Provider Demographics
NPI:1275271199
Name:ASCEND BEHAVIORAL CENTER
Entity Type:Organization
Organization Name:ASCEND BEHAVIORAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LEAD PSYCHOLOGIST/SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:MARIAFE
Authorized Official - Middle Name:
Authorized Official - Last Name:MERCADO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:401-400-7745
Mailing Address - Street 1:110 JEFFERSON BLVD STE E2
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02888-3854
Mailing Address - Country:US
Mailing Address - Phone:401-400-7745
Mailing Address - Fax:401-757-3229
Practice Address - Street 1:110 JEFFERSON BLVD STE E2
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02888-3854
Practice Address - Country:US
Practice Address - Phone:401-400-7745
Practice Address - Fax:401-757-3229
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-20
Last Update Date:2022-07-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty