Mariel Seanne Mercado Bello, PHD
Individual provider Active NPI Clinical Psychologist · Charleston, SC
NPI 1750006797 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1750006797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- PS02329 (RI)
- Practice address
- 171 Ashley Ave
Charleston, SC 29425-8908 - Phone
- (843) 792-1414
- NPI assigned
- Oct 11, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Clinical Psychologist
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- University Medical Associates of the Medical University of South Carol
Practice addresses (Care Compare)
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20251212003661 | SC | Practitioner - Clinical Psychologist | 3375037609 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PS02329 | RI | MD | Clinical Psychologist |
| 1956 | SC | MD | Mechanotherapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Medical Associates of the Medical University of South Carol | Current | Accepting new patients | |
| University Medical Associates of the Medical University of South Carol | Current |
Accepting new patients |
Locations
171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123
67 President St
Charleston, SC 29425
Phone (843) 792-0192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PS02329 | RI | Yes |
Addresses
Primary practice location
171 Ashley Ave
Charleston, SC 29425-8908
Mailing address
67 President St
Charleston, SC 29425-5712
Phone (843) 792-1414
Other providers in Charleston, SC
- Freddie Lee Bellamy
- Alison Jean Belleau
- Agathe Claire Bellevue
- Christine Bellinger
- Faustina Bello-Ogunu
- Benchmark Healthcare Service LLC
- Benchmark Healthcare Services LLC
- Benchmark Healthcare Services LLC
- Liam Denne Bendig
- Ellika Anne Bengtson
All providers in Charleston, SC · Clinical Psychologist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.