Active NPI
Bettina Von Moltke, PHD
- Psychologist
- Redding, CA
National Provider Identifier
1669523569
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- PSY 18398
- Practice address
- 979 Mission de Oro Dr Ste G
Redding, CA 96003-3852 - Phone
- (530) 949-4148
- Fax
- (530) 222-4114
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | PSY 18398 | CA | Primary |
| Clinical Psychologist | 103TC0700X | PSY-202197 | ID |
Addresses
Primary practice location
979 Mission de Oro Dr Ste G
Redding, CA 96003-3852
Mailing address
979 Mission de Oro Dr Ste G
Redding, CA 96003-3852
Phone (530) 949-4148
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY 18398 | CA | MD | Psychologist |
| PSY-202197 | ID | MD | Clinical Psychologist |
| 18398 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1284681600000",
"number": "1669523569",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "979 MISSION DE ORO DR STE G",
"city": "REDDING",
"state": "CA",
"postal_code": "960033852",
"telephone_number": "530-949-4148",
"fax_number": "530-222-4114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "979 MISSION DE ORO DR STE G",
"city": "REDDING",
"state": "CA",
"postal_code": "960033852",
"telephone_number": "530-949-4148",
"fax_number": "530-222-4114"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VON MOLTKE",
"first_name": "BETTINA",
"credential": "PHD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2010-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY 18398",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "ID",
"license": "PSY-202197",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Redding, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.