Healthcare Provider Details
I. General information
NPI: 1528962040
Provider Name (Legal Business Name): ASCEND PSYCHIATRIC SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/07/2026
Last Update Date: 10/07/2026
Certification Date: 10/07/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3269 19TH ST NW STE 200
ROCHESTER MN
55901-7052
US
IV. Provider business mailing address
2565 OAK HILLS DR SW
ROCHESTER MN
55902-2809
US
V. Phone/Fax
- Phone: 507-295-3530
- Fax: 507-295-3534
- Phone: 507-295-3530
- Fax: 507-295-3534
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0808X |
| Taxonomy | Psychiatric/Mental Health Nurse Practitioner |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
JOSEPH
WAYNE
REIS
Title or Position: ARNP
Credential: ARNP
Phone: 360-477-5259