Power Mental Health Services Inc
Organization Active NPI Psychiatry Physician · Fresno, CA
NPI 1962272799 · NPPES record last updated Mar 4, 2025
Key facts
- NPI
- 1962272799
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Psychiatry Physician 2084P0800X
- Legal business name
- POWER MENTAL HEALTH SERVICES INC
- Practice address
- 1350 O St Ste 302
Fresno, CA 93721-1828 - Phone
- (559) 369-4625
- Fax
- (559) 369-7259
- NPI assigned
- Jan 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Juan A Bedolla, FNP
- Title
- Co-Owner
- Phone
- (559) 284-2930
Practitioners 5
-
Marcel Leroy Salery, FNP-C, PMHNP-BC
-
Jose Luis Bautista, M.D.
-
Miguel Alejandro Castro, PA-C
-
Samuel Feliciano Morales, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240805003576 | CA | Part B Supplier - Clinic/Group Practice | 1951848183 |
Receives reassigned benefits from 2 practitioners Practice locations: Fresno, CA |
National Provider Directory
Locations
1350 O St
Ste 302
Fresno, CA 93721
Phone (559) 369-4625
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician |
2084P0800X | Yes |
Addresses
Primary practice location
1350 O St Ste 302
Fresno, CA 93721-1828
Mailing address
1350 O St Ste 302
Fresno, CA 93721-1828
Phone (559) 319-6975
Other providers in Fresno, CA
- Powell Pediatric Dentistry Ingram Partnership
- Christopher Relas Powell
- Elizabeth Powell
- Joshua Clinton Powell
- Tamika S Powell
- Brittany Lynn Powers
- Casey Gavin Powers
- Cole Brandon Powers
- Jamie Lee Powers
- Roseanne Powers
All providers in Fresno, CA · Psychiatry Physician in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.