Individual provider Active NPI

Christa Caroline Defries

  • Psychiatry Physician
  • San Francisco, CA
National Provider Identifier
1881190742
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A195854 Issued in CA
Practice address
100 Pine St Ste 1250
San Francisco, CA 94111-5235
Phone
(833) 351-8255
NPI assigned
Mar 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X S7197 TX
Psychiatry Physician 2084P0800X A195854 CA Primary
Psychiatry Physician 2084P0800X 313976 NY

Addresses

Primary practice location

100 Pine St Ste 1250
San Francisco, CA 94111-5235

Mailing address

PO Box 24449
New York, NY 10087-0589
Phone (833) 351-8255

Other practice location 1

3223 S Loop 289 Ste 600
Lubbock, TX 79423-1372
Phone (833) 351-8255

Other practice location 2

2401 South 31st Street
Ms-22-117D
Temple, TX 76508-0001
Phone (512) 431-0317

Other practice location 3

109 W 27th St Rm 5S
New York, NY 10001-6208
Phone (833) 351-8255

Other identifiers 1

IdentifierTypeStateIssuer
679736OtherTXPHYSICIAN IN TRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX, CA3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230706002232 NY Practitioner - Psychiatry 9739436189 Reassigns benefits to 1 organization
I20230707000728 TX Practitioner - Psychiatry 9739436189 Reassigns benefits to 1 organization
I20240517001543 CA Practitioner - Psychiatry 9739436189 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MCCD Ca Psychiatry Services PCGroup PAC ID 9931564267, 45 clinicians

Practice addresses (Care Compare)

100 Pine St
Suite 1250
San Francisco, CA 94111-5235
Phone (833) 351-8255

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A195854CAMDPsychiatry Physician
S7197TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD FL Psychiatry Services PA Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Aug 1, 2023 Accepting new patients
MCCD Ca Psychiatry Services PC Psychiatry CurrentSince Apr 29, 2024 Accepting new patients

Locations

100 Pine St
Ste 1250
San Francisco, CA 94111
Phone (415) 390-5445

109 W 27th St
#55
New York, NY 10001

109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572

3223 S Loop 289
Ste 600
Lubbock, TX 79423
Phone (405) 314-0960

1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005

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": "1522454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1881190742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 24449",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100870589",
            "telephone_number": "833-351-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PINE ST STE 1250",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941115235",
            "telephone_number": "833-351-8255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3223 S Loop 289 Ste 600",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794231372",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2401 South 31st Street",
            "address_2": "MS-22-117D",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765080001",
            "country_code": "US",
            "telephone_number": "512-431-0317",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "109 W 27th St Rm 5S",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100016208",
            "country_code": "US",
            "telephone_number": "833-351-8255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEFRIES",
        "first_name": "CHRISTA",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-31",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "S7197",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A195854",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "313976",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN IN TRAINING PERMIT",
            "identifier": "679736",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.