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HOPEBRIDGE LLC NPI 1396259495


NPI Information

NPI: 1396259495
Provider Name: HOPEBRIDGE, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
175 MARKET PLACE DR STE A
LOUISVILLE, KY
ZIP 40229
Phone: (502) 251-7002
Get Directions

HOPEBRIDGE, LLC is a child and adolescent psychiatry psychiatry neurology in Louisville, KY. The provider is 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. HOPEBRIDGE, LLC NPI is 1396259495. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

175 MARKET PLACE DR STE A
LOUISVILLE, KY
ZIP 40229-471
Phone: (502) 251-7002
Fax: (317) 520-8200

The provider's authorized official is Angie Graff .
The authorized official title is Insurance & Credentialing Manager and has the following contact phone number (317) 376-8336.

The enumeration date for this NPI number is 11/28/2017 and was last updated on 2/24/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103K00000XBehavior AnalystNo
2103T00000XPsychologistNo
3103TC0700XPsychologistClinicalNo
4106E00000XAssistant Behavior AnalystNo
5106S00000XBehavior TechnicianNo
62084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100493250MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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