Individual provider Active NPI

Chess Brodnick, MFT

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1851431589
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFC 9181 Issued in CA
Practice address
2916 Eye St
Bakersfield, CA 93301-2011
Phone
(661) 636-0566
Fax
(661) 636-0573
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 9181 CA Primary

Addresses

Primary practice location

2916 Eye St
Bakersfield, CA 93301-2011

Mailing address

4646 Ledge Ave
Toluca Lake, CA 91602-1536
Phone (818) 761-2007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241028002926 CA Practitioner - Marriage and Family Therapist 3173686946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Marriage and Family Therapist
Education
Other, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ASC Treatment GroupGroup PAC ID 8527121375, 3 clinicians

Practice addresses (Care Compare)

6130 Vineland Ave
North Hollywood, CA 91606-4914
Phone (818) 766-8161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFC 9181CAMDMarriage & Family Therapist
9181CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
ASC Treatment Group CurrentSince Aug 4, 2024 Accepting new patients
The ASC Treatment Group Past Accepting new patients

Locations

2916 Eye St
Bakersfield, CA 93301
Phone (661) 636-0566

2457 Endicott St
Los Angeles, CA 90032
Phone (323) 227-5252

6130 Vineland Ave
North Hollywood, CA 91606
Phone (818) 766-8161

1790 N Fair Oaks Ave
Pasadena, CA 91103
Phone (626) 798-5970

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1851431589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4646 LEDGE AVE",
            "city": "TOLUCA LAKE",
            "state": "CA",
            "postal_code": "916021536",
            "telephone_number": "818-761-2007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2916 EYE ST",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933012011",
            "telephone_number": "661-636-0566",
            "fax_number": "661-636-0573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRODNICK",
        "first_name": "CHESS",
        "name_prefix": "Mr.",
        "credential": "MFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFC 9181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.