Active NPI
Hopebridge LLC
- Community/Behavioral Health Agency
- Chapel Hill, NC
National Provider Identifier
1720736911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- HOPEBRIDGE LLC
- Practice address
- 50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257 - Phone
- (855) 324-0885
- NPI assigned
- Mar 16, 2022
- 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 | |||
| Health Service Psychologist | 103TH0100X | |||
| Assistant Behavior Analyst | 106E00000X | |||
| Behavior Technician | 106S00000X | |||
| Child & Adolescent Psychiatry Physician | 2084P0804X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
50101 Governors Dr Ste 170
Chapel Hill, NC 27517-9257
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
National Provider Directory
National Provider Directory- Tax ID family
- Hopebridge LLC
- Part of
- Hopebridge LLC
Organizations with this tax ID in the same state 3
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Community/Behavioral Health Agency
- Asheville, NC
- NPI 1073261251
-
- Community/Behavioral Health Agency
- Apex, NC
- NPI 1417605825
-
- Community/Behavioral Health Agency
- Gastonia, NC
- NPI 1649910837
Locations
50101 Governors Dr
Ste 170
Chapel Hill, NC 27517
Phone (919) 449-7713
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1647388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1647388800000",
"number": "1720736911",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50101 GOVERNORS DR STE 170",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275179257",
"telephone_number": "855-324-0885"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOPEBRIDGE LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HOPEBRIDGE LLC",
"enumeration_date": "2022-03-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"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": "103TH0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychologist, Health Service",
"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": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.