Individual provider · Type 1 NPI

Maddi R. Gervasio-Pontarelli, PhD

Psychologist · Riverside, RI

NPI number 1801730742 Active

Practice location

1011 Veterans Memorial Pkwy
Riverside, RI 02915-5061

Mailing address

15 La Salle Sq
Providence, RI 02903-1814

Other practice locations

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

Specialties and licenses

TaxonomyCodeLicense
Psychologist Primary 103T00000XPS02452 (RI)

Psychologist: 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 adjustmen…

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About NPI 1801730742

Maddi R. Gervasio-Pontarelli, PhD's National Provider Identifier is 1801730742, issued on Apr 20, 2026. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Riverside, RI. The record was last updated on Jun 17, 2026.