Molly Rodden, MSN NP-BC, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

201902719NP-PP Issued in OR

Practice address

14845 SW Murray Scholls Dr Ste 110
Beaverton, OR 97007-9237

Phone

(360) 836-0171

Fax

(618) 882-4174

NPI assigned

Aug 26, 2014

Last updated

Sep 4, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OR, WA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Nurse Practitioner

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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

• Kaizen Psychiatric Services LLC

  dba Kaizen Collective

  • Psychiatric/Mental Health Nurse Practitioner
  • Beaverton, OR
  • NPI 1447925367

  Family, WA

  Medicare reassignment NPD Authorized official
• Clear Choice Dermatology

  dba The Skin Docs

  • Dermatology Physician
  • The Dalles, OR
  • NPI 1891327185
  NPD (past)
• Gibson Community Hospital Association

  dba Gibson Area Hospital and Health Services

  • Critical Access Hospital
  • Gibson City, IL
  • NPI 1114935681
  NPD (past)

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

{
    "created_epoch": "1409011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630713600000",
    "number": "1144620295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14845 SW MURRAY SCHOLLS DR.",
            "address_2": "STE. 110 PMB 412",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970070412",
            "telephone_number": "360-836-0171",
            "fax_number": "618-882-4174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14845 SW MURRAY SCHOLLS DR STE 110",
            "city": "BEAVERTON",
            "state": "OR",
            "postal_code": "970079237",
            "telephone_number": "360-836-0171",
            "fax_number": "618-882-4174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1174 Cornucopia St NW Ste 240",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97304",
            "country_code": "US",
            "telephone_number": "971-301-4411",
            "fax_number": "971-999-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4660 NE Belknap Ct Ste 217",
            "address_purpose": "LOCATION",
            "city": "Hillsboro",
            "state": "OR",
            "postal_code": "971248401",
            "country_code": "US",
            "telephone_number": "971-301-4411",
            "fax_number": "971-999-7006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1174 Cornucopia St NW Ste 240",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "97304",
            "country_code": "US",
            "telephone_number": "971-301-4411",
            "fax_number": "971-999-7006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODDEN",
        "first_name": "MOLLY",
        "name_prefix": "Ms.",
        "credential": "MSN NP-BC, PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-26",
        "last_updated": "2021-09-04",
        "certification_date": "2021-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "201705273NP-PP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209011748",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201705273NP-PP",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OR",
            "license": "201902719NP-PP",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500730619",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin Michael Robinson
• Heather Rocha, CRC, PCA
• Rochelle Renee Rochester, NP
• Jenny Rock, LMT
• Rockwood Orthopaedic & Sports Physical Therapy Clinic, PC
• Sofia Roditi
• Maria Eufracia Rodriguez Cuamatzi
• Liza M Rodriguez Jimenez, M.D.
• Lindsay Kate Rodriguez Mendoza
• Juan Manuel Rodriguez-Zarmienta

• Psychiatric/Mental Health Nurse Practitioner in Beaverton, OR
• Providers in Beaverton, OR by specialty
• Psychiatric/Mental Health Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.