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BAYBERRY PSYCHOLOGY & CONSULTING LLC
NPI 1932816980
Clinic/Center - Mental Health (Including Community Mental Health Center) in Providence, RI

Active since October 31, 2022
291 WATERMAN ST, PROVIDENCE, RI 02906(401) 426-4239 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 31, 2026, Oct 31, 2022 (2 updates tracked since 2022).

About Bayberry Psychology & Consulting Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BAYBERRY PSYCHOLOGY & CONSULTING LLC (NPI 1932816980), doing business as Backcountry Wellness, is a healthcare organization registered as a mental health (including community mental health center) in Providence, Rhode Island and active in the NPI registry since October 2022. The organization lists Chase Bronfman, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1932816980
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameBAYBERRY PSYCHOLOGY & CONSULTING LLC
Location Address291 WATERMAN STProvidence, RI 02906-5130
Mailing Address291 Waterman StProvidence, RI 02906-5130 · (203) 992-1700 · Fax (203) 902-0518
Phone(401) 426-4239
Organization SubpartNo
Authorized OfficialChase BronfmanChief Executive Officer · (203) 570-2894
Enumeration DateOctober 31, 2022
Last NPPES UpdateMarch 31, 20262 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1932816980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
291 WATERMAN ST, Providence, RI 02906
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Other Names 2

Doing Business AsBackcountry Wellness
Doing Business AsBayberry Psychology & Consulting

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SARA WILTON LMHC-A
Counselor (Mental Health)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 563-7103
SARAH D O'BRIEN LICSW, RPT-S
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 374-2069
DR. MEGHAN VICTORIA SCHAFFER D.C
Chiropractor
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 223-0111
THERESA A BEAUDREAU LICSW
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 274-9231
MRS. JENNIFER LYNN FORTIER MSW
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 241-0659
MRS. REBECCA M. MARCUS LICSW
Social Worker (Clinical)
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 533-4556
MIKA LORIEN MORGAN MACINNIS PH.D.
Psychologist
291 WATERMAN ST
PROVIDENCE, RI 02906
Providence County (401) 338-8818

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bayberry Psychology & Consulting LLC's NPI number?

The NPI number for Bayberry Psychology & Consulting LLC is 1932816980. It was assigned to this organization in the NPPES registry on October 31, 2022. The provider is doing business as Backcountry Wellness and Bayberry Psychology & Consulting.

Where is Bayberry Psychology & Consulting LLC located?

Bayberry Psychology & Consulting LLC is located at 291 Waterman St, Providence, RI 02906. The listed phone number is (401) 426-4239.

What is Bayberry Psychology & Consulting LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Bayberry Psychology & Consulting LLC was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.