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MOLLY J BERTRAM RN, PMHNP
NPI 1043513815
Nurse Practitioner - Psychiatric/Mental Health in Clovis, CA

Active since December 16, 2010
2121 HERNDON AVE STE 102, CLOVIS, CA 93611(844) 489-0836 Get Directions Write a Review

NPPES record last updated: September 4, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 4, 2024, Nov 26, 2023, Nov 9, 2023 and 2 more (5 updates tracked since 2021).

About Molly J Bertram Rn, Pmhnp NPPES

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

MOLLY J BERTRAM RN, PMHNP (NPI 1043513815) is an individual psychiatric/mental health provider in Clovis, California, licensed in California (95027421) and active in the NPI registry since December 2010. She maintains a secondary practice location in Madera.

NPPES Registry Identity

NPI1043513815
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMOLLY J BERTRAMCredential: RN, PMHNP
Location Address2121 HERNDON AVE STE 102Clovis, CA 93611-6302
Mailing Address373 E Shaw Ave # 164Fresno, CA 93710-7609 · (559) 259-2454
Phone(844) 489-0836
Sole ProprietorNo
Enumeration DateDecember 16, 2010
Last NPPES UpdateSeptember 4, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2024
✔ NPI 1043513815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in CA · 95027421
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 95196216 (CA)
2121 HERNDON AVE STE 102, Clovis, CA 93611
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Secondary Practice Location 1

Location 140886 Goodwin WayMadera, CA 93636-9900 · Phone (559) 603-6125

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIRSTEN ALLISON LANGE CATC III
Counselor (Addiction (Substance Use Disorder))
2121 HERNDON AVE STE 102
CLOVIS, CA 93611
Fresno County (970) 209-7286
JIMMY MALDONADO
Marriage & Family Therapist
2121 HERNDON AVE STE 102
CLOVIS, CA 93611
Fresno County (562) 335-6484
TRUE NORTH DETOX LLC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2121 HERNDON AVE STE 102
CLOVIS, CA 93611
Fresno County (844) 244-7837
ALEECIA REGINA MARRUFO RADT
Counselor (Addiction (Substance Use Disorder))
2121 HERNDON AVE STE 102
CLOVIS, CA 93611
Fresno County (559) 818-4832

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 Molly Bertram's NPI number?

The NPI number for Molly Bertram is 1043513815. It was assigned to this individual provider in the NPPES registry on December 16, 2010.

Where is Molly Bertram located?

Molly Bertram practices at 2121 Herndon Ave Ste 102, Clovis, CA 93611. The listed phone number is (844) 489-0836.

What is Molly Bertram's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Molly Bertram was last updated on September 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.