NPIMap

Organization Active NPI

Greenbrook TMS Fredericksburg, LLC

  • Psychiatry Physician
  • Fredericksburg, VA
National Provider Identifier
1154847671
Registry record updated Aug 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GREENBROOK TMS FREDERICKSBURG, LLC
Practice address
10304 Spotsylvania Ave Ste 106
Fredericksburg, VA 22408-8602
Phone
(855) 998-4867
NPI assigned
Aug 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2017

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

Authorized official

Name
Bryce Neumann
Title
Regional Manager
Phone
(855) 998-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X Primary

Addresses

Primary practice location

10304 Spotsylvania Ave Ste 106
Fredericksburg, VA 22408-8602

Mailing address

8405 Greensboro Dr Ste 126
MC Lean, VA 22102-5106
Phone (855) 333-4867

National Provider Directory

National Provider Directory

Locations

8405 Greensboro Dr
Ste 126
Mc Lean, VA 22102

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502841600000",
    "number": "1154847671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR STE 126",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025106",
            "telephone_number": "855-333-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10304 SPOTSYLVANIA AVE STE 106",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088602",
            "telephone_number": "855-998-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS FREDERICKSBURG, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-16",
        "last_updated": "2017-08-16",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-998-4867"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; 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.