GREENBROOK TMS FAIRFAX LLC (NPI# 1336687664) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336687664 |
| Entity Type | Organization |
| Organization Name | GREENBROOK TMS FAIRFAX LLC |
| Practice Address |
8405 Greensboro Dr Ste 120 Mc Lean VA 22102-5106 |
| Mailing Address |
3930 Pender Drive Suite 240 Fairfax VA 22030-0986 |
| Practice Telephone | 7033561568 |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2017-02-07 |
| Authorized Official Name | KELLI CEFALU (REGIONAL MANAGER) |
| Authorized Official Telephone | 7033561568 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Greenbrook TMS Fairfax LLC | 3930 Pender Drive, Suite 240, Fairfax, Virginia 22030 |
| Street Address |
8405 GREENSBORO DR STE 120 |
| City | MC LEAN |
| State | VA |
| Zip Code | 22102-5106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245638709 | Tms Neurohealth Centers, Reston, LLC | Clinic/Center | 8405 Greensboro Dr Ste 120, Mc Lean, VA 22102-5106 | 2014-12-16 |
| 1366005183 | Arman C. Moshyedi, Md, Pllc | Clinic/Center | 8405 Greensboro Dr Ste 120, Mc Lean, VA 22102-5106 | 2019-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134686249 | Partnerships In Care Corporation | In Home Supportive Care | 8200 Greensboro Drive, Mclean, VA 22102 | 2019-02-25 |
| 1124597919 | Choi Ying Hoo | Massage Therapist | 8347a Greensboro Dr, Yulli Therapeutic Healing Center, Tysons Corner Mclean, VA 22102 | 2018-11-21 |
| 1063998086 | Golden Angel Care LLC | In Home Supportive Care | 1765 Greensboro Station Pl Ste 900, Mc Lean, VA 22102 | 2018-07-12 |
| 1699278291 | Chukwudi Luke Onwuka | Behavior Technician | 1651 Old Meadow Road Suite 600, Mclean, VA 22102 | 2018-03-10 |
| 1861901969 | Behavior Health Inc | Psychiatry & Neurology | 8000 Westpark Drive, Suite 140, Mclean, VA 22102 | 2017-09-21 |
| 1487013504 | Sharon Simon | Nurse Practitioner | 1430 Spring Hill Rd Ste 103, Mc Lean, VA 22102 | 2016-02-17 |
| 1699130336 | Somatus, Inc. | Case Management | 1861 International Drive Suite 600, Mclean, VA 22102 | 2015-12-23 |
| 1225388580 | Victoria A Bacsardi | Social Worker | 8008 Westpark Dr Ste 315, Mc Lean, VA 22102 | 2012-09-14 |
| 1962757336 | Ramiro Wladimir Lizano Santamaria | Pediatrics | Children's Heart Institute, P. O Box 10066, Mclean, VA 22102 | 2012-07-20 |
| 1538302047 | Crystal St. Clair | Anesthesiology | 8008 Westpark Dr., Mclean, VA 22102 | 2009-04-14 |
| Find all providers in zip 22102 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942750864 | Tripps Court Associates | Clinic/Center | 1884 Virginia Ave, Mc Lean, VA 22101-4934 | 2016-10-04 |
| 1487101440 | Anita N. Wasan Md Plc | Clinic/Center | 8115 Old Dominion Dr, Ste 220, Mc Lean, VA 22102-2325 | 2016-09-07 |
| 1316333909 | Tms Neurohealth Centers, Glen Burnie, LLC | Clinic/Center | 8405 Greensboro Dr, Suite 120, Mc Lean, VA 22102-5104 | 2015-04-09 |
| 1245638709 | Tms Neurohealth Centers, Reston, LLC | Clinic/Center | 8405 Greensboro Dr Ste 120, Mc Lean, VA 22102-5106 | 2014-12-16 |
| 1548820780 | Mystreethealth Limited Liability Company | Clinic/Center | 8200 Greensboro Dr, Mc Lean, VA 22102-3892 | 2019-06-19 |
| 1366005183 | Arman C. Moshyedi, Md, Pllc | Clinic/Center | 8405 Greensboro Dr Ste 120, Mc Lean, VA 22102-5106 | 2019-04-17 |
| 1609180256 | Fuad Issa Md Pllc | Clinic/Center | 6842 Elm St Ste 103, Mc Lean, VA 22101-3844 | 2010-08-05 |
| 1346439148 | Ramalingeswara R. Nimmagadda | Clinic/Center | 1515 Chain Bridge Rd, Suite 212, Mc Lean, VA 22101-4451 | 2007-10-17 |
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|---|---|---|---|---|
| 1225635972 | Richmond Traveler Taxi | Clinic/Center | 9808 Woodman Rd, Henrico, VA 23228-1339 | 2020-10-06 |
| 1265046700 | Guan Yuan Pllc | Clinic/Center | 7008 Catlett St, Springfield, VA 22151-3901 | 2020-09-02 |
| 1831711902 | Charlottesville Hyperbarics Corp | Clinic/Center | 925-a E Jefferson St, Charlottesville, VA 22902-5573 | 2020-05-12 |
| 1417579889 | Health Bridge, LLC | Clinic/Center | 4198 Cox Rd Ste 102, Glen Allen, VA 23060-3328 | 2020-05-08 |
| 1851924088 | First Light Clinic LLC | Clinic/Center | 706 Campbell Ave Sw, Roanoke, VA 24016-3534 | 2020-02-17 |
| 1912537440 | B's Integrated Clinic, Pllc | Clinic/Center | 501 Rison St Ste 100, Danville, VA 24541-2426 | 2020-01-23 |
| 1770122723 | Colonial Beach Health & Wellness Inc | Clinic/Center | 700 Mckinney Blvd Ste 1100, Colonial Beach, VA 22443-1934 | 2019-12-21 |
| 1104461896 | Lung Specialists of Tidewater Pllc | Clinic/Center | 224 Avonlea Pointe, Chesapeake, VA 23322-4279 | 2019-11-17 |
| 1053952846 | Mediluxe | Clinic/Center | 19349 Diamond Lake Dr, Leesburg, VA 20176-6596 | 2019-10-02 |
| 1720639503 | Javan Wellness Ballston LLC | Clinic/Center | 4000 Wilson Blvd Ste D, Arlington, VA 22203-4401 | 2019-09-24 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.