Origin Trauma and Addiction Treatment PLLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

ORIGIN TRAUMA AND ADDICTION TREATMENT PLLC

Practice address

958 Collett Ave Ste 322
Bowling Green, KY 42101-2309

Phone

(615) 745-9058

NPI assigned

Jun 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Christian Cord Schrader, M.D.NPI 1598962946

Title

Owner

Phone

(214) 679-7017

Specialties & licenses 1

Addresses

Other names 1

• Origin Trauma and Addiction Treatment Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christian Cord Schrader, MD

  • Psychiatry Physician
  • Bowling Green, KY
  • NPI 1598962946
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735862400000",
    "number": "1407697972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 NASHVILLE RD STE 310",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421014101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 COLLETT AVE STE 322",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421012309",
            "telephone_number": "615-745-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORIGIN TRAUMA AND ADDICTION TREATMENT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-01-03",
        "certification_date": "2025-01-03",
        "status": "A",
        "authorized_official_last_name": "SCHRADER",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_middle_name": "CORD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "214-679-7017",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Origin Trauma and Addiction Treatment",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Origin Trauma and Addiction Treatment",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Todd Brian Oller, CRNA
• Courtenay L Olney Sr., DMD
• Lynn D Olson, M.D.
• Onyx Regent Health & Wellness, LLC
• Op Orthodontics of Kentucky PLLC
• Paige Orlando, BHS
• Gabriel Jose Orozco, MD
• Ortho Sport & Spine Bowling Green
• Orthobgllc
• Constance Osborne, CASE MANAGER

• Psychiatry Physician in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Psychiatry Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.