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General NPI Number Information
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NPI Number | 1114803491
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Entity Type | Organization
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Legal Business Name | ASCEND PSYCHIATRY AND WELLNESS
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 75 PUDDING BROOK DR
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City | PEMBROKE
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State | MA
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Zip | 02359-2008
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Country | US
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Telephone | 240-462-0420
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Fax |
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Provider Business Mailing Address
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Address Line | 75 PUDDING BROOK DR
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City | PEMBROKE
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State | MA
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Zip | 02359-2008
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Country | US
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Telephone | 240-462-0420
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER/MANAGER
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Name | MS. JOANNE ST JOHN
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Credential | CEO
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Telephone | 240-462-0420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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