Julia Maietta, PHD

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

PS02265 Issued in RI

Practice address

1170 Pontiac Ave
Cranston, RI 02920-7944

Phone

(401) 500-0424

Fax

(401) 296-3998

NPI assigned

Jul 12, 2023

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Group practices

Cornerstone Behavioral Health Inc.Group PAC ID 9537472642, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Cornerstone Behavioral Health Inc.

  • Clinical Psychologist
  • Worcester, MA
  • NPI 1902227275
  Medicare reassignment Care Compare group NPD
• South County Psychiatry LLC

  • Psychiatry Physician
  • North Kingstown, RI
  • NPI 1003454034
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1689120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1356020945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 DANIELSON PIKE",
            "city": "NORTH SCITUATE",
            "state": "RI",
            "postal_code": "028571892",
            "telephone_number": "401-268-5333",
            "fax_number": "855-268-5333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1170 PONTIAC AVE",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029207944",
            "telephone_number": "401-500-0424",
            "fax_number": "401-296-3998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIETTA",
        "first_name": "JULIA",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "RI",
            "license": "PS02265",
            "primary": false
        },
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "RI",
            "license": "PS02265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrew Macko, PAC
• John Alexander Macleod, D.P.M.
• Brittany Macomber, CCC-SLP
• Frank P Maggiacomo, D.O.
• Olivia Rachel Maguire, PT, DPT
• Melanie Maimoni, RPH
• Mainstreet Monitoring Devices, Incorporated
• Sue Min Mak, DDS
• Issecheliz Maldonado, LICSW
• Mama Mind, LLC

• Clinical Neuropsychologist in Cranston, RI
• Providers in Cranston, RI by specialty
• Clinical Neuropsychologist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.