Active NPI
Fardokht Bahadori-Esfahani, M.D
- Psychiatry Physician
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- U9204
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 PLLC
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20084 | NV | MD | Psychiatry Physician |
| U9204 | TX | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| BHC Mesilla Valley Hospital LLC | Current | Accepting new patients | |
| Southwest Neuropsychiatry Association PLLC | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Austin, TX
- NPI 1437723491
Psychiatry, TX
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.