Hopebridge LLC
NPI 1134703101 · Child & Adolescent Psychiatry Physician · Phoenix, AZ
Provider details
- NPI number
- 1134703101
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Hopebridge LLC
- Organization subpart
- Yes
- Authorized official
- Angie Graff, Credentialing & Contracting Manager(317) 376-8336
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
- Psychologist103T00000X
Behavioral Health & Social Service Providers
- Clinical Psychologist103TC0700X
Behavioral Health & Social Service Providers
- Health Service Psychologist103TH0100X
Behavioral Health & Social Service Providers
- Assistant Behavior Analyst106E00000X
Behavioral Health & Social Service Providers
- Behavior Technician106S00000X
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-05-06
- Last updated
- 2021-05-06
- Certified
- 2021-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.