Greenbrook TMS Fairfax LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS FAIRFAX LLC

Practice address

8405 Greensboro Dr Ste 120
MC Lean, VA 22102-5106

Phone

(703) 356-1568

NPI assigned

Feb 7, 2017

Organization subpart

No

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

Authorized official

Name

Kelli Cefalu

Title

Regional Manager

Phone

(703) 356-1568

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1486425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486425600000",
    "number": "1336687664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3930 PENDER DRIVE",
            "address_2": "SUITE 240",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220300986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025106",
            "telephone_number": "703-356-1568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS FAIRFAX LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-07",
        "last_updated": "2017-02-07",
        "status": "A",
        "authorized_official_last_name": "CEFALU",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "703-356-1568"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eldesia Labren Granger, MD
• Jinous Granmayeh, RPH
• Merkeza Grant, D.O.
• Kamillah Devonne Gray
• Daniel Richard Green, PHARMD
• Christina Greenwood, PT, DPT, ATC
• Michael Rodney Gregory, C PED
• Luanne Griffin, LPC
• Jolanta Griffiths, DMD
• Justin Meade Griggs

• Clinic/Center in McLean, VA
• Providers in McLean, VA by specialty
• Clinic/Center in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 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.