NPIMap

Organization Active NPI

Greenbrook TMS Winston-Salem LLC

  • Clinic/Center
  • Winston Salem, NC
National Provider Identifier
1659879104
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
GREENBROOK TMS WINSTON-SALEM LLC
Practice address
380 Knollwood St Ste 330
Winston Salem, NC 27103-1868
Phone
(336) 778-3989
NPI assigned
Jan 30, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Authorized official

Name
Nicole Lowry
Title
Regional Manager
Phone
(410) 259-8193

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

380 Knollwood St Ste 330
Winston Salem, NC 27103-1868

Mailing address

380 Knollwood St Ste 330
Winston Salem, NC 27103-1868

National Provider Directory

National Provider Directory

Locations

380 Knollwood St
Ste 330
Winston Salem, NC 27103
Phone (336) 778-3989

Practitioners & affiliated clinicians

Practitioners 44

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 44

NPI Registry JSON

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

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517270400000",
    "number": "1659879104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 KNOLLWOOD ST STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 KNOLLWOOD ST STE 330",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031868",
            "telephone_number": "336-778-3989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS WINSTON-SALEM LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A",
        "authorized_official_last_name": "LOWRY",
        "authorized_official_first_name": "NICOLE",
        "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": []
}

Other providers in Winston Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 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.