Organization Active NPI

Greenbrook TMS Midlothian LLC

  • Psychiatry Physician
  • Midlothian, VA
National Provider Identifier
1932659976
Registry record updated Oct 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
Legal business name
GREENBROOK TMS MIDLOTHIAN LLC
Practice address
2820 Waterford Lake Dr
Suite 201
Midlothian, VA 23112-3994
Phone
(804) 419-5780
Fax
(804) 419-5781
NPI assigned
Oct 13, 2016
Last updated
Oct 13, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2016

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

Authorized official

Name
Bryce Neumann
Title
Regional Manager
Phone
(434) 242-3278

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X VA Primary

Addresses

Primary practice location

2820 Waterford Lake Dr
Suite 201
Midlothian, VA 23112-3994

Mailing address

2820 Waterford Lake Dr
Suite 201
Midlothian, VA 23112-3994
Phone (804) 419-5780

National Provider Directory

National Provider Directory

Locations

2820 Waterford Lake Dr
Ste 201
Midlothian, VA 23112
Phone (804) 419-5780

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476316800000",
    "number": "1932659976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 WATERFORD LAKE DR",
            "address_2": "SUITE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123994",
            "telephone_number": "804-419-5780",
            "fax_number": "804-419-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 WATERFORD LAKE DR",
            "address_2": "SUITE 201",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231123994",
            "telephone_number": "804-419-5780",
            "fax_number": "804-419-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENBROOK TMS MIDLOTHIAN LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-13",
        "last_updated": "2016-10-13",
        "status": "A",
        "authorized_official_last_name": "NEUMANN",
        "authorized_official_first_name": "BRYCE",
        "authorized_official_title_or_position": "REGIONAL MANAGER",
        "authorized_official_telephone_number": "434-242-3278"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2016; 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.