Greenbrook TMS Clearwater LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS CLEARWATER LLC

Practice address

2963 Gulf to Bay Blvd Ste 250
Clearwater, FL 33759-4255

Phone

(416) 915-9100

NPI assigned

Jan 2, 2019

Last updated

Jan 2, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

William Leonard

Title

President

Phone

(416) 915-9100

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jacob Marion Poole, MD

  • Psychiatry Physician
  • West Palm Beach, FL
  • NPI 1619498763
  NPD (past)

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

{
    "created_epoch": "1546387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1546387200000",
    "number": "1255804290",
    "addresses": [
        {
            "country_code": "CA",
            "country_name": "Canada",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "890 YONGE STREET",
            "address_2": "7TH FLOOR",
            "city": "TORONTO",
            "state": "ON",
            "postal_code": "M4W 3P4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2963 GULF TO BAY BLVD STE 250",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337594255",
            "telephone_number": "416-915-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS CLEARWATER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-02",
        "last_updated": "2019-01-02",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "416-915-9100"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph F Greco, PH.D., P.A./C
• Jamie Grede
• Angela-Theresa C Green, APRN
• Jan Denise Green, APRN
• Zachary Robert Green
• Dawn Greene-Putulin, ARNP
• Scott Michael Greene, MD
• Tara Greene, P.T.
• Julian B. Greengold, M.D.
• Greg M Silver MD PA

• Clinic/Center in Clearwater, FL
• Providers in Clearwater, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.