Ricardo P. Ascano, PH.D.

Individual provider Active NPI Forensic Psychologist · Fergus Falls, MN

NPI 1104869049 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1104869049
Entity type
Individual (NPI type 1)
Primary specialty
Forensic Psychologist 103TF0200X
License
LP1190 (MN)
Practice address
126 E Alcott Ave
Fergus Falls, MN 56537-2903
Phone
(218) 736-6987
Fax
(218) 736-0734
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
LP1190MNMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeland Mental Health Center, Inc. Past Accepting new patients
Intermodal Interventions, Inc. Clinical Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X LP1190 MN
Forensic Psychologist 103TF0200X LP1190 MN Yes

Addresses

Primary practice location

126 E Alcott Ave
Fergus Falls, MN 56537-2903

Mailing address

1005 Main St
Breckenridge, MN 56520-1011

Other identifiers

IdentifierTypeStateIssuer
61814ASOtherBLUE SHIELD OF MINNESOTA
116403OtherMNUCARE MINNESOTA
HP30173OtherMNHEALTHPARTNERS
1006968OtherMNPREFERREDONE
61-00173OtherMNUNITED BEHAVIORAL HEALTH

Other providers in Fergus Falls, MN

All providers in Fergus Falls, MN · Forensic Psychologist in Minnesota

Sources for this page

Verify at the official NPI Registry.