FRESNO MENTAL PSYCHOLOGICAL HEALTH SERVICES, P.C.
NPI 1356865679
Clinic/Center - Mental Health (Including Community Mental Health Center) in Fresno, CA

Active since July 28, 2017
4021 N FRESNO STREET, STE. 101, FRESNO, CA 93726(559) 307-9505 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Jul 28, 2017 (2 updates tracked since 2017).

About Fresno Mental Psychological Health Services, P.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FRESNO MENTAL PSYCHOLOGICAL HEALTH SERVICES, P.C. (NPI 1356865679) is a healthcare organization registered as a mental health (including community mental health center) in Fresno, California and active in the NPI registry since July 2017. The organization lists Charmaine Radellant, Psychologist, as its authorized official.

NPPES Registry Identity

NPI1356865679
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameFRESNO MENTAL PSYCHOLOGICAL HEALTH SERVICES, P.C.
Location Address4021 N FRESNO STREET, STE. 101Fresno, CA 93726
Mailing Address4021 N Fresno St Ste 101Fresno, CA 93726-4030 · (559) 307-9505
Organization SubpartNo
Authorized OfficialCharmaine RadellantPsychologist · (559) 307-9505
Enumeration DateJuly 28, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1356865679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
4021 N FRESNO STREET, STE. 101, Fresno, CA 93726

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fresno Mental Psychological Health Services, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Fresno Mental Psychological Health Services, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1619194347
4025 N FRESNO ST STE 102
Fresno, CA 93726
(559) 307-9505
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fresno Mental Psychological Health Services, P.C.'s NPI number?

The NPI number for Fresno Mental Psychological Health Services, P.C. is 1356865679. It was assigned to this organization in the NPPES registry on July 28, 2017.

Where is Fresno Mental Psychological Health Services, P.C. located?

Fresno Mental Psychological Health Services, P.C. is located at 4021 N Fresno Street, Ste. 101, Fresno, CA 93726. The listed phone number is (559) 307-9505.

What is Fresno Mental Psychological Health Services, P.C.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Is Fresno Mental Psychological Health Services, P.C. enrolled in Medicare?

Yes. Fresno Mental Psychological Health Services, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fresno Mental Psychological Health Services, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Fresno Mental Psychological Health Services, P.C.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fresno Mental Psychological Health Services, P.C. was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.