Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Maddi R Gervasio-Pontarelli, PHD

Individual provider Psychologist · NPI 1801730742

Maddi R Gervasio-Pontarelli, PHD is a Clinical Psychologist in Riverside, Rhode Island. Qualified in 2025, 1 year ago. Works from 2 locations. Licensed in Rhode Island.

Years since qualifying
1
Licensed in
RI
In the registry since
2026
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061
Phone: (401) 432-1022
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 593 Eddy St, Providence, RI 02903-4923 — (401) 432-1000

Specialties & licences

Psychologist (primary) Taxonomy 103T00000X · Licence PS02452 (RI)

Record details

NPI number1801730742
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorNo
NPI enumeratedApril 20, 2026
Last updated in NPPESJune 17, 2026
Certification dateJune 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated

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