Organization Active NPI

Greenbrook TMS Austin Central LLC

  • Clinic/Center
  • Austin, TX
National Provider Identifier
1649748476
Registry record updated Nov 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENBROOK TMS AUSTIN CENTRAL LLC
Practice address
3705 Medical Pkwy Ste 450
Austin, TX 78705-1024
Phone
(512) 377-9781
Fax
(737) 204-0165
NPI assigned
Nov 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2018

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

Authorized official

Name
Lauren Elizabeth Null
Title
Regional Manager
Phone
(855) 940-4867

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

3705 Medical Pkwy Ste 450
Austin, TX 78705-1024

Mailing address

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

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541721600000",
    "number": "1649748476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 GREENSBORO DR STE 120",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221025106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3705 MEDICAL PKWY STE 450",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787051024",
            "telephone_number": "512-377-9781",
            "fax_number": "737-204-0165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS AUSTIN CENTRAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-09",
        "last_updated": "2018-11-09",
        "status": "A",
        "authorized_official_last_name": "NULL",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "855-940-4867"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2018; 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.