Organization Active NPI

Greenbrook TMS Hunt Valley LLC

  • Clinic/Center
  • Hunt Valley, MD
National Provider Identifier
1295258770
Registry record updated Jul 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENBROOK TMS HUNT VALLEY LLC
Practice address
200 International Cir Ste 1300
Hunt Valley, MD 21030-1355
Phone
(855) 755-4867
NPI assigned
Jul 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2017

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

Authorized official

Name
Ms. Egan S Pratt
Title
Regional Manager
Phone
(855) 755-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

200 International Cir Ste 1300
Hunt Valley, MD 21030-1355

Mailing address

900 Bestgate Rd Ste 102
Annapolis, MD 21401-3066
Phone (855) 755-4867

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1500249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1500249600000",
    "number": "1295258770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BESTGATE RD STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214013066",
            "telephone_number": "855-755-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 INTERNATIONAL CIR STE 1300",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210301355",
            "telephone_number": "855-755-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS HUNT VALLEY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-17",
        "last_updated": "2017-07-17",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "EGAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-755-4867",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.