ORIGIN TRAUMA AND ADDICTION TREATMENT
NPI 1407697972
Psychiatry & Neurology - Psychiatry in Bowling Green, KY

Active since June 06, 2024
958 COLLETT AVE STE 322, BOWLING GREEN, KY 42101(615) 745-9058 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 3, 2025, Jun 6, 2024 (2 updates tracked since 2024).

About Origin Trauma And Addiction Treatment NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ORIGIN TRAUMA AND ADDICTION TREATMENT (NPI 1407697972) is a healthcare organization registered as a psychiatry in Bowling Green, Kentucky and active in the NPI registry since June 2024. The organization lists Christian Cord Schrader, Owner, as its authorized official.

NPPES Registry Identity

NPI1407697972
Entity TypeOrganization
Primary Taxonomy2084P0800X
Legal Business NameORIGIN TRAUMA AND ADDICTION TREATMENT PLLC
Location Address958 COLLETT AVE STE 322Bowling Green, KY 42101-2309
Mailing Address2413 Nashville Rd Ste 310Bowling Green, KY 42101-4101
Organization SubpartNo
Authorized OfficialChristian Cord SchraderOwner · (214) 679-7017
Enumeration DateJune 6, 2024
Last NPPES UpdateJanuary 3, 20252 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2025
NPI 1407697972 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
958 COLLETT AVE STE 322, Bowling Green, KY 42101

Other Names 1

Doing Business AsOrigin Trauma And Addiction Treatment

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychiatry & Neurology (Psychiatry)
958 COLLETT AVE STE 322
BOWLING GREEN, KY 42101

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Origin Trauma And Addiction Treatment PLLC's NPI number?

The NPI number for Origin Trauma And Addiction Treatment PLLC is 1407697972. It was assigned to this organization in the NPPES registry on June 6, 2024. The provider is doing business as Origin Trauma And Addiction Treatment.

Where is Origin Trauma And Addiction Treatment PLLC located?

Origin Trauma And Addiction Treatment PLLC is located at 958 Collett Ave Ste 322, Bowling Green, KY 42101. The listed phone number is (615) 745-9058.

What is Origin Trauma And Addiction Treatment PLLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Origin Trauma And Addiction Treatment PLLC was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.