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

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: November 01, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mahdieh Bodaghi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Hospital
268 STILLWATER AVENUE
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 348 clinicians in this Medicare group
Pediatrics
111 MICHIGAN AVE NW
Washington, DC 20010
  • Reassigned Medicare billing, District of Columbia enrollment
  • 1,417 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Student in an Organized Health Care Education/Training Program
268 STILLWATER AVE
BANGOR, ME 04401
Nurse Practitioner (Psychiatric/Mental Health)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Social Worker (Clinical)
268 STILLWATER AVE
BANGOR, ME 04401
Psychiatry & Neurology (Geriatric Psychiatry)
268 STILLWATER AVE
BANGOR, ME 04401
Marriage & Family Therapist
268 STILLWATER AVE
BANGOR, ME 04401
Counselor (Professional)
268 STILLWATER AVE
BANGOR, ME 04401
Occupational Therapist
268 STILLWATER AVE
BANGOR, ME 04401

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 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.

Where is Mahdieh Bodaghi located?

Mahdieh Bodaghi practices at 268 Stillwater Ave, Bangor, ME 04401. The listed phone number is (207) 973-6100.

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.

Is Mahdieh Bodaghi enrolled in Medicare?

Yes. Mahdieh Bodaghi is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mahdieh Bodaghi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mahdieh Bodaghi reassigns Medicare benefits to 2 organizations: Acadia Hospital Corp (Bangor, ME) and Children's Hospital (Washington, DC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mahdieh Bodaghi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mahdieh Bodaghi accept?

Health plans from Taro Health list Mahdieh Bodaghi 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 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.