MADDI R GERVASIO-PONTARELLI PH.D.
NPI 1801730742
Psychologist in Riverside, RI

Active since April 20, 2026PECOS Enrolled
1011 VETERANS MEMORIAL PKWY, RIVERSIDE, RI 02915(401) 432-1022 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maddi R Gervasio-pontarelli Ph.d. NPPES

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

MADDI R GERVASIO-PONTARELLI PH.D. (NPI 1801730742) is an individual psychologist in Riverside, Rhode Island, licensed in Rhode Island (PS02452) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS, maintains a secondary practice location in Providence, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1801730742
Entity TypeIndividualFemale
Primary Taxonomy103T00000X
Provider Legal NameMADDI R GERVASIO-PONTARELLICredential: PH.D.
Location Address1011 VETERANS MEMORIAL PKWYRiverside, RI 02915-5061
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 20, 2026
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
✔ NPI 1801730742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in RI · PS02452
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
1011 VETERANS MEMORIAL PKWY, Riverside, RI 02915

Secondary Practice Location 1

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 432-1000 · Fax (401) 432-1500

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maddi R Gervasio-pontarelli Ph.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082188545
PECOS Enrollment IDI20260706003262
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Maddi Gervasio-pontarelli reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatry
1011 VETERANS MEMORIAL PKWY
Riverside, RI 02915
  • Reassigned Medicare billing, Rhode Island enrollment
  • 99 clinicians in this Medicare group
Psychiatry
593 EDDY STREET
Providence, RI 02903
  • Reassigned Medicare billing, Rhode Island enrollment
  • 315 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Social Worker (Clinical)
1011 VETERANS MEMORIAL PKWY
EAST PROVIDENCE, RI 02915
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychologist (Clinical)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1011 VETERANS MEMORIAL PKWY
RIVERSIDE, RI 02915

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 Maddi Gervasio-pontarelli's NPI number?

The NPI number for Maddi Gervasio-pontarelli is 1801730742. It was assigned to this individual provider in the NPPES registry on April 20, 2026.

Where is Maddi Gervasio-pontarelli located?

Maddi Gervasio-pontarelli practices at 1011 Veterans Memorial Pkwy, Riverside, RI 02915. The listed phone number is (401) 432-1022.

What is Maddi Gervasio-pontarelli's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Maddi Gervasio-pontarelli enrolled in Medicare?

Yes. Maddi Gervasio-pontarelli is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Maddi Gervasio-pontarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maddi Gervasio-pontarelli reassigns Medicare benefits to 2 organizations: Emma Pendleton Bradley Hospital (Riverside, RI) and Lifespan Physician Group, Inc. (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maddi Gervasio-pontarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maddi Gervasio-pontarelli accept?

Health plans from Harvard Pilgrim Health Care list Maddi Gervasio-pontarelli as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Maddi Gervasio-pontarelli was last updated on June 17, 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.