Greenbrook TMS Suffolk LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

GREENBROOK TMS SUFFOLK LLC

Practice address

1530 Breezeport Way Ste 100
Suffolk, VA 23435-3753

Phone

(855) 998-4867

NPI assigned

Sep 24, 2017

Organization subpart

No

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

Addresses

Locations

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

{
    "created_epoch": "1506211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1506211200000",
    "number": "1215446190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1530 BREEZEPORT WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353753",
            "telephone_number": "855-998-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1530 BREEZEPORT WAY STE 100",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234353753",
            "telephone_number": "855-998-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS SUFFOLK LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-24",
        "last_updated": "2017-09-24",
        "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": []
}

• Greater Visions Community Support Services, LLC.
• Dallis. Louis Green, M.D.
• Kenya Green, RBT
• Kimberley B Green, MS, CCC-SLP
• Kitisha Green
• Kelly Greenholtz
• Caitlin Greer, AU.D
• Douglas Blair Gregory, MD
• Tad Edward Grenga, MD
• Jillian Rose Grenier, ORT/L

• Psychiatry Physician in Suffolk, VA
• Providers in Suffolk, VA by specialty
• Psychiatry Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.