Active NPI
Randy Scott Freeman, D.O.
- Psychiatry Physician
- East Providence, RI
National Provider Identifier
1700273166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO01018
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5974 | OK | MD | General Practice Dentistry |
| DO01018 | RI | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluewater Psychiatry, LLC | Psychiatry | Current | Accepting new patients |
Locations
197 Warren Ave
Ste 203
East Providence, RI 02914
Phone (401) 285-6040
Interoperability endpoints
- 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.
-
- Psychiatry Physician
- East Providence, RI
- NPI 1205709136
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.