BODHI TREE CENTER FOR HOLISTIC THERAPY LLC
NPI 1134837354
Psychologist - Clinical in Chicago, IL

Q: What is Bodhi Tree Center For Holistic Therapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since November 07, 2022

1300 W BELMONT AVE STE 400D, CHICAGO, IL 60657(313) 307-4772 Get Directions Write a Review

NPPES record last updated: April 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 9, 2026, Nov 7, 2022 (2 updates tracked since 2022).

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About Bodhi Tree Center For Holistic Therapy Llc NPPES

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

BODHI TREE CENTER FOR HOLISTIC THERAPY LLC (NPI 1134837354) is a healthcare organization registered as a clinical in Chicago, Illinois and active in the NPI registry since November 2022. The organization maintains a secondary practice location in Seattle and lists Robert Ballantyne, Owner, as its authorized official.

NPPES Registry Identity

NPI1134837354

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameBODHI TREE CENTER FOR HOLISTIC THERAPY LLC

Location Address1300 W BELMONT AVE STE 400DChicago, IL 60657-3200

Mailing Address1300 W Belmont Ave Ste 400dChicago, IL 60657-3200

Phone(313) 307-4772

Organization SubpartNo

Authorized OfficialRobert BallantyneOwner · (313) 282-1156

Enumeration DateNovember 7, 2022

Last NPPES UpdateApril 9, 20262 updates tracked since enumeration

NPPES CertifiedApril 9, 2026

✔ NPI 1134837354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1300 W BELMONT AVE STE 400D, Chicago, IL 60657

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Other Names 1

Other NameBodhi Tree Center For Holistic Therapy Pllc

Secondary Practice Location 1

Location 12623 E Pike StSeattle, WA 98122-3149 · Phone (313) 307-4772

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. ROBERT BALLANTYNE PSY.D.

Psychologist (Clinical)

1300 W BELMONT AVE STE 400D
CHICAGO, IL 60657

Cook County (313) 307-4772

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 Bodhi Tree Center For Holistic Therapy LLC's NPI number?

The NPI number for Bodhi Tree Center For Holistic Therapy LLC is 1134837354. It was assigned to this organization in the NPPES registry on November 7, 2022. The provider is also known as Bodhi Tree Center For Holistic Therapy PLLC.

Where is Bodhi Tree Center For Holistic Therapy LLC located?

Bodhi Tree Center For Holistic Therapy LLC is located at 1300 W Belmont Ave Ste 400D, Chicago, IL 60657. The listed phone number is (313) 307-4772.

What is Bodhi Tree Center For Holistic Therapy LLC's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Bodhi Tree Center For Holistic Therapy LLC was last updated on April 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.