OrganizationActive
Hopebridge LLC
NPI 1730727645 · Child & Adolescent Psychiatry Physician · Mesa, AZ
Provider details
- NPI number
- 1730727645
- Entity type
- Organization
- Primary specialty
- Child & Adolescent Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Hopebridge LLC
- Organization subpart
- Yes
- Authorized official
- Angie Graff, Credentialing 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
Practice location
6550 E Broadway Rd Ste 110
Mesa, AZ 85206-1734
Phone: (806) 720-7724
Fax: (317) 520-8200
Approximate (ZIP-level) locationGet directions
Mailing address
3500 Depauw Blvd Ste 3070
Indianapolis, IN 46268-6135
Registry dates
- Enumerated
- 2019-12-11
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.