DR. PAUL S BAGDADE (PH.D., L.P.) – Clinical Psychologist, NPI 1699785196

DR. PAUL S BAGDADE (PH.D., L.P.) is a healthcare provider. based in Maplewood, Minnesota. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PH.D., L.P.. They hold a License No. LP 4527 (MN). The NPI Number for DR. PAUL S BAGDADE (PH.D., L.P.) is 1699785196

Main info

Male
Sole Proprietor
23 Years Of Experience
Name
DR. PAUL S BAGDADE (PH.D., L.P.)
NPI
1699785196
Phone
(612) 440-6315
Address
2945 HAZELWOOD ST STE 200
Enumeration Date
8 August 2006
Last Update Date
14 May 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6124406315
Graduation Year
2003 (23 years ago)
PAC ID
1456383603
Professional Enrollment ID
I20050908000467
Address ID
MN551091243MA2945XSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,110 CLINICAL PSYCHOLOGIST in MN

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Provider Addresses for DR. PAUL S BAGDADE (PH.D., L.P.)

  • Hazelwood Street, Gladstone, Maplewood, Ramsey County, Minnesota, 55109, United States

    MAPLEWOOD, MN 551091243

    Phone: (612) 440-6315

    Fax: (651) 412-5338

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-09-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050908000467IClinical PsychologistMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
96137Administration of psychological or neuropsychological test, each additional 30 minutes3819$0
90791Psychiatric diagnostic evaluation2626$0
90834Psychotherapy, 45 minutes2523$0
96130Evaluation of psychological test, first hour2121$0
96136Administration of psychological or neuropsychological test, first 30 minutes2121$0
View full utilization report →

Insurance plans in this area (ZIP 55109)

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Reviews

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Frequently asked questions

What unique ID ties claims to DR. PAUL S BAGDADE (PH.D., L.P.)?
NPI 1699785196 is assigned to DR. PAUL S BAGDADE (PH.D., L.P.) under the national enumeration system.
Is DR. PAUL S BAGDADE (PH.D., L.P.) currently active in the NPI registry?
CMS-published data lists DR. PAUL S BAGDADE (PH.D., L.P.) as an active registrant.
Does DR. PAUL S BAGDADE (PH.D., L.P.) list a primary specialty?
If you are matching referrals, note Clinical Psychologist for DR. PAUL S BAGDADE (PH.D., L.P.). Clinical services aligned with this taxonomy classification.
Where does public data place DR. PAUL S BAGDADE (PH.D., L.P.)?
The snapshot lists Maplewood, Minnesota for DR. PAUL S BAGDADE (PH.D., L.P.); download NPPES for the complete set.
What if Maplewood, Minnesota seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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