michael Christopher Borden, PHD

• Psychiatry Physician in East Providence, RI
• Providers in East Providence, RI by specialty
• Psychiatry Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 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.