Bayberry Psychology & Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

BAYBERRY PSYCHOLOGY & CONSULTING LLC

Doing business as

Backcountry Wellness
Bayberry Psychology & Consulting

Practice address

291 Waterman St
Providence, RI 02906-5130

Phone

(401) 426-4239

NPI assigned

Oct 31, 2022

Last updated

Mar 31, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Chase Bronfman, MBA

Title

Chief Executive Officer

Phone

(203) 570-2894

Specialties & licenses 1

Addresses

Other names 2

• Backcountry Wellness Doing business as
• Bayberry Psychology & Consulting Doing business as

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

{
    "created_epoch": "1667174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774915200000",
    "number": "1932816980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065130",
            "telephone_number": "203-992-1700",
            "fax_number": "203-902-0518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "291 WATERMAN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029065130",
            "telephone_number": "401-426-4239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAYBERRY PSYCHOLOGY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-31",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A",
        "authorized_official_last_name": "BRONFMAN",
        "authorized_official_first_name": "CHASE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "203-570-2894",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Backcountry Wellness",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bayberry Psychology & Consulting",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Providence, RI
• Providers in Providence, RI by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.