Active NPI
Madeleine Lorelei, PSYD, LMFT
- Clinical Psychologist
- Bakersfield, CA
National Provider Identifier
1063586402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY24885
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY24885 | CA | MD | Family Psychologist |
| MFC41411 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Kern | Addiction (Substance Use Disorder) | Current | Accepting new patients |
| County of Kern | Clinical Child & Adolescent | Current | 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.
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1467653253
Addiction (Substance Use Disorder)
-
- Adult Mental Health Clinic/Center
- Bakersfield, CA
- NPI 1477744217
Clinical Child & Adolescent
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Bakersfield, CA
- NPI 1568658821
Marriage & Family Therapist
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.