OrganizationActive
Bodhi Tree Center for Holistic Therapy LLC
NPI 1134837354 · Clinical Psychologist · Chicago, IL
Provider details
- NPI number
- 1134837354
- Entity type
- Organization
- Primary specialty
- Clinical PsychologistBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Robert Ballantyne, Owner(313) 282-1156
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1300 W Belmont Ave Ste 400d
Chicago, IL 60657-3200
Phone: (313) 307-4772
Street-level locationGet directions
Mailing address
1300 W Belmont Ave Ste 400d
Chicago, IL 60657-3200
Other names (DBA / former)
- Other name
- Bodhi Tree Center for Holistic Therapy PLLC
Additional practice locations (1)
- 2623 E Pike StSeattle, WA 98122-3149Phone: (313) 307-4772
Registry dates
- Enumerated
- 2022-11-07
- Last updated
- 2026-04-09
- Certified
- 2026-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.