DR. KJELL ERIK RUDESTAM PH.D.
NPI 1376661512
Psychologist - Clinical in Santa Barbara, CA

Active since March 26, 2007Opted out of Medicare · through Oct 1, 2027
2020 ALAMEDA PADRE SERRA, SUITE217, SANTA BARBARA, CA 93103(805) 569-2540(805) 687-4590 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Kjell Erik Rudestam Ph.d. NPPES

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

DR. KJELL ERIK RUDESTAM PH.D. (NPI 1376661512) is an individual clinical provider in Santa Barbara, California, licensed in California (PSY 5930) and active in the NPI registry since March 2007. He has opted out of Medicare through October 1, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1376661512
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. KJELL ERIK RUDESTAMCredential: PH.D.
Location Address2020 ALAMEDA PADRE SERRA, SUITE217Santa Barbara, CA 93103-1756
Mailing Address3924 Foothill RdSanta Barbara, CA 93110-1208 · (805) 569-2540 · Fax (805) 687-4590
Fax(805) 687-4590
Sole ProprietorYes
Enumeration DateMarch 26, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1376661512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in CA · PSY 5930
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.

2020 ALAMEDA PADRE SERRA, Santa Barbara, CA 93103

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. Kjell Erik Rudestam Ph.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 October 1, 2017 through October 1, 2027.

Opt-Out Effective DateOctober 1, 2017
Opt-Out In Effect ThroughOctober 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 93103 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
$184.40 typical visit price
range $62.01 – $184.40
Typical copayment $46.10 (range $15.50 – $46.10)
Most-billed visit code 99205
Established Patient
$108.26 typical visit price
range $20.60 – $151.20
Typical copayment $27.06 (range $5.15 – $37.80)
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 7

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

Psychologist (Clinical)
2020 ALAMEDA PADRE SERRA, SUITE 211
SANTA BARBARA, CA 93103
Psychologist
2020 ALAMEDA PADRE SERRA, STE 211
SANTA BARBARA, CA 93103
Psychologist
2020 ALAMEDA PADRE SERRA, SUITE 217
SANTA BARBARA, CA 93103
Marriage & Family Therapist
2020 ALAMEDA PADRE SERRA, SUITE 217
SANTA BARBARA, CA 93103
Marriage & Family Therapist
2020 ALAMEDA PADRE SERRA, SUITE 217
SANTA BARBARA, CA 93103
Psychologist
2020 ALAMEDA PADRE SERRA, SUITE 211
SANTA BARBARA, CA 93103
Psychologist (Counseling)
2020 ALAMEDA PADRE SERRA, EBBETTS HALL SUITE 211
SANTA BARBARA, CA 93103

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 Kjell Rudestam's NPI number?

The NPI number for Kjell Rudestam is 1376661512. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Kjell Rudestam located?

Kjell Rudestam practices at 2020 Alameda Padre Serra Suite217, Santa Barbara, CA 93103. The listed phone number is (805) 569-2540.

What is Kjell Rudestam's specialty?

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

Is Kjell Rudestam enrolled in Medicare?

No. Kjell Rudestam has opted out of Medicare through October 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 Kjell Rudestam was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.