MEDICARE: ASCEND BEHAVIORAL CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist

General Provider Information

NPI Number	:	1275271199
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ASCEND BEHAVIORAL CENTER

Provider Business Mailing Address
First Line	:	1135 CHARLES ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3538
Country	:	US
Telephone Number	:	401-400-7745
Fax Number	:	401-757-3229

Provider Business Practice Location Address
First Line	:	1135 CHARLES ST
Second Line	:
City	:	NORTH PROVIDENCE
State	:	RI
Zip	:	02904-3538
Country	:	US
Telephone Number	:	401-400-7745
Fax Number	:	401-757-3229

Authorized Official
Title or Position	:	CLINICAL DIRECTOR
Name	:	MARIAFE AINELLE MERCADO
Credential	:	PSYD
Telephone Number	:	401-400-7745

Provider Enumeration Date	:	05/20/2022
Last Update Date	:	05/30/2025

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Directions to “ASCEND BEHAVIORAL CENTER ” Practice Location

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