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HOPEBRIDGE LLC NPI 1821511692


NPI Information

NPI: 1821511692
Provider Name: HOPEBRIDGE, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
2427 RUSSELLVILLE RD
BOWLING GREEN, KY
ZIP 42101
Phone: (270) 936-7472
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HOPEBRIDGE, LLC is a child and adolescent psychiatry psychiatry neurology in Bowling Green, 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 1821511692. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2427 RUSSELLVILLE RD
BOWLING GREEN, KY
ZIP 42101-980
Phone: (270) 936-7472
Fax: (765) 450-6664

The provider's authorized official is Dennis May .
The authorized official title is Ceo and has the following contact phone number (317) 794-3211.

The enumeration date for this NPI number is 7/24/2017 and was last updated on 6/24/2021.


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
4103TH0100XPsychologistHealth ServiceNo
5106E00000XAssistant Behavior AnalystNo
6106S00000XBehavior TechnicianNo
72084P0804XPsychiatry & 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
17100468830MEDICAIDKENTUCKY

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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