Greenbrook TMS North Raleigh LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS NORTH RALEIGH LLC

Practice address

701 Exposition PL Ste 201
Raleigh, NC 27615-3359

Phone

(855) 910-4867

Fax

(855) 920-4867

NPI assigned

Oct 28, 2016

Organization subpart

No

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

Authorized official

Name

Nicole E Lowry

Title

Regional Manager

Phone

(410) 259-8193

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1477612800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1586995200000",
    "number": "1619429388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR",
            "address_2": "SUITE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025104",
            "telephone_number": "855-910-4867",
            "fax_number": "855-920-4867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 EXPOSITION PL STE 201",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153359",
            "telephone_number": "855-910-4867",
            "fax_number": "855-920-4867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS NORTH RALEIGH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-28",
        "last_updated": "2020-04-16",
        "certification_date": "2020-04-16",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "410-259-8193"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lavita Crutcher Green, MSSW, LCSW
• Mitzi Green, COTA/L
• Stella Louise Green, LCAS
• Terranda Green
• Greenbrook TMS Cary LLC
• Beth H Greene, MSW, LCSWA
• Brooke L Greene, SLP
• Donna Carole Greene
• Emily Ellen Greene, MSN NNP-BC
• Garland Greene Jr.

• Clinic/Center in Raleigh, NC
• Providers in Raleigh, 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 Apr 16, 2020; 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.