Organization Active NPI

Foundry Integrative Psychiatry and Wellness, PLLC

  • Nurse Practitioner
  • Fall River, MA
National Provider Identifier
1477435824
Registry record updated Sep 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
Legal business name
FOUNDRY INTEGRATIVE PSYCHIATRY AND WELLNESS, PLLC
Practice address
502 Bedford St
Fall River, MA 02720-4855
Phone
(617) 549-5054
NPI assigned
Jul 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2025

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

Authorized official

Name
Rebecca Lauren Smith, FNP-BC, PMHNP-BCNPI 1558836189
Title
Nurse Practitioner
Phone
(617) 549-5054

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X Primary

Addresses

Primary practice location

502 Bedford St
Fall River, MA 02720-4855

Mailing address

502 Bedford St
Fall River, MA 02720-4855
Phone (617) 549-5054

National Provider Directory

National Provider Directory

Locations

502 Bedford St
Fall River, MA 02720
Phone (508) 676-8251

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1753315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757894400000",
    "number": "1477435824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204855",
            "telephone_number": "617-549-5054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 BEDFORD ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204855",
            "telephone_number": "617-549-5054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUNDRY INTEGRATIVE PSYCHIATRY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-24",
        "last_updated": "2025-09-15",
        "certification_date": "2025-09-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_middle_name": "LAUREN",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "617-549-5054",
        "authorized_official_credential": "FNP-BC, PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.