Individual provider Active NPI

Madeleine Lorelei, PSYD, LMFT

  • Clinical Psychologist
  • Bakersfield, CA
National Provider Identifier
1063586402
Registry record updated Feb 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
PSY24885 Issued in CA
Practice address
2525 N Chester Ave
Bakersfield, CA 93308-1770
Phone
(661) 609-9649
NPI assigned
Nov 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 9

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Psychologist 103TA0400X PSY24885 CA
Adult Development & Aging Psychologist 103TA0700X PSY24885 CA
Cognitive & Behavioral Psychologist 103TB0200X PSY24885 CA
Counseling Psychologist 103TC1900X PSY24885 CA
Clinical Child & Adolescent Psychologist 103TC2200X PSY24885 CA
Family Psychologist 103TF0000X PSY24885 CA
Group Psychotherapy Psychologist 103TP2701X PSY24885 CA
Marriage & Family Therapist 106H00000X MFC41411 CA
Clinical Psychologist 103TC0700X PSY24885 CA Primary

Addresses

Primary practice location

2525 N Chester Ave
Bakersfield, CA 93308-1770

Mailing address

785 Tucker Rd
Suite G-PMB # 586
Tehachapi, CA 93561-2523
Phone (661) 609-9649

Other names 1

  • Madeleine Lorelei Professional name

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL Bakersfield Direct
CONNECT URL Bakersfield Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PSY24885CAMDFamily Psychologist
MFC41411CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
County of Kern Addiction (Substance Use Disorder) CurrentSince Sep 26, 2024 Accepting new patients
County of Kern Clinical Child & Adolescent CurrentSince Sep 26, 2024 Accepting new patients
County of Kern Marriage & Family Therapist Current Accepting new patients

Locations

2525 N Chester Ave
Bakersfield, CA 93308
Phone (661) 328-4295

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613433600000",
    "number": "1063586402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "785 TUCKER RD",
            "address_2": "SUITE G-PMB # 586",
            "city": "TEHACHAPI",
            "state": "CA",
            "postal_code": "935612523",
            "telephone_number": "661-609-9649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 N CHESTER AVE",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933081770",
            "telephone_number": "661-609-9649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORELEI",
        "first_name": "MADELEINE",
        "name_prefix": "Ms.",
        "credential": "PSYD, LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-18",
        "last_updated": "2021-02-16",
        "certification_date": "2021-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TA0400X",
            "taxonomy_group": "",
            "desc": "Psychologist, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TA0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Adult Development & Aging",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TB0200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Cognitive & Behavioral",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TC2200X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical Child & Adolescent",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TF0000X",
            "taxonomy_group": "",
            "desc": "Psychologist, Family",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": "CA",
            "license": "PSY24885",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC41411",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "CA",
            "license": "PSY24885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bakersfield",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bakersfield",
            "address_1": "2525 N Chester Ave",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933081770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Bakersfield",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Bakersfield",
            "address_1": "2525 N Chester Ave",
            "city": "Bakersfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "933081770",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MADELEINE",
            "last_name": "LORELEI",
            "credential": "PSYD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.