Individual provider Active NPI

Monir Moftakhari Musavi, MD

  • Psychiatry Physician
  • Bangor, ME
National Provider Identifier
1003905654
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
016095 Issued in ME
Practice address
268 Stillwater Avenue
Acadia Hospital Corp
Bangor, ME 04401
Phone
(207) 973-6100
Fax
(207) 973-6109
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 016095 ME Primary

Addresses

Primary practice location

268 Stillwater Avenue
Acadia Hospital Corp
Bangor, ME 04401

Mailing address

PO Box 422
Acadia Hospital Corp
Bangor, ME 04402-0422
Phone (207) 973-6100

Other names 1

  • Monir Moftakhari Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040401001231 ME Practitioner - Psychiatry 3072505791 Reassigns benefits to 13 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
016095MEMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maine Coast Regional Health Facilities CurrentSince Jul 30, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 22, 2015 Accepting new patients
Sebasticook Valley Health CurrentSince Jul 30, 2023 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 30, 2023 Accepting new patients
Charles a Dean Memorial Hospital CurrentSince Jul 30, 2023 Accepting new patients
Maine Coast Regional Health Facilities CurrentSince Jul 30, 2023 Accepting new patients
The Aroostook Medical Center CurrentSince Jul 30, 2023 Accepting new patients
MRH Corp. CurrentSince Jul 30, 2023 Accepting new patients
MRH Corp. CurrentSince Jul 30, 2023 Accepting new patients
Sebasticook Valley Health CurrentSince Jul 30, 2023 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Jul 30, 2023 Accepting new patients
The Blue Hill Memorial Hospital CurrentSince Jul 30, 2023 Accepting new patients
Acadia Hospital Corp CurrentSince Sep 1, 2003 Accepting new patients
Eastern Maine Healthcare Systems CurrentSince Jul 30, 2023 Accepting new patients
Mainegeneral Medical Center CurrentSince Apr 22, 2015 Accepting new patients
Mercy Hospital Past Accepting new patients
Acadia Healthcare, Inc Past Accepting new patients

Locations

35 Medical Center Pkwy
Augusta, ME 04330
Phone (207) 621-3639

489 State St
Bangor, ME 04401
Phone (207) 973-8837

268 Stillwater Ave
Bangor, ME 04401
Phone (207) 973-6470

57 Water St
Blue Hill, ME 04614
Phone (207) 374-3400

43 Whiting Hill Rd
Ste 200
Brewer, ME 04412
Phone (800) 757-3326

897 W Main St
Dovr Foxcroft, ME 04426
Phone (207) 564-4464

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

447 N Main St
Pittsfield, ME 04967
Phone (207) 487-0981

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

22 Haley Ct
Sangerville, ME 04479
Phone (207) 695-5200

10 Water St
Ste 202
Waterville, ME 04901
Phone (207) 873-9846

149 North St
Waterville, ME 04901
Phone (207) 622-1959

Organizations & group practices 18

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 18

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003905654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 422",
            "address_2": "ACADIA HOSPITAL CORP",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "044020422",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 STILLWATER AVENUE",
            "address_2": "ACADIA HOSPITAL CORP",
            "city": "BANGOR",
            "state": "ME",
            "postal_code": "04401",
            "telephone_number": "207-973-6100",
            "fax_number": "207-973-6109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSAVI",
        "first_name": "MONIR",
        "middle_name": "MOFTAKHARI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "016095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MONIR",
            "last_name": "MOFTAKHARI",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bangor, ME

Sources for this page

Verify at the official NPI Registry.