Bodhi Therapeutic Specialists LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

BODHI THERAPEUTIC SPECIALISTS LLC

Practice address

709 Central Ave NW
Albuquerque, NM 87102-3007

Phone

(505) 907-7436

NPI assigned

Jul 15, 2018

Last updated

Jul 15, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Camille Parsons

Title

Cfo

Phone

(505) 907-7436

Specialties & licenses 7

Addresses

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

{
    "created_epoch": "1531612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531612800000",
    "number": "1528544343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "709 CENTRAL AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 CENTRAL AVE NW",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871023007",
            "telephone_number": "505-907-7436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI THERAPEUTIC SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-15",
        "last_updated": "2018-07-15",
        "status": "A",
        "authorized_official_last_name": "PARSONS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "505-907-7436"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anna Bode
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• Maya Michelle Bode
• Tara Lynn Boden, MS, LPCC. NCC
• Hope Bodewaldt
• Sarah Bodkin
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• Psychiatry Physician in Albuquerque, NM
• Providers in Albuquerque, NM by specialty
• Psychiatry Physician in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.