Organization Active NPI

Alchemy Therapy, PLLC

  • Psychologist
  • Dallas, TX
National Provider Identifier
1356808232
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PsychologistTaxonomy code 103T00000X
Legal business name
ALCHEMY THERAPY, PLLC
Practice address
8140 Walnut Hill LN Ste 440
Dallas, TX 75231-4350
Phone
(972) 913-6879
NPI assigned
Feb 27, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Evan Bodine, PH.D.
Title
Psychologist, Owner
Phone
(972) 913-6879

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PsychologistGroup: 193400000X SINGLE SPECIALTY GROUP 103T00000X Primary

Addresses

Primary practice location

8140 Walnut Hill LN Ste 440
Dallas, TX 75231-4350

Mailing address

8140 Walnut Hill LN Ste 440
Dallas, TX 75231-4350
Phone (972) 913-6879

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1356808232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "972-913-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8140 WALNUT HILL LN STE 440",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314350",
            "telephone_number": "972-913-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALCHEMY THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "BODINE",
        "authorized_official_first_name": "EVAN",
        "authorized_official_title_or_position": "PSYCHOLOGIST, OWNER",
        "authorized_official_telephone_number": "972-913-6879",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.