HOPEBRIDGE, LLC (NPI# 1497279814) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497279814 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Practice Address |
7264 Columbia Rd Ste 700 Mason OH 45039-8086 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Practice Fax Number | 7654506664 |
| Mailing Telephone | 3173768336 |
| Mailing Fax Number | 3174494835 |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2018-05-09 |
| Authorized Official Name | DENNIS MAY (CEO) |
| Authorized Official Telephone | 3177943211 |
| 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 | 103TH0100X |
Psychologist Specialization: Health Service |
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 | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0265655 | 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 |
| 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 |
| 1053872291 | Hopebridge, LLC | Behavioral Analyst | 126 Pavilion Pkwy, Fayetteville, GA 30214-4056 | 2019-03-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Hopebridge, LLC | 3500 Depauw Blvd., Suite 3070, Indianapolis, IN 46268 |
| Street Address |
7264 COLUMBIA RD STE 700 |
| City | MASON |
| State | OH |
| Zip Code | 45039-8086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194341784 | Jill Johnson | Pharmacist | 2966 Pine Grove Ln., Address Line 2, Maineville, OH 45039 | 2020-06-19 |
| 1508495094 | Improved Life Home Care LLC | Home Health | 2575 W. Us. Rt 22 - 3, Maineville, OH 45039 | 2020-04-06 |
| 1306470133 | Alyssa M Mattson | Pharmacist | 2900 W Sr 22&3, Maineville, OH 45039 | 2020-03-02 |
| 1801384060 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Dentist | 45 E Us Route 22, Maineville, OH 45039 | 2018-04-24 |
| 1760979058 | Dream Family Dental - Shin Young Yang, Dmd, LLC | Clinic/Center | 45 E Us Route 22 & 3, Maineville, OH 45039 | 2018-04-23 |
| 1689172165 | Tammy Lynn Morneau | Behavioral Analyst | 7264 Columbia Rd Ste 1000, Mason, OH 45039 | 2018-01-30 |
| 1205351269 | Kimberly Hensley | Speech-Language Pathologist | 7247 Zoar Rd., Maineville, OH 45039 | 2017-08-10 |
| 1265953715 | Leslie Erin Ealy | Registered Nurse | 233 Bannock Dr, Maineville, OH 45039 | 2017-07-05 |
| 1760929103 | Mortenson Family Dental Center - Maineville LLC | Dentist | 6028 South State Road 48, Maineville, OH 45039 | 2017-01-24 |
| 1013379494 | Suzzanne Helphinstine | Physical Therapist | 7952 Acorn Trail, Maineville, OH 45039 | 2016-03-24 |
| Find all providers in zip 45039 | ||||
| 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 |
|---|---|---|---|---|
| 1659562965 | Jennifer Lynn Shoenfelt | Psychiatry & Neurology | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2007-08-05 |
| 1902982515 | Suzanne Sumida | Psychiatry & Neurology | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2006-10-27 |
| 1154432649 | Tracy Suzanne Cummings | Psychiatry & Neurology | 4075 Old Western Row Rd, Mason, OH 45040-3104 | 2006-08-31 |
| 1942318290 | Charles Stephen Edwards | Psychiatry & Neurology | 4075 Old Western Row Rd, Lindner Center of Hope, Mason, OH 45040-3104 | 2006-08-28 |
| 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 | ||||
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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.