Individual provider Active NPI

Christopher Michael Reilly, MFT36054

  • Marriage & Family Therapist
  • Bakersfield, CA
National Provider Identifier
1881726768
Registry record updated Jun 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT36054 Issued in CA
Practice address
4200 Truxtun Ave Ste 202
Bakersfield, CA 93309-0523
Phone
(661) 525-8505
Fax
(661) 742-1606
NPI assigned
Mar 9, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2020

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 MFT36054 CA Primary

Addresses

Primary practice location

4200 Truxtun Ave Ste 202
Bakersfield, CA 93309-0523

Mailing address

4200 Truxtun Ave Ste 202
Bakersfield, CA 93309-0523
Phone (661) 525-8505

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
I20251009003485 CA Practitioner - Clinical Social Worker 9436656949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Infusion and Clinical Services IncGroup PAC ID 5890934426, 39 clinicians

Practice addresses (Care Compare)

5401 White LN
Bakersfield, CA 93309-6279
Phone (661) 396-7100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MFT36054CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Infusion and Clinical Services, Inc. Current Accepting new patients
Victory Family Services CurrentSince Jul 19, 2020 Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Aug 1, 2025 Accepting new patients
Infusion and Clinical Services, Inc CurrentSince Aug 1, 2025 Accepting new patients

Locations

1311 Columbus St
Bakersfield, CA 93305
Phone (661) 379-6061

4043 Stockdale Hwy
Bakersfield, CA 93309
Phone (661) 396-7100

4200 Truxtun Ave
Ste 202
Bakersfield, CA 93309
Phone (661) 525-8505

5401 White Ln
Bakersfield, CA 93309
Phone (661) 396-7100

23 W Micheltorena St
Santa Barbara, CA 93101
Phone (805) 617-0091

Organizations & group practices 5

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": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592956800000",
    "number": "1881726768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 TRUXTUN AVE STE 202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090523",
            "telephone_number": "661-525-8505",
            "fax_number": "661-742-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 TRUXTUN AVE STE 202",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933090523",
            "telephone_number": "661-525-8505",
            "fax_number": "661-742-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REILLY",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "credential": "MFT36054",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2020-06-24",
        "certification_date": "2020-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFT36054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.