Active NPI
Malcolm L Bonnheim, PH.D.
- Psychologist
- Dallas, TX
National Provider Identifier
1194844340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 21688
- Practice address
- 4100 Spring Valley Rd
Suite 511
Dallas, TX 75244-3629 - Phone
- (972) 934-1485
- NPI assigned
- Mar 28, 2007
- Last updated
- Sep 11, 2025
- Sex
- Male
- Sole proprietor
- No
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 | 21688 | TX | Primary |
| Clinical Psychologist | 103TC0700X | 21688 | TX |
Addresses
Primary practice location
4100 Spring Valley Rd
Suite 511
Dallas, TX 75244-3629
Mailing address
4100 Spring Valley Rd
Suite 511
Dallas, TX 75244-3629
Phone (972) 934-1485
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)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21688 | TX | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175040000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1194844340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4100 SPRING VALLEY RD",
"address_2": "SUITE 511",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443629",
"telephone_number": "972-934-1485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4100 SPRING VALLEY RD",
"address_2": "SUITE 511",
"city": "DALLAS",
"state": "TX",
"postal_code": "752443629",
"telephone_number": "972-934-1485"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BONNHEIM",
"first_name": "MALCOLM",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-28",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "TX",
"license": "21688",
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "TX",
"license": "21688",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
- Colleen J Bonner, LCSW
- Hana Bonner
- Wilmot Vincent Bonnet, M.D.
- Anna Beth Bonney, LPC-A
- Beverly Geiger Bonnheim, MSSW
- Bonnie View Dental and Orthodontics PLLC
- Bonnie View Dental PLLC (Bonnie View Dental)
- Bonnie's Community Solutions, LLC (Bonnie's Community Solutions)
- Bonnieview-Overton Medical Clinic
- Elizabeth Bonnin Igo
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.