DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: HOPEBRIDGE LLC

MEDICARE: HOPEBRIDGE LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior Analyst
2103T00000XPsychologist
3103TC0700XClinical Psychologist
4103TH0100XHealth Service Psychologist
5106E00000XAssistant Behavior Analyst
6106S00000XBehavior Technician
7225100000XPhysical Therapist
8225X00000XOccupational Therapist
9235Z00000XSpeech-Language Pathologist
102084P0804XChild & Adolescent Psychiatry Physician

General Provider Information

NPI Number : 1437712395
Entity Type Code : Organization
Provider Name (Legal Business Name) : HOPEBRIDGE LLC
Provider Business Mailing Address
First Line : 3500 DEPAUW BLVD STE 3070
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46268-6135
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 5859 W TALAVI BLVD STE 180
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-1873
Country : US
Telephone Number : 855-324-0885
Fax Number :
Authorized Official
Title or Position : INSURANCE & CREDENTIALING MANAGER
Name : ANGIE GRAFF
Credential :
Telephone Number : 317-376-8336
Provider Enumeration Date : 04/17/2019
Last Update Date : 04/17/2019

Similar Medicare Providers

1134369614 — MS. REBECCA JOY TIPPITT MS, CCC-SLP
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200
1558591172 — DR. LAURA MARIE WENDLANDT PH.D.
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200
1760855696 — LIA VIOLET BECKTOLD M.ED., BCBA
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200
1588105134 — NICOLE ELIZABETH GUDENAU M. A., BCBA, LBA
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200
1295234474 — CHRISTA JEAN LEON MA, BCBA
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200
1134695034 — JESSICA RENE MATUS MA, BCBA, LBA
Practice Location Address:
5859 W TALAVI BLVD STE 180
GLENDALE, AZ
85306-1873
Practice Phone: 602-560-2836
Practice Fax: 317-520-8200

Directions to “HOPEBRIDGE LLC ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.