Provider Type Icon

HOPEBRIDGE LLC NPI 1932607496


NPI Information

NPI: 1932607496
Provider Name: HOPEBRIDGE, LLC
Classification: Psychiatry & Neurology - 2084P0804X
Entity Type: Organization

Specialization: Child & Adolescent Psychiatry

Address:
1300 E NEW CIRCLE RD STE 150
LEXINGTON, KY
ZIP 40505
Phone: (855) 324-0885
Get Directions

HOPEBRIDGE, LLC is a child and adolescent psychiatry psychiatry neurology in Lexington, 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 1932607496. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1300 E NEW CIRCLE RD STE 150
LEXINGTON, KY
ZIP 40505-001
Phone: (855) 324-0885
Fax: (765) 450-6664

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 1/30/2018 and was last updated on 5/9/2018.


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
1103T00000XPsychologistNo
2103TC0700XPsychologistClinicalNo
3103TH0100XPsychologistHealth ServiceNo
42084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryYes
5103K00000XBehavior AnalystNo
6106E00000XAssistant Behavior AnalystNo
7106S00000XBehavior TechnicianNo

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
17100473020MEDICAIDKENTUCKY

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.