Bodhi Tree Center for Holistic Therapy LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

Legal business name

BODHI TREE CENTER FOR HOLISTIC THERAPY LLC

Practice address

1300 W Belmont Ave Ste 400D
Chicago, IL 60657-3200

Phone

(313) 307-4772

NPI assigned

Nov 7, 2022

Organization subpart

No

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

Authorized official

Name

Dr. Robert Ballantyne, PSYDNPI 1023461993

Title

Owner

Phone

(313) 282-1156

Specialties & licenses 1

Addresses

Other names 1

• BODHI TREE CENTER FOR HOLISTIC THERAPY PLLC Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Robert Ballantyne, PSY.D.

  • Clinical Psychologist
  • Chicago, IL
  • NPI 1023461993
  NPD Authorized official

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775692800000",
    "number": "1134837354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 400D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W BELMONT AVE STE 400D",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606573200",
            "telephone_number": "313-307-4772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2623 E Pike St",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981223149",
            "country_code": "US",
            "telephone_number": "313-307-4772",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BODHI TREE CENTER FOR HOLISTIC THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2026-04-09",
        "certification_date": "2026-04-09",
        "status": "A",
        "authorized_official_last_name": "BALLANTYNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "313-282-1156",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BODHI TREE CENTER FOR HOLISTIC THERAPY PLLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anne Bodenstine, PT
• Alaya Bodepudi, MD
• Matthew Ryan Bodett
• Bodhi & Sage, LLC
• Bodhi & Sage, LLC
• Bodi by Me Med Spa LLC
• Christine Heidi Anne Bodine, MD
• Brittany Bodkin, LCSW
• Nicholas Leon Bodkin
• Monique Bodley, LCSW

• Clinical Psychologist in Chicago, IL
• Providers in Chicago, IL by specialty
• Clinical Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.