HOPEBRIDGE LLC (NPI# 1457999369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457999369 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE LLC |
| Practice Address |
4121 E Valley Auto Dr Mesa AZ 85206-4631 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Enumeration Date | 2019-12-11 |
| Last Update Date | 2019-12-11 |
| Authorized Official Name | ANGIE GRAFF (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972131977 | Hopebridge LLC | Behavioral Analyst | 1272 Virgil Langford Road, Suite 101, Watkinsville, GA 30677 | 2020-03-27 |
| 1982231239 | Hopebridge LLC | Behavioral Analyst | 1865 W 121st Ave Ste 150c, Westminster, CO 80234-2326 | 2020-03-26 |
| 1083241335 | Hopebridge LLC | Behavioral Analyst | 3351 Eastbrook Dr Ste 101, Fort Collins, CO 80525-5744 | 2020-03-26 |
| 1558994376 | Hopebridge LLC | Psychologist | 1 Inverness Dr E Ste 101, Englewood, CO 80112-5519 | 2020-02-20 |
| 1770116949 | Hopebridge LLC | Behavioral Analyst | 945 N Academy Blvd, Colorado Springs, CO 80909-8310 | 2020-02-17 |
| 1417580689 | Hopebridge LLC | Behavioral Analyst | 6501 W Colfax Ave Ste 6555, Lakewood, CO 80214-1803 | 2020-02-17 |
| 1891327193 | Hopebridge LLC | Behavioral Analyst | 18737 E Hampden Ave, Aurora, CO 80013-3557 | 2020-02-05 |
| 1730727645 | Hopebridge LLC | Behavioral Analyst | 1550 E Mckellips Rd Ste 101, Mesa, AZ 85203-2753 | 2019-12-11 |
| 1013553379 | Hopebridge LLC | Behavior Technician | 2147 Newnan Crossing Boulevard East, Newnan, GA 30265 | 2019-11-21 |
| 1396380010 | Hopebridge LLC | Behavioral Analyst | 8915 S Harl Ave, Tempe, AZ 85284-1030 | 2019-11-18 |
| Street Address |
4121 E VALLEY AUTO DR |
| City | MESA |
| State | AZ |
| Zip Code | 85206-4631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275591109 | Michael D Crismon | Chiropractor | 4121 E Valley Auto Dr, 110, Mesa, AZ 85206-4631 | 2006-05-02 |
| 1114389459 | Ellsworth Foot and Ankle Pllc | Podiatrist | 4121 E Valley Auto Dr, #110, Mesa, AZ 85206-4631 | 2016-03-25 |
| 1801205331 | Advanced Family Healthcare Pllc | Family Medicine | 4121 E Valley Auto Dr, Suite # 110, Mesa, AZ 85206-4631 | 2014-08-08 |
| 1063751196 | Lisa J Daughters | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2013-02-08 |
| 1528355708 | David T Ellsworth | Podiatrist | 4121 E Valley Auto Dr, Ste 110, Mesa, AZ 85206-4632 | 2011-07-07 |
| 1467639302 | Circle of Life Counseling, Pllc | Social Worker | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2008-01-23 |
| 1184845380 | Cathyann M Hersom | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2007-05-02 |
| 1922020858 | Advanced Spine and Rehab PC | Chiropractor | 4121 E Valley Auto Dr, # 110, Mesa, AZ 85206-4631 | 2006-07-23 |
| 1912943903 | Northlight Counseling Associates Inc | Counselor | 4121 E Valley Auto Dr, Suite 122, Mesa, AZ 85206-4631 | 2006-06-20 |
| 1831134550 | Blue Streak Investments LLC | Chiropractor | 4121 E Valley Auto Dr, Suite 110, Mesa, AZ 85206-4631 | 2006-06-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720693062 | Inner Balance Counseling LLC | Counselor | 4111 E Auto Valley Drive, Suite 101, Mesa, AZ 85206 | 2020-09-14 |
| 1356978969 | Choices 4 Change Counseling and Coaching LLC | Social Worker | 3707 E Southern Ave., Suite 2027, Mesa, AZ 85206 | 2020-03-24 |
