MUDITA AGARWAL BAHADUR PH.D.
NPI 1760519672
Psychologist - Clinical in Santa Monica, CA

Active since February 27, 2007Opted out of Medicare · through May 15, 2027
1137 2ND ST, SUITE 213, SANTA MONICA, CA 90403(310) 463-7913 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mudita Agarwal Bahadur Ph.d. NPPES

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

MUDITA AGARWAL BAHADUR PH.D. (NPI 1760519672) is an individual clinical provider in Santa Monica, California, licensed in California (PSY16617) and active in the NPI registry since February 2007. She has opted out of Medicare through May 15, 2027.

NPPES Registry Identity

NPI1760519672
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameMUDITA AGARWAL BAHADURCredential: PH.D.
Location Address1137 2ND ST, SUITE 213Santa Monica, CA 90403-5011
Mailing Address1137 2nd St, Suite 213Santa Monica, CA 90403-5011 · (310) 463-7913
Sole ProprietorYes
Enumeration DateFebruary 27, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1760519672 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 · PSY16617
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.

1137 2ND ST, Santa Monica, CA 90403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Mudita Agarwal Bahadur 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 May 15, 2021 through May 15, 2027.

Opt-Out Effective DateMay 15, 2021
Opt-Out In Effect ThroughMay 15, 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 90403 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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 20

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

Psychiatry & Neurology (Psychiatry)
1137 2ND ST, SUITE 106
SANTA MONICA, CA 90403
Psychologist (Clinical)
1137 2ND ST, SUITE 207
SANTA MONICA, CA 90403
Psychologist (Clinical)
1137 2ND ST, SUITE 213
SANTA MONICA, CA 90403
Clinical Neuropsychologist
1137 2ND ST, #106
SANTA MONICA, CA 90403
Chiropractor
1137 2ND ST, STE 212
SANTA MONICA, CA 90403
Psychologist
1137 2ND ST, SUITE 207
SANTA MONICA, CA 90403
Psychologist
1137 2ND ST, SUITE 201
SANTA MONICA, CA 90403
Acupuncturist
1137 2ND ST, SUITE 205
SANTA MONICA, CA 90403

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 Mudita Bahadur's NPI number?

The NPI number for Mudita Bahadur is 1760519672. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Mudita Bahadur located?

Mudita Bahadur practices at 1137 2nd St Suite 213, Santa Monica, CA 90403. The listed phone number is (310) 463-7913.

What is Mudita Bahadur's specialty?

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

Is Mudita Bahadur enrolled in Medicare?

No. Mudita Bahadur has opted out of Medicare through May 15, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Mudita Bahadur was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.