Organization Active NPI

Halcyon Therapeutics PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Troy, MI
National Provider Identifier
1902586035
Registry record updated Jul 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
HALCYON THERAPEUTICS PLLC
Practice address
200 E Big Beaver Rd Ste 116
Troy, MI 48083-1208
Phone
(248) 457-4511
Fax
(248) 294-1221
NPI assigned
Jul 24, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2023

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

Authorized official

Name
Dr. Alyssa Bottrell, MD, PHDNPI 1285167353
Title
Physician
Phone
(248) 770-3651

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
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

200 E Big Beaver Rd Ste 116
Troy, MI 48083-1208

Mailing address

200 E Big Beaver Rd Ste 116
Troy, MI 48083-1208
Phone (248) 457-4511

National Provider Directory

National Provider Directory

Locations

200 E Big Beaver Rd
Ste 116
Troy, MI 48083
Phone (248) 457-4511

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690156800000",
    "number": "1902586035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E BIG BEAVER RD STE 116",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831208",
            "telephone_number": "248-457-4511",
            "fax_number": "248-294-1221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E BIG BEAVER RD STE 116",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831208",
            "telephone_number": "248-457-4511",
            "fax_number": "248-294-1221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON THERAPEUTICS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-07-24",
        "certification_date": "2023-07-24",
        "status": "A",
        "authorized_official_last_name": "BOTTRELL",
        "authorized_official_first_name": "ALYSSA",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "248-770-3651",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD, PHD"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2023; 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.