Active NPI
Greenbrook TMS Charlotte LLC
- Clinic/Center
- Charlotte, NC
National Provider Identifier
1104303635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.