Healthcare Provider Details

I. General information

NPI: 1184556730
Provider Name (Legal Business Name): CAROLINE W BARRI PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/29/2026
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 MAIN ST
WAKEFIELD RI
02879-3651
US

IV. Provider business mailing address

66 MAIN ST
WAKEFIELD RI
02879-3651
US

V. Phone/Fax

Practice location:
  • Phone: 401-376-2501
  • Fax:
Mailing address:
  • Phone: 401-376-2501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN05180
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: