{
  "version": "2026-09-09",
  "canonicalBaseUrl": "https://foundryhealth.org",
  "practice": {
    "name": "Foundry Integrative Psychiatry and Wellness, PLLC",
    "shortName": "Foundry",
    "tagline": "Thoughtful psychiatric care for durable mental health.",
    "description": "Adult psychiatric evaluation and medication management in Mattapoisett, MA, with telehealth across Massachusetts and Rhode Island. Meet Foundry Integrative Psychiatry.",
    "provider": "Rebecca L. Heller Smith, MSN, MEd, FNP-BC, PMHNP-BC, CARN-AP",
    "phone": "(508) 375-7870",
    "fax": "(508) 375-7871",
    "intakeEmail": "office@foundryhealth.org",
    "locations": [
      {
        "id": "mattapoisett",
        "name": "Mattapoisett office",
        "address": "6 County Road, Suite 2, Mattapoisett, MA 02739",
        "urlPath": "/locations/mattapoisett",
        "geo": {
          "latitude": 41.6543,
          "longitude": -70.8084
        },
        "inPerson": true
      },
      {
        "id": "fall-river",
        "name": "Fall River administrative office",
        "address": "502 Bedford Street, Suite 11F, Fall River, MA 02720",
        "urlPath": "/locations/fall-river",
        "geo": {
          "latitude": 41.7001,
          "longitude": -71.1506
        },
        "inPerson": false,
        "purpose": "Administrative and credentialing office; no patient appointments"
      },
      {
        "id": "telehealth",
        "name": "Massachusetts and Rhode Island telehealth",
        "address": "Telehealth visits for eligible adults in Massachusetts and Rhode Island",
        "inPerson": false
      }
    ],
    "scope": "Routine adult outpatient psychiatric care. Foundry is not an emergency, crisis, detoxification, inpatient, pediatric, primary care, primary substance-use treatment, weight-loss medication clinic, hormone clinic, MOUD/MAT, or standalone sleep-medicine clinic.",
    "insurancePosture": "Foundry is credentialed with multiple commercial payer panels and publishes its self-pay fees. Benefits, network status, and out-of-pocket costs vary by plan and are reviewed with each patient before scheduling; the website does not guarantee coverage.",
    "fees": {
      "initialEvaluation": {
        "label": "Initial Psychiatric Evaluation",
        "duration": "60 minutes",
        "amount": "$450"
      },
      "followUp": {
        "label": "Psychiatric Follow-Up",
        "duration": "20 minutes",
        "amount": "$300"
      },
      "records": {
        "label": "Records Preparation / Outside Documentation",
        "amount": "$200 per hour"
      },
      "missedAppointment": {
        "amount": "$200",
        "noticeHours": 48
      }
    },
    "publicFormRule": "Do not send detailed symptoms, medication lists, records, labs, insurance numbers, portal credentials, or urgent concerns through public forms or email."
  },
  "services": [
    {
      "slug": "comprehensive-psychiatric-evaluation",
      "title": "Comprehensive psychiatric evaluation",
      "description": "A comprehensive psychiatric evaluation is the starting point for care at Foundry, reviewing current concerns, psychiatric history, medical history, medications, prior treatment response, sleep, substance use, family history, relationships, functioning, safety, and goals.",
      "boundary": "Evaluation builds the clinical picture first; diagnosis and treatment decisions follow from the evidence and your goals.",
      "url": "https://foundryhealth.org/services/comprehensive-psychiatric-evaluation"
    },
    {
      "slug": "medication-management",
      "title": "Medication management",
      "description": "Medication management is guided by evidence, safety, treatment response, tolerability, medical history, medication interactions, and patient preference.",
      "boundary": "Medication decisions and refills run through the care relationship, with monitoring and safety checks built in.",
      "url": "https://foundryhealth.org/services/medication-management"
    },
    {
      "slug": "psychotherapy-informed-care",
      "title": "Psychotherapy-informed care",
      "description": "Psychotherapy-informed care may include supportive therapy, psychoeducation, motivational interviewing, coping strategies, behavioral activation, sleep and routine support, relapse-prevention awareness, and attention to patterns that affect functioning and relationships.",
      "boundary": "Some patients may also benefit from ongoing psychotherapy with a separate therapist.",
      "url": "https://foundryhealth.org/services/psychotherapy-informed-care"
    },
    {
      "slug": "integrative-treatment-planning",
      "title": "Integrative treatment planning",
      "description": "Integrative treatment planning may include review of sleep, lifestyle, nutrition, supplement use, metabolic health, hormonal transition, pharmacogenomic testing, and complementary approaches when clinically relevant.",
      "boundary": "Adjunctive strategies are weighed through a safety-focused psychiatric lens, alongside evidence-based treatment.",
      "url": "https://foundryhealth.org/services/integrative-treatment-planning"
    },
    {
      "slug": "pharmacogenomic-testing",
      "title": "Pharmacogenomic testing",
      "description": "Pharmacogenomic testing may be considered when clinically appropriate, particularly when medication response, side effects, tolerability, metabolism, or interaction concerns are relevant.",
      "boundary": "Testing adds context to clinical judgment; your history and response still lead the medication decision.",
      "url": "https://foundryhealth.org/services/pharmacogenomic-testing"
    },
    {
      "slug": "nutritional-and-supplement-review",
      "title": "Nutritional and supplement review",
      "description": "Foundry may review current supplement use or discuss evidence-informed nutritional and supplement considerations when clinically relevant.",
      "boundary": "Recommendations consider safety, potential interactions, medical history, pregnancy status when relevant, and coordination with other clinicians.",
      "url": "https://foundryhealth.org/services/nutritional-and-supplement-review"
    },
    {
      "slug": "complementary-approaches-and-referrals",
      "title": "Complementary approaches and referrals",
      "description": "When complementary approaches may be helpful, Foundry may discuss them as adjuncts to care or refer to appropriately trained clinicians.",
      "boundary": "Complementary approaches are adjuncts to care when appropriate to the patient's goals and clinical situation.",
      "url": "https://foundryhealth.org/services/complementary-approaches-and-referrals"
    },
    {
      "slug": "care-coordination",
      "title": "Care coordination",
      "description": "With patient consent, Foundry may coordinate with therapists, primary care clinicians, medical specialists, recovery supports, family members, schools, or other trusted providers when collaboration would improve safety, clarity, or outcomes.",
      "boundary": "Coordination happens with your written consent — you decide who is included.",
      "url": "https://foundryhealth.org/services/care-coordination"
    }
  ],
  "conditions": [
    {
      "slug": "anxiety",
      "title": "Anxiety care for adults",
      "description": "Foundry evaluates anxiety symptoms in adults through a psychiatric lens that considers sleep, medical context, medications, substance use, functioning, stress, and safety before a treatment plan is recommended.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/anxiety"
    },
    {
      "slug": "depression",
      "title": "Depression and mood care for adults",
      "description": "Foundry evaluates depressive and mood symptoms in adults, including low mood, irritability, emotional reactivity, energy, sleep, concentration, motivation, and functioning.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/depression"
    },
    {
      "slug": "adult-adhd",
      "title": "ADHD evaluation and treatment planning",
      "description": "Foundry evaluates adult attention and executive-function concerns with safeguards, including developmental history, impairment, sleep, mood, anxiety, trauma, substance-use risk, prior response, and alternative explanations.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/adult-adhd"
    },
    {
      "slug": "trauma-grief-adjustment",
      "title": "Trauma, grief, and adjustment-related care",
      "description": "Foundry provides routine outpatient psychiatric care for adults whose mood, anxiety, sleep, concentration, relationships, or sense of safety have been affected by trauma, loss, major transitions, chronic stress, or difficult life experiences.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/trauma-grief-adjustment"
    },
    {
      "slug": "ocd",
      "title": "OCD and intrusive-thought concerns",
      "description": "Foundry evaluates obsessive-compulsive and related concerns in adults, including intrusive unwanted thoughts, checking, reassurance-seeking, mental reviewing, avoidance, rituals, and related distress or impairment.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/ocd"
    },
    {
      "slug": "insomnia-sleep",
      "title": "Sleep and insomnia concerns in psychiatric care",
      "description": "Foundry reviews sleep and insomnia concerns when they affect mood, anxiety, attention, energy, medication response, or daily functioning within psychiatric care.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/insomnia-sleep"
    },
    {
      "slug": "midlife-mood-health",
      "title": "Midlife mood and health transitions",
      "description": "Foundry considers mood, anxiety, sleep, irritability, cognitive concerns, energy shifts, stress sensitivity, medical context, hormonal transition, metabolic health, and relationship stress when clinically relevant to adult psychiatric care.",
      "boundary": "Diagnosis and treatment decisions follow a careful evaluation; urgent or higher-acuity needs are routed to the right level of care.",
      "url": "https://foundryhealth.org/conditions/midlife-mood-health"
    }
  ],
  "faqs": [
    {
      "q": "How does a new patient start?",
      "a": "Start at foundryhealth.org/scheduling. Complete the brief eligibility and safety check, then choose the appropriate visit type and Mattapoisett or telehealth calendar. Requests remain subject to staff confirmation of fit, scope, and coverage. Intake documents and clinical details belong in the secure patient portal; call (508) 375-7870 if you need help."
