Organization Active NPI

Greenbrook TMS Easton LLC

  • Clinic/Center
  • Easton, MD
National Provider Identifier
1417463522
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENBROOK TMS EASTON LLC
Practice address
218 N Washington St Ste Candd
Easton, MD 21601-3145
Phone
(855) 755-4867
Fax
(855) 250-4867
NPI assigned
Dec 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Egan Sarah Pratt, RN
Title
Regional Manager
Phone
(855) 755-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

218 N Washington St Ste Candd
Easton, MD 21601-3145

Mailing address

8405 Greensboro Dr Ste 530
MC Lean, VA 22102-5104
Phone (855) 711-4867

National Provider Directory

National Provider Directory

Locations

218 N Washington St
Easton, MD 21601
Phone (855) 755-4867

218 N Washington St
Ste 50
Easton, MD 21601
Phone (410) 690-3357

8405 Greensboro Dr
Ste 530
McLean, VA 22102

NPI Registry JSON

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

{
    "created_epoch": "1514332800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1514332800000",
    "number": "1417463522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR STE 530",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025104",
            "telephone_number": "855-711-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "218 N WASHINGTON ST STE CANDD",
            "city": "EASTON",
            "state": "MD",
            "postal_code": "216013145",
            "telephone_number": "855-755-4867",
            "fax_number": "855-250-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS EASTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-27",
        "last_updated": "2017-12-27",
        "status": "A",
        "authorized_official_last_name": "PRATT",
        "authorized_official_first_name": "EGAN",
        "authorized_official_middle_name": "SARAH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-755-4867",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Easton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 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.