Bonita Irene Demello, CNP (PMHNP)

Key facts

NPI: 1962270918
Entity type: Individual (NPI type 1)
Primary specialty: Psychiatric/Mental Health Nurse Practitioner 363LP0808X
License: APRN03885 (RI)
Practice address: 17 Adelphi Ave
Providence, RI 02906-4119
Phone: (866) 708-1240
NPI assigned: Dec 19, 2023
Sex: Female
Sole proprietor: Yes

Organizations & group practices 1

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.

Supportive Care I of Rhode Island PC Clinical Psychologist · Providence, RI · NPI 1912666454

Medicare reassignment Care Compare group NPD RI

Medicare Care Compare profile

Specialty: Nurse Practitioner
Education: Other, 2023
Medicare assignment: Accepts the Medicare-approved amount as payment in full
Group practices: Supportive Care I of Rhode Island PC (53 clinicians)

Practice addresses (Care Compare)

17 Adelphi Ave
Providence, RI 02906-4119
Phone (718) 298-4375

Medicare participation

Medicare fee-for-service enrollment: Enrolled in RI
Eligible to order & refer: Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
I20240111003909	RI	Practitioner - Nurse Practitioner	8123479375	Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD): Yes
Credentials: Certified Nurse Practitioner

Practice roles

Organization	Specialty	Status	New patients
Supportive Care I of Rhode Island PC		Current since Dec 19, 2023	Accepting new patients

Locations

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Psychiatric/Mental Health Nurse Practitioner	363LP0808X	APRN03885	RI	Yes

Addresses

Primary practice location

17 Adelphi Ave
Providence, RI 02906-4119

Mailing address

35 Anthony Rd
Foster, RI 02825-1403
Phone (401) 632-6514

Other practice location 1

398 Bellevue Ave
Newport, RI 02840-6955
Phone (718) 506-1115 ext. 215

Other providers in Providence, RI

All providers in Providence, RI · Psychiatric/Mental Health Nurse Practitioner in Rhode Island

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 4, 2026. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
Order and Referring (CMS).
Medicare Care Compare provider data (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.