Organization Active NPI

Greenbrook TMS Charlotte LLC

  • Clinic/Center
  • Charlotte, NC
National Provider Identifier
1104303635
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENBROOK TMS CHARLOTTE LLC
Practice address
1515 Mockingbird LN Ste 340
Charlotte, NC 28209-3298
Phone
(855) 910-4867
NPI assigned
Jul 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Nicole Lowry
Title
Regional Manager
Phone
(855) 910-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1515 Mockingbird LN Ste 340
Charlotte, NC 28209-3298

Mailing address

8405 Greensboro Dr Ste 120
MC Lean, VA 22102-5106

Other practice location 1

8029 Corporate Center Dr Ste 200
Charlotte, NC 28226-4548
Phone (416) 915-9100

Other practice location 2

10735 David Taylor Dr Ste 140
Charlotte, NC 28262-1288
Phone (416) 915-9100

National Provider Directory

National Provider Directory

Locations

8029 Corporate Center Dr
Ste 200
Charlotte, NC 28226
Phone (704) 543-7574

NPI Registry JSON

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

{
    "created_epoch": "1532649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1104303635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 MOCKINGBIRD LN STE 340",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282093298",
            "telephone_number": "855-910-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8029 Corporate Center Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282264548",
            "country_code": "US",
            "telephone_number": "416-915-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10735 David Taylor Dr Ste 140",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282621288",
            "country_code": "US",
            "telephone_number": "416-915-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENBROOK TMS CHARLOTTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-27",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-910-4867"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2019; 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.