Greenbrook TMS Durham LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS DURHAM LLC

Practice address

1638 Memorial Dr
Burlington, NC 27215-3518

Phone

(855) 910-4867

NPI assigned

Jan 10, 2018

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

Locations

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

{
    "created_epoch": "1515542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642377600000",
    "number": "1356859490",
    "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": "M4W3P4"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 MEMORIAL DR",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153518",
            "telephone_number": "855-910-4867"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Walden Ridge Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288038586",
            "country_code": "US",
            "telephone_number": "416-915-9100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Gateway Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Clayton",
            "state": "NC",
            "postal_code": "275202278",
            "country_code": "US",
            "telephone_number": "416-915-9100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENBROOK TMS DURHAM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-10",
        "last_updated": "2022-01-17",
        "certification_date": "2022-01-17",
        "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": []
}

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• Clinic/Center in Burlington, NC
• Providers in Burlington, NC by specialty
• Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2022; 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.