Individual provider Active NPI

Randy Scott Freeman, D.O.

  • Psychiatry Physician
  • East Providence, RI
National Provider Identifier
1700273166
Registry record updated Nov 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO01018 Issued in RI
Practice address
197 Warren Ave Ste 203
East Providence, RI 02914-4826
Phone
(401) 285-6040
NPI assigned
Apr 22, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO01018 RI Primary
Child & Adolescent Psychiatry Physician 2084P0804X DO01018 RI

Addresses

Primary practice location

197 Warren Ave Ste 203
East Providence, RI 02914-4826

Mailing address

197 Warren Ave Ste 203
East Providence, RI 02914-4826
Phone (401) 285-6040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200708003012 RI Practitioner - Psychiatry 1658668892 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Oklahoma State University College of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

450 Veterans Memorial Pkwy
Suite 9a
East Providence, RI 02914-5300
Phone (401) 285-6040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5974OKMDGeneral Practice Dentistry
DO01018RIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bluewater Psychiatry, LLC Psychiatry CurrentSince Nov 15, 2025 Accepting new patients

Locations

197 Warren Ave
Ste 203
East Providence, RI 02914
Phone (401) 285-6040

Interoperability endpoints

  • Direct secure messaging: rfreeman224997@direct.mmc.mainehealth.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763164800000",
    "number": "1700273166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "197 WARREN AVE STE 203",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144826",
            "telephone_number": "401-285-6040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "197 WARREN AVE STE 203",
            "city": "EAST PROVIDENCE",
            "state": "RI",
            "postal_code": "029144826",
            "telephone_number": "401-285-6040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREEMAN",
        "first_name": "RANDY",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-22",
        "last_updated": "2025-11-15",
        "certification_date": "2025-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "DO01018",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "RI",
            "license": "DO01018",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Providence, RI

Sources for this page

Verify at the official NPI Registry.