NPIMap

Organization Active NPI

Tobias Moeller-Bertram,MD Corporation

  • Clinical Psychologist
  • Rancho Mirage, CA
National Provider Identifier
1720575939
Registry record updated Apr 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
Legal business name
TOBIAS MOELLER-BERTRAM,MD CORPORATION
Practice address
36101 Bob Hope Dr Ste B2
Rancho Mirage, CA 92270-2003
Phone
(760) 321-1315
NPI assigned
Apr 13, 2018
Last updated
Apr 13, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2018

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

Authorized official

Name
Heather McDonald
Title
VP Operations
Phone
(949) 783-3600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X NU Primary

Addresses

Primary practice location

36101 Bob Hope Dr Ste B2
Rancho Mirage, CA 92270-2003

Mailing address

3857 Birch St # 605
Newport Beach, CA 92660-2616

National Provider Directory

National Provider Directory
Tax ID family
Tobias Moeller Bertram MD14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

Organizations that report the same tax identification number in the National Provider Directory.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1523577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523577600000",
    "number": "1720575939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3857 BIRCH ST # 605",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36101 BOB HOPE DR STE B2",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922702003",
            "telephone_number": "760-321-1315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOBIAS MOELLER-BERTRAM,MD CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-13",
        "last_updated": "2018-04-13",
        "status": "A",
        "authorized_official_last_name": "MCDONALD",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "949-783-3600"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.