| 1023651288 | Jason Mcclure | Hearing Instrument Specialist | 5540 E Broadway Rd., Mesa, AZ 85206 | 2019-10-21 |
| 1255995361 | Vhs of Phoenix Inc | General Acute Care Hospital | 5750 E. Baseline Rd., Mesa, AZ 85206 | 2019-04-24 |
| 1932682184 | Adam Fishel Frose | Psychologist | 4555 E Inverness Ave Ste 112, Mesa, AZ 85206 | 2018-09-13 |
| 1376024737 | Robyn Kathleen Hall | Psychologist | 4115 East Valley Auto Drive, Suite 208, Mesa, AZ 85206 | 2018-08-23 |
| 1790264984 | Perspective Health, LLC | Clinic/Center | 1959 S. Power Rd, Suite 103, #206, Mesa, AZ 85206 | 2018-08-09 |
| 1033605159 | Rebecca Ann Maro | Nurse Practitioner | 6750 E Baywood Ave Ste 502, Mesa, AZ 85206 | 2018-07-02 |
| 1982195624 | Spark Performance and Physiotherapy | Clinic/Center | 6056 East Basline Road, Suite 147, Mesa, AZ 85206 | 2018-05-29 |
| 1336645993 | Ashley Wright | Audiologist-Hearing Aid Fitter | 1423 S Higley Rd Ste 119, Mesa, AZ 85206 | 2018-04-03 |
| Find all providers in zip 85206 | ||||
| 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 |
|---|---|---|---|---|
| 1972894111 | Claire M Sollars | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2011-04-21 |
| 1366769093 | Shivana Devi Naidoo | Psychiatry & Neurology | 840 E Mckellips Rd, Suite 110, Mesa, AZ 85203-9645 | 2010-04-20 |
| 1437482544 | District Medical Group, Inc | Psychiatry & Neurology | 570 W Brown Rd, Administration, Mesa, AZ 85201-3227 | 2009-09-09 |
| 1467471011 | Evan Duffy | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-07-18 |
| 1982622072 | Erum Ali | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-07-17 |
| 1710911979 | Sukanya Chandra Sharma | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-07-11 |
| 1063445088 | Joanna Kowalik | Psychiatry & Neurology | 570 W Brown Rd, Desert Vita Behavioral Center, Mesa, AZ 85201-3227 | 2006-07-10 |
| 1528006756 | Lisa A. Cobourn | Psychiatry & Neurology | 570 W Brown Rd, Mesa, AZ 85201-3227 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881257970 | Wellpsyche Scottsdale PC | Psychiatry & Neurology | 7150 E Camelback Rd Ste 422, Scottsdale, AZ 85251-1200 | 2019-04-15 |
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1083099170 | Lois G Mclean | Psychiatry & Neurology | 77 Old Highway 188, Unit 130, Tonto Basin, AZ 85553-9996 | 2015-07-30 |
| 1780070805 | Carolyn Powers Wiersma | Psychiatry & Neurology | Us Highway 191 & Hospital Road, Chinle, AZ 86503 | 2015-04-15 |
| 1598164675 | Focus Therapeutics, LLC | Psychiatry & Neurology | 6835 East Camelback Road, Suite B13, Scottsdale, AZ 85251 | 2014-08-14 |
| 1700164399 | Ricardo Angelo Manganaro | Psychiatry & Neurology | 5801 S Rural Rd, Tempe, AZ 85283-2901 | 2011-07-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1306016258 | Andrew T. Haber | Psychiatry & Neurology | 5930 E Stella Ln, Paradise Valley, AZ 85253-4276 | 2008-03-06 |
| 1619164829 | Alfredo C. Ramirez, Md Pllc | Psychiatry & Neurology | 8684 E Semple Street, Tucson, AZ 85747 | 2007-10-02 |
| 1174749535 | John I. Maurer | Psychiatry & Neurology | Po Drawer Ph, Chinle, AZ 86503 | 2007-04-17 |
| Find all providers with the same taxonomy | ||||
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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.