HOPEBRIDGE LLC NPI 1598349615

Psychiatry & Neurology (Child & Adolescent Psychiatry) in Conyers, GA

NPI 1598349615 Organization Psychiatry & Neurology Child & Adolescent Psychiatry

About HOPEBRIDGE LLC

Hopebridge Llc is a provider established in Conyers, Georgia specializing in psychiatry & neurology (child & adolescent psychiatry) . The NPI number of Hopebridge Llc is 1598349615 and was assigned on May 2021. The practitioner's primary taxonomy code is 2084P0804X. The provider is registered as an organization and their NPI record was last updated May 2021. Hopebridge Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Angie Graff (Contracting & Credentialing Manager)

NPI

1598349615

Provider NameHOPEBRIDGE LLC
Provider Location Address2415 WALL ST SE CONYERS, GA 30013
Provider Mailing Address3500 DEPAUW BLVD STE 3070 INDIANAPOLIS, IN 46268
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?Yes
Enumeration Date05-06-2021
Last Update Date05-06-2021


Primary Taxonomy

Taxonomy Code2084P0804X
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationChild & Adolescent Psychiatry
Taxonomy DescriptionChild & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Business Address

HOPEBRIDGE LLC
2415 WALL ST SE
CONYERS, GA
ZIP 30013
Phone: (855) 234-0885

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Mailing Address

HOPEBRIDGE LLC
3500 DEPAUW BLVD STE 3070
INDIANAPOLIS, IN
ZIP 46268
Phone:



Authorized Official

Authorized Official Name ANGIE GRAFF
Authorized Official TitleCONTRACTING & CREDENTIALING MANAGER
Authorized Official Phone(317) 376-8336

Group Taxonomy


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

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystNo

Taxonomy Description: a behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

2103T00000XBehavioral Health & Social Service ProvidersPsychologistNo

Taxonomy Description: a psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.

3103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalNo

Taxonomy Description: a psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

4103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth ServiceNo

Taxonomy Description: a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

5106E00000XBehavioral Health & Social Service ProvidersAssistant Behavior AnalystNo

Taxonomy Description: an assistant behavior analyst is qualified by Behavior Analyst Certification Board certification and/or a state-issued license or credential in behavior analysis to practice under the supervision of an appropriately credentialed professional behavior analyst. An assistant behavior analyst delivers services consistent with the dimensions of applied behavior analysis and supervision requirements defined in state laws or regulations and/or national certification standards. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing behavior-analytic treatment plans, training and supervising others in implementation of components of treatment plans, and direct implementation of treatment plans.

6106S00000XBehavioral Health & Social Service ProvidersBehavior TechnicianNo

Taxonomy Description: the behavior technician is a paraprofessional who practices under the close, ongoing supervision of a behavior analyst or assistant behavior analyst certified by the Behavior Analyst Certification Board and/or credentialed by a state (such as through licensure). The behavior technician is primarily responsible for the implementation of components of behavior-analytic treatment plans developed by the supervisor. That may include collecting data on treatment targets and conducting certain types of behavioral assessments (e.g., stimulus preference assessments). The behavior technician does not design treatment or assessment plans or procedures but provides services as assigned by the supervisor responsible for his or her work.

7225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNo

Taxonomy Description: an occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

8235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistNo

Taxonomy Description: the speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Other Providers at the same location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811930506MR. DONALD SHOWALTER PT, CHT
Individual
Physical Therapist (Hand)2415 WALL ST SE STE A
CONYERS, GA 30013
(770) 388-9249
1184640997 SARVESWAR I NAIDU MD
Individual
Orthopaedic Surgery2415 WALL ST SE SUITE B
CONYERS, GA 30013
(770) 760-0234
1003002767THOMAS J MCELLIGOTT MD PC
Organization
Orthopaedic Surgery2415 WALL ST SE SUITE B
CONYERS, GA 30013
(770) 760-0234
1437429933THERAPY CENTER NORTH INC
Organization
Physical Therapist2415 WALL ST SE STE A
CONYERS, GA 30013
(770) 388-9249

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.