HOPEBRIDGE, LLC (NPI# 1396259495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396259495 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Practice Address |
5215 Commerce Crossings Dr Louisville KY 40229-2183 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 5022517002 |
| Practice Fax Number | 7654506664 |
| Mailing Telephone | 8553240885 |
| Mailing Fax Number | 7654506664 |
| Enumeration Date | 2017-11-28 |
| 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 | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100493250 | 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 |
5215 COMMERCE CROSSINGS DR |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40229-2183 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336587781 | Chelsey Taylor Georgoulis | Behavioral Analyst | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2013-06-07 |
| 1588261598 | Faith Noel White | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-02 |
| 1588261523 | Andrew Dominick Golden | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-02 |
| 1023615259 | Stephanie Maria Bolin | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-01 |
| 1477150605 | Brittany Michelle Reid | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-10-01 |
| 1215544481 | Kylie Rae Dombrosky | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-30 |
| 1508471103 | Isabelle Makayla Perricone | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-10 |
| 1124633045 | Brittany Lee Ansell | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-09-09 |
| 1366051674 | Samantha Lynn Sayers | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-07-23 |
| 1497371587 | Roni Danyel Pollard | Behavior Technician | 5215 Commerce Crossings Dr, Louisville, KY 40229-2183 | 2020-06-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104341171 | Brandy Wells | Family Medicine | 11612 Top Walnut Loop, Louisville, KY 40229 | 2017-08-10 |
| 1649472655 | Janice K Jones | Physical Therapy Assistant | 5111 Commerce Crossing Suite 100, Louisville, KY 40229 | 2007-06-01 |
| 1528102183 | R Douglas Edwards Jr. | Dentist | 3807 Freedom Way, Louisville, KY 40229 | 2007-02-16 |
| 1407833940 | Robert D Bretz | Radiology | 879 Old Preston Highway North, Louisville, KY 40229 | 2005-12-27 |
| 1992219174 | Noelle Allison Lang | Anesthesiology | 11901 Standiford Plaza Dr, Louisville, KY 40229 | 2017-11-26 |
| 1134664949 | Jessica Ann Mattingly | Nurse Practitioner | 170 Dr Arla Way, Louisville, KY 40229 | 2017-01-03 |
| 1356727929 | Meredith Kyle-alvey Luckett | Physical Therapist | 170 Dr Arla Way, Louisville, KY 40229 | 2015-08-06 |
| 1861688459 | Meijer Great Lakes Limited Partnership | Durable Medical Equipment & Medical Supplies | 9500 Preston Hwy, Louisville, KY 40229-1166 | 2007-09-18 |
| 1063835296 | Brittany Ward | Pharmacist | 9500 Preston Hwy, Louisville, KY 40229-1199 | 2014-01-23 |
| 1861640914 | Welcome Home Healthcare Solutions, LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 10113 Glen Rose Ct, Louisville, KY 40229-1246 | 2008-09-03 |
| Find all providers in zip 40229 | ||||
| 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 |
|---|---|---|---|---|
| 1356736896 | Tymberly Seim | Psychiatry & Neurology | 200 E Chestnut St Ste 200, Louisville, KY 40202-1847 | 2015-04-01 |
| 1285037713 | Courtney Brown Snyder | Psychiatry & Neurology | 5223 Indian Woods Dr, Louisville, KY 40207-2078 | 2014-09-29 |
| 1629416854 | Ball Consulting, Inc | Psychiatry & Neurology | 732 Greenridge Ln, Louisville, KY 40207-1331 | 2013-06-10 |
| 1487859757 | Marcy Cooper | Psychiatry & Neurology | 1314 Main St Unit 204, Louisville, CO 80027-1586 | 2007-06-18 |
| 1154458776 | Christine Beate Lieber Adams | Psychiatry & Neurology | 1430 Sylvan Way, Louisville, KY 40205-2484 | 2007-02-28 |
| 1851432199 | Julia M. Robertson | Psychiatry & Neurology | 3 River Hill Rd, Louisville, KY 40207-1191 | 2007-02-09 |
| 1124046552 | Elvira Drljevic Md Psc | Psychiatry & Neurology | 3814 Stone River Ct, Louisville, KY 40299-6543 | 2006-07-17 |
| 1861426991 | Elizabeth Caudill | Psychiatry & Neurology | 3717 Taylorsville Rd, Louisville, KY 40220-1333 | 2006-07-11 |
| 1881635076 | Timothy D. Peters | Psychiatry & Neurology | 714 Lyndon Ln Ste 6, Louisville, KY 40222-4643 | 2006-06-09 |
| 1003890666 | Alphonso Nichols IIi | Psychiatry & Neurology | 3121 Brooklawn Campus Dr, Louisville, KY 40218-1282 | 2005-12-06 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40229 |
Please comment or provide details below to improve the information on HOPEBRIDGE, LLC.
| 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.