Individual provider Active NPI

Fardokht Bahadori-Esfahani, M.D

  • Psychiatry Physician
  • Austin, TX
National Provider Identifier
1891157558
Registry record updated Feb 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
U9204 Issued in TX
Practice address
1106 Clayton LN Ste 240W
Austin, TX 78723-2478
Phone
(737) 471-5402
Fax
(512) 727-6761
NPI assigned
Mar 22, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20084 NV
Psychiatry Physician 2084P0800X U9204 TX Primary

Addresses

Primary practice location

1106 Clayton LN Ste 240W
Austin, TX 78723-2478

Mailing address

1106 Clayton LN Ste 240W
Austin, TX 78723-2478
Phone (737) 471-5402

Other practice location 1

1213 W Slaughter Ln Ste 110
Austin, TX 78748-6902
Phone (737) 471-5402

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250306002234 TX Practitioner - Psychiatry 8123315496 Reassigns benefits to 1 organization
I20250923000736 NM Practitioner - Psychiatry 8123315496 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwest Neuropsychiatry Association PLLCGroup PAC ID 8022415041, 3 clinicians

Practice addresses (Care Compare)

1106 Clayton LN
Suite 240W
Austin, TX 78723-2478
Phone (737) 471-5402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
20084NVMDPsychiatry Physician
U9204TXMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BHC Mesilla Valley Hospital LLC CurrentSince Jul 20, 2025 Accepting new patients
Southwest Neuropsychiatry Association PLLC Psychiatry CurrentSince Feb 28, 2025 Accepting new patients

Locations

3571 Del Rey Blvd
Mesillia Vly Hosp
Las Cruces, NM 88012
Phone (575) 373-5043

3751 Del Rey Blvd
Las Cruces, NM 88012
Phone (505) 382-3500

1106 Clayton Ln
Ste 240W
Austin, TX 78723
Phone (737) 471-5402

1213 W Slaughter Ln
Ste 100
Austin, TX 78748
Phone (737) 471-5402

1213 W Slaughter Ln
Ste 110
Austin, TX 78748
Phone (512) 440-4800

Organizations & group practices 2

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": "1458604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739232000000",
    "number": "1891157558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 240W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232478",
            "telephone_number": "737-471-5402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 CLAYTON LN STE 240W",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787232478",
            "telephone_number": "737-471-5402",
            "fax_number": "512-727-6761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1213 W Slaughter Ln Ste 110",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787486902",
            "country_code": "US",
            "telephone_number": "737-471-5402",
            "fax_number": "512-727-6761",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAHADORI-ESFAHANI",
        "first_name": "FARDOKHT",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-22",
        "last_updated": "2025-02-11",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "20084",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "U9204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.