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DR. SUSAN BAKOTA ED.D.
NPI 1861615924
Psychologist - Prescribing (Medical) in Beverly Hills, CA

Active since April 10, 2007Opted out of Medicare · through Apr 24, 2028
9300 WILSHIRE BLVD, BEVERLY HILLS, CA 90212(310) 478-7733 Get Directions Write a Review

NPPES record last updated: April 24, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Susan Bakota Ed.d. NPPES

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

DR. SUSAN BAKOTA ED.D. (NPI 1861615924) is an individual prescribing (medical) provider in Beverly Hills, California, licensed in California (PSY13135) and active in the NPI registry since April 2007. She has opted out of Medicare through April 24, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1861615924
Entity TypeIndividualFemale
Primary Taxonomy103TP0016X
Provider Legal NameDR. SUSAN BAKOTACredential: ED.D.
Location Address9300 WILSHIRE BLVDBeverly Hills, CA 90212-3213
Mailing Address9300 Wilshire Blvd Ste 320Beverly Hills, CA 90212-3203 · (310) 478-7733
Phone(310) 478-7733
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateApril 24, 2018
✔ NPI 1861615924 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Prescribing (Medical)Behavioral Health & Social Service Providers
Taxonomy Code103TP0016X
License✔ Licensed in CA · PSY13135
Definition

A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.

9300 WILSHIRE BLVD, Beverly Hills, CA 90212
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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. Susan Bakota Ed.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 April 24, 2018 through April 24, 2028.

Opt-Out Effective DateApril 24, 2018
Opt-Out In Effect ThroughApril 24, 2028Opt-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.

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.

DR. BARBRA PAYNE PSY.D.
Psychologist (Clinical)
9300 WILSHIRE BLVD, SUITE 306
BEVERLY HILLS, CA 90212
Los Angeles County (323) 496-6488
SHIREEN G GHAFFARIAN PH.D.
Psychologist
9300 WILSHIRE BLVD, SUITE 320
BEVERLY HILLS, CA 90212
Los Angeles County (310) 289-2102
MRS. SUSAN LUGER TREUSCH MFT
Marriage & Family Therapist
9300 WILSHIRE BLVD, SUITE 510
BEVERLY HILLS, CA 90212
Los Angeles County (310) 289-7405
SHIREEN H OBERMAN LCSW
Social Worker (Clinical)
9300 WILSHIRE BLVD, SUITE 306
BEVERLY HILLS, CA 90212
Los Angeles County (310) 435-6634
DR. AFROUZ SHAYE PH.D.
Psychologist
9300 WILSHIRE BLVD, 306
BEVERLY HILLS, CA 90212
Los Angeles County (310) 490-2538
MARSHA LS TILLES LCSW
Social Worker (Clinical)
9300 WILSHIRE BLVD, STE. 306
BEVERLY HILLS, CA 90212
Los Angeles County (310) 746-5366
MS. NANCY DEVRA FISCHER M.S.W.
Social Worker (Clinical)
9300 WILSHIRE BLVD, SUITE 510
BEVERLY HILLS, CA 90212
Los Angeles County (310) 858-7433
THOMAS J PARISI INC
Marriage & Family Therapist
9300 WILSHIRE BLVD, SUITE 306
BEVERLY HILLS, CA 90212
Los Angeles County (310) 424-8516

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 Susan Bakota's NPI number?

The NPI number for Susan Bakota is 1861615924. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Susan Bakota located?

Susan Bakota practices at 9300 Wilshire Blvd, Beverly Hills, CA 90212. The listed phone number is (310) 478-7733.

What is Susan Bakota's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Prescribing (Medical), with taxonomy code 103TP0016X.

Is Susan Bakota enrolled in Medicare?

No. Susan Bakota has opted out of Medicare through April 24, 2028. 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 Susan Bakota was last updated on April 24, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.