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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DORDE MODRAKOVIC PHD.
NPI 1265349880
Psychologist - Clinical in Middletown, CT

Active since August 27, 2026PECOS Enrolled
675 MAIN ST, MIDDLETOWN, CT 06457(860) 709-4232(860) 343-7379 Get Directions Write a Review

NPPES record added: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 20, 2026.

Record update history: Sep 1, 2026, Aug 27, 2026 (2 updates tracked since 2026).

About Dorde Modrakovic Phd. NPPES

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

DORDE MODRAKOVIC PHD. (NPI 1265349880) is an individual clinical provider in Middletown, Connecticut, licensed in Connecticut (5432) and active in the NPI registry since August 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265349880
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDORDE MODRAKOVICCredential: PHD.
Location Address675 MAIN STMiddletown, CT 06457-2732
Mailing Address19 Grand StMiddletown, CT 06457-2705 · (860) 347-6971 · Fax (860) 343-7379
Phone(860) 709-4232
Fax(860) 343-7379
Sole ProprietorNo
Enumeration DateAugust 27, 2026
Last NPPES UpdateSeptember 1, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1265349880 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 CT · 5432
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.
675 MAIN ST, Middletown, CT 06457
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Other Names 1

Professional Name (2)Mir Modrakovic Phd

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dorde Modrakovic Phd. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06457 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
$183.10 typical visit price
range $60.82 – $183.10
Typical copayment $45.77 (range $15.20 – $45.77)
Most-billed visit code 99205
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

RACHEL MIRIAM BONAPARTE LCSW
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (203) 347-6971
LISBETH ANE GREIST LCSW, LPCA
Social Worker (Clinical)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MATTHEW HUDDLESTON MD
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ELIZABETH HAVICAN LMFT
Marriage & Family Therapist
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
DIANA MENDOZA
Student in an Organized Health Care Education/Training Program
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
MEREDITH CAMPBELL APRN, FNP-C
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
LYNN M TAYLOR APRN
Nurse Practitioner (Family)
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971
ALISON CARINI DO
Family Medicine
675 MAIN ST
MIDDLETOWN, CT 06457
Lower Connecticut River Valley Planning Region (860) 347-6971

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 Dorde Modrakovic's NPI number?

The NPI number for Dorde Modrakovic is 1265349880. It was assigned to this individual provider in the NPPES registry on August 27, 2026. The provider is also known as Mir Modrakovic Phd.

Where is Dorde Modrakovic located?

Dorde Modrakovic practices at 675 Main St, Middletown, CT 06457. The listed phone number is (860) 709-4232.

What is Dorde Modrakovic's specialty?

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

Is Dorde Modrakovic enrolled in Medicare?

Yes. Dorde Modrakovic is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dorde Modrakovic was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.