FRESNO MENTAL PSYCHOLOGICAL HEALTH SERVICES, P.C. (NPI# 1356865679) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356865679 |
| Entity Type | Organization |
| Organization Name | FRESNO MENTAL PSYCHOLOGICAL HEALTH SERVICES, P.C. |
| Practice Address |
4021 N Fresno Street, Ste. 101 Fresno CA 93726 |
| Mailing Address |
4021 N Fresno St Ste 101 Fresno CA 93726-4030 |
| Practice Telephone | (559) 307-9505 |
| Mailing Telephone | 5593079505 |
| Enumeration Date | 2017-07-28 |
| Last Update Date | 2017-07-28 |
| Authorized Official Name | CHARMAINE RADELLANT (PSYCHOLOGIST) |
| Authorized Official Telephone | 5593079505 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
4021 N FRESNO STREET, STE. 101 |
| City | FRESNO |
| State | CA |
| Zip Code | 93726 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528520814 | Tania Grijalva Miranda | Behavior Technician | 4910 E. Ashland Ave, Fresno, CA 93726 | 2019-04-04 |
| 1790249894 | Lags Spine and Sportscare Medical Centers, Inc. | Psychologist | 3751 E Shields Avenue, Fresno, CA 93726 | 2019-01-23 |
| 1013481100 | Jill A Perricone | Respiratory Therapist, Registered | 4785 N First St, Fresno, CA 93726 | 2019-01-11 |
| 1285108399 | Leann Lokelani Benton | Respiratory Therapist, Registered | 4785 N. First St, Fresno, CA 93726 | 2019-01-11 |
| 1548745912 | Alina Gonzalez | Counselor | 4440 N. First St., Fresno, CA 93726 | 2018-10-01 |
| 1336622067 | Lags Spine and Sportscare Medical Centers, Inc. | Physical Medicine & Rehabilitation | 3751 E Shields Ave, Fresno, CA 93726 | 2018-09-10 |
| 1730676206 | Joanne K Groves | Counselor | 3636 N. First Street, St. 123, Fresno, CA 93726 | 2018-04-19 |
| 1205358819 | Jetinder Singh Ghag | Counselor | 3636 N.first St # 135 and 154, Fresno, CA 93726 | 2017-07-14 |
| 1164897328 | Karam Um Dds Inc | Dentist | 4747 N. First St. #174, Fresno, CA 93726 | 2015-12-14 |
| 1952776403 | Nicole Rae Forsyth | Marriage & Family Therapist | 4910 E. Ashlan Ave, #118, Fresno, CA 93726 | 2015-12-09 |
| Find all providers in zip 93726 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649883828 | Soul Solutions, LLC | Clinic/Center | 5100 N 6th St Ste 148, Fresno, CA 93710-7514 | 2020-08-26 |
| 1962054676 | County of Fresno | Clinic/Center | 4417 E Inyo St, Fresno, CA 93702-2977 | 2019-07-12 |
| 1740740331 | Clinica Sierra Vista | Clinic/Center | 3451 W Shaw Ave Ste 105, Fresno, CA 93711-3242 | 2019-03-21 |
| 1730445032 | Carol Montgomery Brosnac, Lmft | Clinic/Center | 5637 N Figarden Dr, Suite #116, Fresno, CA 93722-3580 | 2012-04-11 |
| 1023270907 | Metro Services | Clinic/Center | 4447 E. Kings Canyon Rd, Fresno, CA 93702 | 2008-07-01 |
| 1861527517 | County of Fresno | Clinic/Center | 4409 E Inyo St Unit A, Fresno, CA 93702-2977 | 2007-02-22 |
| 1659423580 | Fresno County West Fresno Regional Mh Clinic | Clinic/Center | 302 Fresno St Ste 201, Fresno, CA 93706-3641 | 2007-01-18 |
| 1699827576 | Supported Education Employment Services | Clinic/Center | 4447 E Kings Canyon Road, Unit E, Fresno, CA 93703 | 2007-01-18 |
| 1174691554 | Panacea, Inc. | Clinic/Center | 3152 N Millbrook Ave Ste D, Fresno, CA 93703-1459 | 2006-12-01 |
| 1770538001 | County of Fresno | Clinic/Center | 4441 E Kings Canyon Rd, Fresno, CA 93702-3604 | 2006-05-24 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.