Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Charmaine Radellant

Individual provider Adult Development & Aging Psychologist · NPI 1619194347

Dr. Charmaine Radellant is a Clinical Psychologist in Fresno, California. Qualified in 2003, 23 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
23
Licensed in
CA
In the registry since
2007
Specialties on file
5

Practice location Address checks out

4025 N Fresno St Ste 102
Fresno, CA 93726-4027
Phone: (559) 307-9505
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY22964 (CA)
Adult Development & Aging Psychologist Taxonomy 103TA0700X · Licence PSY22964 (CA)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence PSY22964 (CA)
Forensic Psychologist Taxonomy 103TF0200X · Licence PSY22964 (CA)
Group Psychotherapy Psychologist Taxonomy 103TP2701X · Licence PSY22964 (CA)

Record details

NPI number1619194347
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 20, 2007
Last updated in NPPESNovember 10, 2011

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fresno