NPIMap

Organization Active NPI

Bodhi Wellness

  • Acupuncturist
  • Shirley, NY
National Provider Identifier
1821581083
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
License
005453 Issued in NY
Legal business name
BODHI WELLNESS
Practice address
28 Arpage Dr E
Shirley, NY 11967-3806
Phone
(631) 235-7511
NPI assigned
Jun 12, 2018
Last updated
Jun 12, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Authorized official

Name
Dr. Kathryn Kops, DAC, LAC, LMT
Title
Owner
Phone
(631) 235-7511

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X 005453 NY Primary

Addresses

Primary practice location

28 Arpage Dr E
Shirley, NY 11967-3806

Mailing address

28 Arpage Dr E
Shirley, NY 11967-3806

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1528761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528761600000",
    "number": "1821581083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 ARPAGE DR E",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 ARPAGE DR E",
            "city": "SHIRLEY",
            "state": "NY",
            "postal_code": "119673806",
            "telephone_number": "631-235-7511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BODHI WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A",
        "authorized_official_last_name": "KOPS",
        "authorized_official_first_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-235-7511",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DAC, LAC, LMT"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "NY",
            "license": "005453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shirley, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 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.