| Greenbrook Tms | |
|
3705 Medical Pkwy Ste 450 Austin TX 78705-1024 | |
| (416) 915-9100 | |
| Not Available |
| Full Name | Greenbrook Tms |
|---|---|
| Speciality | Clinic/Center |
| Location | 3705 Medical Pkwy Ste 450, Austin, Texas |
| Authorized Official Name and Position | William Leonard (PRESIDENT) |
| Authorized Official Contact | 4169159100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenbrook Tms 890 Yonge Street 7th Floor Toronto ONTARIO M4W 3-P4 Ph: () - | Greenbrook Tms 3705 Medical Pkwy Ste 450 Austin TX 78705-1024 Ph: (416) 915-9100 |
| NPI Number | 1154892230 |
|---|---|
| Provider Enumeration Date | 12/16/2018 |
| Last Update Date | 03/19/2024 |
| Certification Date | 03/19/2024 |
| Medicare PECOS PAC ID | 7810227600 |
|---|---|
| Medicare Enrollment ID | O20190920000951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154892230 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Scott R Elkin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265433080 PECOS PAC ID: 6103839923 Enrollment ID: I20060721000218 |
| Provider Name | Aida R Coffey |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1811069917 PECOS PAC ID: 7517014079 Enrollment ID: I20090421000071 |
| Provider Name | Aqeel Hashmi |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083900955 PECOS PAC ID: 9830369545 Enrollment ID: I20110906000655 |
| Provider Name | Huiping Xu |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1932138575 PECOS PAC ID: 6204084783 Enrollment ID: I20120907000717 |
| Provider Name | Olayinka M Ayeni |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1467645283 PECOS PAC ID: 9830250836 Enrollment ID: I20121210000026 |
| Provider Name | Leroy Arenivar |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568617355 PECOS PAC ID: 4284877994 Enrollment ID: I20130828000602 |
| Provider Name | Zuraima Caldera |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235457425 PECOS PAC ID: 5698084234 Enrollment ID: I20151021001112 |
| Provider Name | Nadia Mcfarlane |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1619175239 PECOS PAC ID: 3577714435 Enrollment ID: I20160930000498 |
| Provider Name | Riley Brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1811439334 PECOS PAC ID: 7719261163 Enrollment ID: I20170302000240 |
| Provider Name | Mohammad J Javed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1497195481 PECOS PAC ID: 2769792746 Enrollment ID: I20180925001177 |
| Provider Name | Komi Afangnon Kokou-abi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1558910810 PECOS PAC ID: 4486985967 Enrollment ID: I20191015000477 |
| Provider Name | Mary Kathleen Bolles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124037957 PECOS PAC ID: 5496088114 Enrollment ID: I20210621000908 |
| Provider Name | Kimberly Kay Cress |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093841538 PECOS PAC ID: 1355505199 Enrollment ID: I20210920002288 |
| Provider Name | Abraham Medaris |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033422480 PECOS PAC ID: 3375769797 Enrollment ID: I20221116001131 |
| Provider Name | Matthew Charles |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770913089 PECOS PAC ID: 4486884129 Enrollment ID: I20221207001713 |
| Provider Name | Udoka Chukwuocha |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831748672 PECOS PAC ID: 1052760568 Enrollment ID: I20231209000051 |
| Provider Name | Cecil Lynn Roberts |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1134516032 PECOS PAC ID: 8426407958 Enrollment ID: I20231210000029 |
| Provider Name | Holly Arnold Kerby |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1942956370 PECOS PAC ID: 7911348594 Enrollment ID: I20240514001663 |
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