HOPEBRIDGE LLC (NPI# 1528620077) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528620077 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE LLC |
| Practice Address |
3602 E Greenway Rd Ste 102 Phoenix AZ 85032-4648 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |
| 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 | ||
| N | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | 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 |
| 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 |
3602 E GREENWAY RD STE 102 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032-4648 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154578938 | Lynda Kristen Vaterlaus | Psychologist | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2008-08-22 |
| 1033716246 | Dulciena Qiana Sensesak | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-10-01 |
| 1982211272 | Samantha Lauren Panzica | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-09-30 |
| 1134736523 | Emily Nichole Collet | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-09-29 |
| 1629682950 | Mackenzie Vanessa Soto | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-09-03 |
| 1518571843 | Oscar Emmanuel Fierro | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-09-03 |
| 1073125266 | Brittney Renee Garland | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-08-19 |
| 1750993044 | Evelyn Edith Mendez | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-08-19 |
| 1144832361 | Shara Lauren Higdon | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-08-19 |
| 1760093728 | Natalie England Van Dyke | Behavior Technician | 3602 E Greenway Rd Ste 102, Phoenix, AZ 85032-4648 | 2020-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| 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 |
|---|---|---|---|---|
| 1699296574 | Sandra M Zebrowski | Psychiatry & Neurology | 4350 E Cotton Center Blvd Ste 100, Suite 100, Phoenix, AZ 85040-8852 | 2017-06-30 |
| 1780979740 | Roberto I. Bracamonte, M.d., P.C. | Psychiatry & Neurology | 3550 E Pinchot Ave, Building B, Phoenix, AZ 85018-7434 | 2011-06-17 |
| 1417032178 | Leslie Kay Kaminski | Psychiatry & Neurology | 4001 N 3rd St, 150, Phoenix, AZ 85012-2060 | 2006-10-25 |
| 1003912692 | Derrick S. Hines M.d. P.C. | Psychiatry & Neurology | 8208 S 18th Pl, Phoenix, AZ 85042-6837 | 2006-09-15 |
| 1376587816 | Edwin A. Perez | Psychiatry & Neurology | 3739 E. Maffeo Rd., Phoenix, AZ 85050-8342 | 2006-06-15 |
| 1639148950 | Eric Benjamin | Psychiatry & Neurology | 3807 N 7th St, Phoenix, AZ 85014-5005 | 2006-03-17 |
| 1154740314 | Sanjay Bankim Kaji | Psychiatry & Neurology | 4545 E Chandler Blvd Ste 308, Phoenix, AZ 85048-7646 | 2014-04-15 |
| 1003175217 | Tiffany Best | Psychiatry & Neurology | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2012-05-08 |
| 1770866527 | Chiranjir Narine | Psychiatry & Neurology | 2601 E Roosevelt St, Phoenix, AZ 85008-4973 | 2011-09-27 |
| 1588973945 | Derrick S Hines | Psychiatry & Neurology | 15648 N 35th Ave, Phoenix, AZ 85053-3861 | 2010-10-04 |
| Find all providers in PHOENIX | ||||
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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.