HOPEBRIDGE LLC (NPI# 1730727645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730727645 |
Entity Type | Organization |
Organization Name | HOPEBRIDGE LLC |
Practice Address |
1550 E Mckellips Rd Ste 101 Mesa AZ 85203-2753 |
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 |
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 |
1740825462 | Hopebridge LLC | Behavioral Analyst | 8310 S Valley Hwy Ofc 3028, Englewood, CO 80112-5812 | 2019-11-18 |
Street Address |
1550 E MCKELLIPS RD STE 101 |
City | MESA |
State | AZ |
Zip Code | 85203-2753 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073147195 | Armada Group-az, LLC | Residential Treatment Facility, Physical Disabilities | 1612 E. Knoll Circle, Mesa, AZ 85203 | 2020-02-27 |
1598251142 | Jonathan Harris | Physician Assistant | 220 N Stapley Dr Ste B, Mesa, AZ 85203 | 2018-07-06 |
1316437502 | Arizona's Children Association | Clinic/Center | 1345 E Main St Ste 104, Mesa, AZ 85203 | 2018-05-14 |
1922506856 | Hernimarc Durable Medical Equipment | Durable Medical Equipment & Medical Supplies | 1350 E Mckellips Rd Ste 3, Mesa, AZ 85203 | 2018-01-25 |
1912411638 | Charles Rudy Wermuth | Surgery | Charles R. Mermuth M.d., 2615 N Barkley, Mesa, AZ 85203 | 2017-11-17 |
1841714631 | J. Susanne Davis | Chiropractor | 62 N. Stapley Drive, Mesa, AZ 85203 | 2017-08-02 |
1699295329 | Preferred Homecare Infusion LLC | Home Health | 1134 E University Dr Ste 110, Mesa, AZ 85203 | 2017-06-23 |
1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
1962951632 | Julia A. Gunthner | Counselor | 1528 E. Gary St., Mesa, AZ 85203 | 2016-09-23 |
1689121105 | Justine Muntz | Occupational Therapy Assistant | 1304 E. Harvest, Mesa, AZ 85203 | 2016-09-01 |
Find all providers in zip 85203 |
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 |
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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.