Active NPI
Hopebridge LLC
- Child & Adolescent Psychiatry Physician
- Norman, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- HOPEBRIDGE LLC
- Practice address
- 2240 36TH Ave NW
Norman, OK 73072-3251 - Phone
- (855) 324-0885
- NPI assigned
- Dec 15, 2021
- Organization subpart
- Yes
- Parent organization
- HOPEBRIDGE LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angie Graff
- Title
- Contracting & Credentialing Manager
- Phone
- (317) 376-8336
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 103K00000X | |||
| Psychologist | 103T00000X | |||
| Clinical Psychologist | 103TC0700X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary | ||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
2240 36TH Ave NW
Norman, OK 73072-3251
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Phone (855) 324-0885
National Provider Directory
National Provider Directory- Tax ID family
- Hopebridge LLC
- Part of
- Hopebridge LLC
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Child & Adolescent Psychiatry Physician
- Moore, OK
- NPI 1447906821
-
- Child & Adolescent Psychiatry Physician
- Edmond, OK
- NPI 1649939794
-
- Child & Adolescent Psychiatry Physician
- Moore, OK
- NPI 1659039956
-
- Child & Adolescent Psychiatry Physician
- Edmond, OK
- NPI 1962155374
Locations
2427 Russellville Rd
Bowling Green, KY 42101
Phone (270) 930-7472
2240 36th Ave NW
Norman, OK 73072
Phone (405) 253-0071
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Child & Adolescent Psychiatry Physician
- Moore, OK
- NPI 1659039956
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Behavior Analyst
- Norman, OK
- NPI 1417579814
-
- Behavior Analyst
- Milford, OH
- NPI 1851922058
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1639526400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1639526400000",
"number": "1346909496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3500 DEPAUW BLVD STE 3070",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462686135",
"telephone_number": "855-324-0885"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 36TH AVE NW",
"city": "NORMAN",
"state": "OK",
"postal_code": "730723251",
"telephone_number": "855-324-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEBRIDGE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOPEBRIDGE LLC",
"enumeration_date": "2021-12-15",
"last_updated": "2021-12-15",
"certification_date": "2021-12-15",
"status": "A",
"authorized_official_last_name": "GRAFF",
"authorized_official_first_name": "ANGIE",
"authorized_official_title_or_position": "CONTRACTING & CREDENTIALING MANAGER",
"authorized_official_telephone_number": "317-376-8336"
},
"taxonomies": [
{
"code": "103K00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "106E00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Assistant Behavior Analyst",
"state": null,
"license": null,
"primary": false
},
{
"code": "106S00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Norman, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.