DR. MAHDIEH BODAGHI M.D.
NPI 1689965048
Psychiatry & Neurology - Child & Adolescent Psychiatry in Bangor, ME

Q: What is Mahdieh Bodaghi's NPI number?

The NPI number for Mahdieh Bodaghi is 1689965048. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Q: What is Mahdieh Bodaghi's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Mahdieh Bodaghi was last updated on May 15, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 20, 2011PECOS Enrolled

268 STILLWATER AVE, BANGOR, ME 04401(207) 973-6100 Get Directions Write a Review

NPPES record last updated: May 15, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2019, May 8, 2019, Mar 1, 2016 (3 updates tracked since 2016).

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About Dr. Mahdieh Bodaghi M.d. NPPES

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

DR. MAHDIEH BODAGHI M.D. (NPI 1689965048) is an individual child & adolescent psychiatry provider in Bangor, Maine, licensed in Maine (TD131101) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689965048

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameDR. MAHDIEH BODAGHICredential: M.D.

Location Address268 STILLWATER AVEBangor, ME 04401-3945

Mailing Address268 Stillwater AveBangor, ME 04401-3945 · (207) 973-6100

Phone(207) 973-6100

Sole ProprietorNo

Enumeration DateApril 20, 2011

Last NPPES UpdateMay 15, 20193 updates tracked since enumeration

✔ NPI 1689965048 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

Licenses✔ Licensed in ME · TD131101✔ Licensed in CA · A121883✔ Licensed in TX · Q4039

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License TD131101 (ME), A121883 (CA)

268 STILLWATER AVE, Bangor, ME 04401

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mahdieh Bodaghi M.d. 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.

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.

DR. KAREN SINGH MD

Student in an Organized Health Care Education/Training Program