    },
    {
      "q": "Who does Foundry serve?",
      "a": "Adults seeking routine outpatient psychiatric care — careful evaluation, medication management, psychotherapy-informed care, and integrative treatment planning."
    },
    {
      "q": "Where are visits available?",
      "a": "In person in Mattapoisett, and by telehealth for eligible adults in Massachusetts and Rhode Island when clinically appropriate."
    },
    {
      "q": "Does Foundry see patients in Rhode Island?",
      "a": "Yes. Rhode Island care and scheduling are available for eligible adults when clinically appropriate. Location, telehealth fit, coverage, and safety are reviewed before care is confirmed."
    },
    {
      "q": "Is insurance accepted?",
      "a": "Foundry is credentialed with multiple commercial payer panels and publishes its self-pay fees. Benefits, network status, and out-of-pocket costs vary by plan, so the practice reviews your specific coverage with you before scheduling."
    },
    {
      "q": "Is Foundry an emergency service?",
      "a": "No. For immediate danger, suicidal intent, severe withdrawal, chest pain, a severe medication reaction, or any urgent safety concern, use 911, 988, the nearest emergency department, or local crisis resources — not website forms or routine messages."
    },
    {
      "q": "What conditions does Foundry commonly evaluate?",
      "a": "Anxiety, depression and mood concerns, ADHD, trauma and grief-related concerns, OCD-related symptoms, sleep disruption, midlife mood changes, medication response, and recovery support — all within routine outpatient psychiatric care."
    },
    {
      "q": "Does Foundry use pharmacogenomic testing?",
      "a": "Yes, when clinically appropriate — as context for medication decisions. Results inform clinical judgment; your history and response still lead."
    },
    {
      "q": "Does Foundry recommend supplements?",
      "a": "When clinically relevant, yes. Supplement and nutrition review is individualized, with attention to evidence, safety, interactions, medical history, and coordination with other clinicians."
    },
    {
      "q": "Does Foundry provide acupuncture, yoga therapy, or bodywork?",
      "a": "Foundry coordinates referrals to credentialed outside practitioners when adjunctive approaches would strengthen the plan — the work stays connected to your psychiatric care."
    },
    {
      "q": "Does Foundry prescribe controlled substances?",
      "a": "When clinically appropriate, yes — with standard safeguards: evaluation, records when relevant, PDMP and safety review, monitoring, and follow-up."
    },
    {
      "q": "What if I am self-pay?",
      "a": "Self-pay fees are published on the Insurance & Fees page, and a Good Faith Estimate is available before scheduling, consistent with the No Surprises Act."
    },
    {
      "q": "What should I send through the public website?",
      "a": "Just the basics: your name, contact, state, and what you're looking for. Detailed symptoms, medication lists, records, and insurance numbers belong in the secure patient portal once care begins."
    },
    {
      "q": "How does Foundry handle referrals?",
      "a": "Referring clinicians start with a non-urgent fit question; the practice reviews and responds. Records move through secure channels with appropriate authorization."
    }
  ],
  "exclusions": [
    "Weight-loss medication clinic care",
    "Hormone replacement clinic care",
    "MOUD/MAT",
    "Primary substance-use treatment",
    "Primary care",
    "Emergency or crisis services",
    "Detoxification",
    "Residential, intensive outpatient, partial-hospitalization, or inpatient care",
    "Continuous monitoring",
    "Pediatric or adolescent care",
    "Standalone sleep-medicine care"
  ],
  "safetyRules": [
    "Do not promise diagnosis, medication, stimulant prescription, appointment availability, payer coverage, response time, or clinical outcome.",
    "Do not collect clinical details, records, medication lists, portal credentials, insurance numbers, or urgent symptoms on public surfaces.",
    "Urgent or emergency concerns should use 911, 988, an emergency department, or local crisis resources."
  ]
}
