HOPEBRIDGE, LLC (NPI# 1932611399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932611399 |
| Entity Type | Organization |
| Organization Name | HOPEBRIDGE, LLC |
| Practice Address |
703 State Route 28 Milford OH 45150-5021 |
| Mailing Address |
3500 Depauw Blvd Ste 3070 Indianapolis IN 46268-6135 |
| Practice Telephone | 8553240885 |
| Enumeration Date | 2017-10-25 |
| 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 | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 235Z00000X | Speech-Language Pathologist | Speech, Language and Hearing 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 | ||
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | 0265697 | 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 |
703 STATE ROUTE 28 |
| City | MILFORD |
| State | OH |
| Zip Code | 45150-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386725455 | Rebecca C Rastetter | Pediatrics | 703 State Route 28, Suite B, Milford, OH 45150-5021 | 2006-10-17 |
| 1235736331 | Carling Daniels | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-10-02 |
| 1518574904 | Shelby Lynn Sheehan | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-09-29 |
| 1487269098 | Lyndsey Marie Borders | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-09-10 |
| 1215542816 | Kaihlan Julia Williams | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-09-10 |
| 1760097364 | Madison Julia Sheckler | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-09-10 |
| 1962013417 | Hannah Claire Thornsburg | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-08-10 |
| 1699385765 | Grace Ann Runyon | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-08-04 |
| 1285244376 | Karly Rae Adams | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-08-04 |
| 1033729108 | Ellen Marie Hurst | Behavior Technician | 703 State Route 28, Milford, OH 45150-5021 | 2020-08-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281899 | Emily Nicole Albacarys | Speech-Language Pathologist | 1099 Oh-131, Milford, OH 45150 | 2020-10-02 |
| 1306403118 | Baymark Health Services of Ohio | Clinic/Center | 749c State Route 28, Milford, OH 45150 | 2019-05-28 |
| 1881188878 | Lena M Todd | Counselor | 950 Lila Ave, Milford, OH 45150 | 2018-06-21 |
| 1457879678 | Kiley Buchanan | Specialist/Technologist | 1280 Eagle Ridge Road, Milford, OH 45150 | 2017-09-07 |
| 1144746488 | Amy Jo Pruitt | Speech-Language Pathologist | 7247 Zoar Road, Maineville, OH 45150 | 2017-08-18 |
| 1669911285 | Derek Jordan | Counselor | 25 Whitney Drive, Suite 122, Milford, OH 45150 | 2017-02-15 |
| 1073057998 | Tina Chioua | Home Health Aide | 1189 Mellie Ln, Milford, OH 45150 | 2016-12-12 |
| 1902258015 | Megan Fisher | Optometrist | 1064 State Route 26 Suite B, Milford, OH 45150 | 2016-07-13 |
| 1669826509 | Justin Kyle Short | Counselor | 50 West Techne Dr. Suite B-5, Milford, OH 45150 | 2016-04-18 |
| 1659794592 | Soodabeh Zia-ebrahmi | Pharmacist | 1082 Sr 28, Meijer Pharmacy, Milford, OH 45150 | 2014-01-29 |
| Find all providers in zip 45150 | ||||
| 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 |
|---|---|---|---|---|
| 1093752651 | John B. Levine | Psychiatry & Neurology | 14 Prospect Street, Milford, MA 01757-3003 | 2006-06-01 |
| 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.