Greenbrook TMS Greensboro LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

GREENBROOK TMS GREENSBORO LLC

Practice address

1931 New Garden Rd Ste 108
Greensboro, NC 27410

Phone

(336) 808-0986

Fax

(336) 790-4213

NPI assigned

Aug 2, 2017

Organization subpart

No

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 2

Addresses

Locations

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1942724729",
    "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": "1931 NEW GARDEN RD STE 108",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27410",
            "telephone_number": "336-808-0986",
            "fax_number": "336-790-4213"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "603 Dolley Madison Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274104282",
            "country_code": "US",
            "telephone_number": "336-808-0986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GREENBROOK TMS GREENSBORO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-10-15",
        "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": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tia Antoinette Green
• Tiffany Green
• Tracy Green, HEALTHCARE
• Khalid Tsalani Greenaway
• Brent Geoffrey Greenberg, M.D.
• Ashley Nicole Greene, HIS
• Chauncey Emil Greene, LCSWA LICENSED CLINI
• Emily M Greene, RD, LDN
• Jeffrey Greene, MD
• Jennifer A Greene, LCSW

• Clinic/Center in Greensboro, NC
• Providers in Greensboro, 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 Oct 15, 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.