HALCYON CLINICAL SERVICES, LLC (NPI# 1194385138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194385138 |
| Entity Type | Organization |
| Organization Name | HALCYON CLINICAL SERVICES, LLC |
| Practice Address |
10630 Little Patuxent Pkwy Columbia MD 21044 |
| Mailing Address |
6304 Woodside Ct Ste 110g Columbia MD 21046-3217 |
| Practice Telephone | 4108554631 |
| Mailing Telephone | 4108554631 |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. ORLANDO WRIGHT (CEO) |
| Authorized Official Telephone | 4108554631 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821495391 | Halcyon Clinical Services, LLC | Counselor | 75 Charter Oak Ave, Hartford, CT 06106-1903 | 2014-11-29 |
| 1821594482 | Halcyon Clinical Services, LLC | Counselor | 6304 Woodside Ct Ste 110g, Columbia, MD 21046 | 2018-04-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HALCYON CLINICAL SERVICES, LLC | 20 Arrowbrook Rd, Windsor, CT 06095 |
| Street Address |
10630 LITTLE PATUXENT PKWY |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912909730 | Mark David Donovan | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-3264 | 2005-08-11 |
| 1902369168 | Nana A Mensah | Nurse Practitioner | 10630 Little Patuxent Pkwy, Columbia, MD 21044 | 2019-04-12 |
| 1285103846 | Valeree Tolios | Counselor | 10630 Little Patuxent Pkwy, Columbia, MD 21044-3264 | 2018-11-13 |
| 1376075754 | Elaine Irene Johnson | Psychologist | 10630 Little Patuxent Pkwy, Suites 209 and 209a, Columbia, MD 21044-3264 | 2017-04-03 |
| 1477094233 | Ashley Obrecht Harig | Counselor | 10630 Little Patuxent Pkwy, Suites 209 and 209a, Columbia, MD 21044-3264 | 2017-03-13 |
| 1437694106 | Maria B Adamos | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044 | 2017-01-04 |
| 1972046654 | Deana Albert | Social Worker | 10630 Little Patuxent Pkwy, Suite 313, Columbia, MD 21044-6216 | 2016-11-29 |
| 1184176422 | Laura Bass | Counselor | 10630 Little Patuxent Pkwy, 209, Columbia, MD 21044-3264 | 2016-11-03 |
| 1477008647 | Cecily Virginia Culp | Counselor | 10630 Little Patuxent Pkwy, 209, Columbia, MD 21044-3264 | 2016-08-17 |
| 1003287905 | Sara Trescott | Counselor | 10630 Little Patuxent Pkwy, Suite 209, Columbia, MD 21044-3264 | 2015-10-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821699331 | Brightview Columbia, LLC | Alzheimer Center (Dementia Center) | 6670 Martin Road, Columbia, MD 21044 | 2020-11-03 |
| 1689291544 | Diana Matthews | Physical Therapist | 6016 Jerrys Drive, Columbia, MD 21044 | 2020-06-26 |
| 1902380926 | Bagiwa Healthcare Services LLC | Nursing Care | 10630 Little Patuxent Park Way, Suite 314i, Colombia, MD 21044 | 2018-09-17 |
| 1295228245 | April Bloom Assisted Living, LLC | Assisted Living Facility | 5037 East Durham Rd, Columbia, MD 21044 | 2018-06-13 |
| 1437659562 | La Shawna A Obame | Counselor | 10451 Twin Rivers Rd Ste 100, Columbia, MD 21044 | 2018-02-15 |
| 1205335262 | Rashida Annette Winestock | Registered Nurse | 10440 Little Patuxent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1215436274 | Terri Lynn Buzby | Registered Nurse | 10440 Little Patuxuent Pkwy 800, Columbia, MD 21044 | 2018-02-06 |
| 1134628191 | Sarah Elizabeth Stiltner | Registered Nurse | 10440 Little Patuxent Pkwy Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1326547381 | David Oliver Sloan Jr. | Registered Nurse | 10440 Little Patuxent Parkway Suite 800, Columbia, MD 21044 | 2018-02-06 |
| 1467950980 | Jill Sheppard Davenport | Nutritionist | 10801 Hickory Ridge Rd Suite 215, C/o Holistic Child Psychiatry, Columbia, MD 21044 | 2018-01-30 |
| Find all providers in zip 21044 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541040 | Charles A Burgess | Psychologist | 119 Parker Hall, Columbia, MO 65211-2340 | 2020-08-31 |
| 1851910335 | Columbia Psychology Healing Center LLC | Psychologist | 1900 N Providence Rd Ste 327, Columbia, MO 65202-3710 | 2020-04-14 |
| 1518515097 | Warrenetta Crawford Mann | Psychologist | 1409 Devine Street Thomson Building, Columbia, SC 29208-0001 | 2019-08-28 |
| 1528523420 | Daniel Franco | Psychologist | 4501 Kentsfield Ln, Columbia, MO 65201-3587 | 2019-02-05 |
| 1861964207 | Erin Joy Schuyler | Psychologist | 26 Barn Owl Ct, Columbia, SC 29209-4488 | 2018-12-26 |
| 1467944439 | Zixuan Wang | Psychologist | 10000 Town Center Ave Apt 434, Columbia, MD 21044-5447 | 2018-06-05 |
| 1366990384 | Amanda Marie Jones | Psychologist | 6851 Oak Hall Ln Ste 118, Columbia, MD 21045-5815 | 2016-09-19 |
| 1124574850 | Patrick Steele | Psychologist | 1531 Laurel St, Columbia, SC 29201 | 2016-09-01 |
| 1073968061 | Tara Acevedo, Psy.d., PC | Psychologist | 6213 Deep Earth Ln, Columbia, MD 21045-2565 | 2016-04-27 |
| 1467833798 | Matthew Edmond Fitzgerald | Psychologist | 6801 Oak Hall Ln # 2254, Columbia, MD 21045-9998 | 2015-06-11 |
| Find all providers in COLUMBIA | ||||
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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.