NPIMap

Organization Active NPI

Halcyon Wellness Center, LLC

  • Community/Behavioral Health Agency
  • Millersville, MD
National Provider Identifier
1699181099
Registry record updated Dec 5, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HALCYON WELLNESS CENTER, LLC
Practice address
8229 Cloverleaf Drive
Suite 425
Millersville, MD 21108-2639
Phone
(541) 554-9777
Fax
(410) 987-0576
NPI assigned
Jul 7, 2014
Last updated
Dec 5, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2016

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

Authorized official

Name
Dr. Duane Michael Isava, PH.D.NPI 1699948059
Title
Executive Director
Phone
(541) 554-9777

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

8229 Cloverleaf Drive
Suite 425
Millersville, MD 21108-2639

Mailing address

8229 Cloverleaf Drive
Suite 425
Millersville, MD 21108-2639
Phone (541) 554-9777

National Provider Directory

National Provider Directory

Locations

8229 Cloverleaf Dr
Ste 425
Millersville, MD 21108
Phone (443) 617-8862

Practitioners & affiliated clinicians

Practitioners 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1404691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480896000000",
    "number": "1699181099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8229 CLOVERLEAF DRIVE",
            "address_2": "SUITE 425",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "541-554-9777",
            "fax_number": "410-987-0576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8229 CLOVERLEAF DRIVE",
            "address_2": "SUITE 425",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "211082639",
            "telephone_number": "541-554-9777",
            "fax_number": "410-987-0576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON WELLNESS CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-07",
        "last_updated": "2016-12-05",
        "status": "A",
        "authorized_official_last_name": "ISAVA",
        "authorized_official_first_name": "DUANE",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "541-554-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 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.