Greenbrook TMS Newark, LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS NEWARK, LLC

Practice address

121 Becks Woods Dr Ste 202
Bear, DE 19701-3852

Phone

(855) 755-4867

NPI assigned

Jun 5, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Egan Pratt, RN

Title

Regional Manager

Phone

(301) 801-1472

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1528156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528156800000",
    "number": "1013409176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BESTGATE RD STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013066",
            "telephone_number": "301-801-1472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 BECKS WOODS DR STE 202",
            "city": "BEAR",
            "state": "DE",
            "postal_code": "197013852",
            "telephone_number": "855-755-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS NEWARK, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-05",
        "last_updated": "2018-06-05",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "EGAN",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "301-801-1472",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gordon, PHARMD
• Caleb Grafton
• Anita Grantson
• Mary B Graybeal, PTA
• Alchemy Green, LCSW
• Melissa A Greer, LPN
• Jacob E Grobelny, PHARM D
• Angelica Gross
• Sarah Grove, FNP-C
• Pooja Gupta

• Clinic/Center in Bear, DE
• Providers in Bear, DE by specialty
• Clinic/Center in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.