HOPEBRIDGE, LLC (NPI# 1326550781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326550781 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Practice Address |
9260 Marketplace Dr Miamisburg OH 45342-4478 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Practice Fax Number | 7654506664 |
| Enumeration Date | 2017-10-25 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | ANGIE GRAFF (INSURANCE & CREDENTIALING MANAGER) |
| Authorized Official Telephone | 3173768336 |
| Is Organization Subpart | Y |
| Parent Organization Name | HOPEBRIDGE, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106E00000X | Assistant Behavior Analyst | Behavioral Health & Social Service Providers | ||
| N | 106S00000X | Behavior Technician | Behavioral Health & Social Service Providers | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0265830 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154882397 | Hopebridge, LLC | Psychologist | 9559 Highway 5 Ste 601, Douglasville, GA 30135-1572 | 2019-03-29 |
| 1790245173 | Hopebridge, LLC | Psychologist | 2651 Dallas Hwy Sw, Marietta, GA 30064-2541 | 2019-03-22 |
| 1174097752 | Hopebridge, LLC | Behavioral Analyst | 4931 Riverside Dr Ste A, Macon, GA 31210-1156 | 2019-01-16 |
| 1952880049 | Hopebridge, LLC | Behavior Technician | 4000 Smithtown Rd Ste 200, Suwanee, GA 30024-6560 | 2018-08-09 |
| 1922586486 | Hopebridge, LLC | Behavioral Analyst | 1455 Old Alabama Rd Ste 195, Roswell, GA 30076-2129 | 2018-08-06 |
| 1902396583 | Hopebridge, LLC | Psychologist | 7325 Production Dr, Mentor, OH 44060-4889 | 2018-05-18 |
| 1922522192 | Hopebridge, LLC | Psychologist | 1255 Kemper Meadow Dr Ste 900, Cincinnati, OH 45240-1633 | 2017-07-31 |
| 1497279814 | Hopebridge, LLC | Behavioral Analyst | 7264 Columbia Rd Ste 700, Mason, OH 45039-8086 | 2017-07-27 |
| 1891820668 | Hopebridge, LLC | Occupational Therapist | 1558 E Boulevard Ste A, Kokomo, IN 46902-2479 | 2007-02-22 |
| 1114587110 | Hopebridge, LLC | Behavioral Analyst | 9302 E 22nd St, Tucson, AZ 85710-7342 | 2019-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hopebridge, LLC | 3500 Depauw Blvd., Suite 3070, Indianapolis, IN 46268 |
| Street Address |
9260 MARKETPLACE DR |
| City | MIAMISBURG |
| State | OH |
| Zip Code | 45342-4478 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538543434 | Oascha Monae Hightower | Behavioral Analyst | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2015-07-10 |
| 1497354062 | Micaela Marie Mcallister | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-10-23 |
| 1841899424 | Delaney Blue Maxson | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-10-23 |
| 1427665744 | Kari Lynn Giovanelli | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-09-30 |
| 1649887795 | Giessel Amanda Cruz | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-09-23 |
| 1891300653 | Shylien Ranae Sandusky | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-09-09 |
| 1275141608 | Brooke Janelle Zittel | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-07-22 |
| 1740808153 | Maria Slone | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-07-13 |
| 1538787486 | Julie Ann Herbst | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-07-08 |
| 1548886401 | Rebecca Friedmann | Behavior Technician | 9260 Marketplace Dr, Miamisburg, OH 45342-4478 | 2020-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205464229 | Cameron Holicki | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center 2115 Leiter Road, Miamisburg, OH 45342 | 2020-03-27 |
| 1699315663 | Heather Ann Garrett | Behavior Technician | 9260 Marketplace Drive, Miamisburg, OH 45342 | 2020-01-08 |
| 1770046443 | Makayla Rottet | Occupational Therapist | 10500 Innovation Way #320, Miamisburg, OH 45342 | 2019-04-10 |
| 1932662780 | David Chi | Student in an Organized Health Care Education/Training Program | 2115 Leiter Road, Miamisburg, OH 45342 | 2019-04-09 |
| 1508339557 | John R Striebel Dds Inc | Dentist | 9200 Marketplace Drive, Miamisburg, OH 45342 | 2019-01-02 |
| 1801382320 | Laura Maag | Nurse Practitioner | 415 Byers Rd Ste 300, Miamisburg, OH 45342 | 2018-07-09 |
| 1659862761 | Orion Sports Medicine LLC | Physical Therapist | 2042 Byers Rd, Miamisburg, OH 45342 | 2018-05-24 |
| 1982101879 | Avneek Singh Sandhu | Student in an Organized Health Care Education/Training Program | Sycamore Primary Care Center, 2115 Leiter Road, Miamisburg, OH 45342 | 2018-04-09 |
| 1700386125 | Daniel Hendricks | Nurse Practitioner | 4000 Miamisburg Centerville Rd Ste 405, Miamisburg, OH 45342 | 2018-02-13 |
| 1639692015 | Delsean Porter | Behavior Technician | 2750 Technical Dr, Miamisburg, OH 45342 | 2017-07-18 |
| Find all providers in zip 45342 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184615411 | Randy A Sansone | Psychiatry & Neurology | 2115 Leiter Rd, Miamisburg, OH 45342-3659 | 2005-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669882890 | Nimisha Paul Thuluvath | Psychiatry & Neurology | 601 S Edwin Moses Blvd, Dayton, OH 45417-3424 | 2014-04-28 |
| 1467896142 | Erin Campbell Fulchiero | Psychiatry & Neurology | 551 East Washington St., Chagrin Falls, OH 44022 | 2013-04-24 |
| 1578820452 | Sree Latha Krishna Jadapalle | Psychiatry & Neurology | 11395 Cheyenne Trail, Apt 101, Parma Heights, OH 44130 | 2012-04-18 |
| 1801180401 | Brio Neurobehavioral Consultants | Psychiatry & Neurology | 3567 Reserve Commons Dr, Suite 125, Medina, OH 44256-5323 | 2011-06-01 |
| 1477861862 | Stacy A Solheim | Psychiatry & Neurology | Wright Patterson Medical Center - 88 Mdos/sgow, 4881 Sugar Maple Ave, Wpafb, OH 45433-5529 | 2010-09-20 |
| 1841506763 | Jackosky Health Inc | Psychiatry & Neurology | 30400 Detroit Rd Ste 404, Westlake, OH 44145-1855 | 2010-08-30 |
| 1467768531 | Jillian Alexis Shellabarger | Psychiatry & Neurology | 1522 E Us Highway 36, Urbana, OH 43078-9738 | 2010-08-26 |
| 1538321062 | Deborah Amann | Psychiatry & Neurology | 9403 Kenwood Rd Ste B120, Blue Ash, OH 45242-6884 | 2008-06-26 |
| 1154597839 | Aditi M Sheth | Psychiatry & Neurology | 2720 Sweetwater Dr, Brecksville, OH 44141-4101 | 2008-05-02 |
| 1699970608 | Family & Youth Institute | Psychiatry & Neurology | 14 Sandalwood Drive, Newark, OH 43055 | 2007-06-19 |
| Find all providers with the same taxonomy | ||||
| City | MIAMISBURG |
| Zip Code | 45342 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.