Halcyon Place LLC

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

Legal business name

HALCYON PLACE LLC

Practice address

4125 Tartan PL
Tampa, FL 33624-5411

Phone

(813) 210-4098

NPI assigned

Jan 13, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Lisa Moss

Title

Owner

Phone

(813) 210-4098

Specialties & licenses 1

Addresses

Other names 1

• Halcyon Place LLC Doing business as

Locations

Practitioners 1

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

• Michael, W Newton

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Tampa, FL
  • NPI 1821830183
  NPD

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

{
    "created_epoch": "1610496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610496000000",
    "number": "1194314245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BESSIE COLEMAN BLVD UNIT 20254",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336229012",
            "telephone_number": "813-210-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4125 TARTAN PL",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336245411",
            "telephone_number": "813-210-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-13",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A",
        "authorized_official_last_name": "MOSS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-210-4098",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Halcyon Place LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monica Hajirawala, M.D.
• Sheryl Marie Hakala, M.D.
• Ardeshir Hakam, MD
• Elizabeth Haksar, LCSW
• David Halajko, M.D.
• Devjit Halder, M.D
• Elsa Ulfers Hale, M.D.
• Emily Hale, DPT
• Kathryn Hale, APRN-C
• Melissa Ethel Hale, PT

• Developmental Disabilities Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Developmental Disabilities Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2021; 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.