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DR. HILDY KELLMAN AGUSTIN PSY.D.
NPI 1124213764
Psychologist - Clinical in Menlo Park, CA

Active since September 06, 2007Opted out of Medicare · through Jan 1, 2027
830 MENLO AVE, SUITE 105, MENLO PARK, CA 94025(650) 321-1788(650) 321-8845 Get Directions Write a Review

NPPES record last updated: September 6, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Hildy Kellman Agustin Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. HILDY KELLMAN AGUSTIN PSY.D. (NPI 1124213764) is an individual clinical provider in Menlo Park, California, licensed in California (19060) and active in the NPI registry since September 2007. She has opted out of Medicare through January 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1124213764
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. HILDY KELLMAN AGUSTINCredential: PSY.D.
Location Address830 MENLO AVE, SUITE 105Menlo Park, CA 94025-4751
Mailing Address830 Menlo Ave, Suite 105Menlo Park, CA 94025-4751 · (650) 321-1788 · Fax (650) 321-8845
Phone(650) 321-1788
Fax(650) 321-8845
Sole ProprietorYes
Enumeration DateSeptember 6, 2007
✔ NPI 1124213764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · 19060
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
Also ListedClinical NeuropsychologistTaxonomy 103G00000X · License 19060 (CA)
830 MENLO AVE, Menlo Park, CA 94025
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINOPL190600CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Hildy Kellman Agustin Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 1, 2019 through January 1, 2027.

Opt-Out Effective DateJanuary 1, 2019
Opt-Out In Effect ThroughJanuary 1, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94025 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARYAM TAJIKI EDD
Psychologist
830 MENLO AVE, STE 200
MENLO PARK, CA 94025
San Mateo County (650) 322-8646
DR. JOYCE G SCHMID PHD, MFT
Marriage & Family Therapist
830 MENLO AVE, SUITE 200
MENLO PARK, CA 94025
San Mateo County (650) 321-9228
QUALIUM CORP.
Durable Medical Equipment & Medical Supplies
830 MENLO AVE
MENLO PARK, CA 94025
San Mateo County (866) 887-6673
DR. CRAIG LEE LEVINE PSYD
Psychologist
830 MENLO AVE, 200
MENLO PARK, CA 94025
San Mateo County (415) 845-5897
DR. GERTRUDE ANN HEMING PH.D.
Psychologist
830 MENLO AVE, SUITE 200
MENLO PARK, CA 94025
San Mateo County (650) 829-5325
QUALIUM CORP
Clinic/Center (Sleep Disorder Diagnostic)
830 MENLO AVE
MENLO PARK, CA 94025
San Mateo County (866) 887-6673

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Hildy Agustin's NPI number?

The NPI number for Hildy Agustin is 1124213764. It was assigned to this individual provider in the NPPES registry on September 6, 2007.

Where is Hildy Agustin located?

Hildy Agustin practices at 830 Menlo Ave Suite 105, Menlo Park, CA 94025. The listed phone number is (650) 321-1788.

What is Hildy Agustin's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Hildy Agustin enrolled in Medicare?

No. Hildy Agustin has opted out of Medicare through January 1, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Hildy Agustin was last updated on September 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.