DR. CHARLES HERMANN BOGDAHN LCSW
NPI 1265770523
Psychologist - Clinical Child & Adolescent in Mount Vernon, WA

Q: What is Charles Bogdahn's NPI number?

The NPI number for Charles Bogdahn is 1265770523. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Q: What is Charles Bogdahn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Q: When was this NPI record last updated?

The NPPES record for Charles Bogdahn was last updated on January 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.

Active since January 22, 2013PECOS EnrolledAccepts Medicare Assignment

1419 EAST COLLEGE WAY, MOUNT VERNON, WA 98273(808) 688-3376(808) 961-6819 Get Directions Write a Review

NPPES record last updated: January 8, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 8, 2023, Oct 28, 2022, Oct 13, 2022 (3 updates tracked since 2022).

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About Dr. Charles Hermann Bogdahn Lcsw NPPES

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

DR. CHARLES HERMANN BOGDAHN LCSW (NPI 1265770523) is an individual clinical child & adolescent provider in Mount Vernon, Washington, licensed in Hawaii (#615) and active in the NPI registry since January 2013. He is enrolled in Medicare PECOS and is a graduate of Other (1995).

NPPES Registry Identity

NPI1265770523

Entity TypeIndividualMale

Primary Taxonomy103TC2200X

Provider Legal NameDR. CHARLES HERMANN BOGDAHNCredential: LCSW

Location Address1419 EAST COLLEGE WAYMount Vernon, WA 98273

Mailing AddressPo Box 591Pepeekeo, HI 96783 · (808) 688-3376 · Fax (808) 961-6819

Phone(808) 688-3376

Fax(808) 961-6819

Sole ProprietorYes

Medical School CMSOtherGraduated 1995

Enumeration DateJanuary 22, 2013

Last NPPES UpdateJanuary 8, 20233 updates tracked since enumeration

NPPES CertifiedJanuary 8, 2023

✔ NPI 1265770523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers

Taxonomy Code103TC2200X

License✔ Licensed in HI · #615

Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

1419 EAST COLLEGE WAY, Mount Vernon, WA 98273

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Charles Hermann Bogdahn Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325353915

PECOS Enrollment IDI20150811004923

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.

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 Charles Bogdahn's NPI number?

The NPI number for Charles Bogdahn is 1265770523. It was assigned to this individual provider in the NPPES registry on January 22, 2013.

Where is Charles Bogdahn located?

Charles Bogdahn practices at 1419 East College Way, Mount Vernon, WA 98273. The listed phone number is (808) 688-3376.

What is Charles Bogdahn's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.

Is Charles Bogdahn enrolled in Medicare?

Yes. Charles Bogdahn is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Charles Bogdahn accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Charles Bogdahn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Charles Bogdahn was last updated on January 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.