APT FOUNDATION INC NPI 1649405887

NPI Information

NPI: 1649405887
Provider Name: APT FOUNDATION INC

Doing Business As: LEGION AVENUE CLINIC

Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
495 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 781-4740
Get Directions

APT FOUNDATION INC is an adult mental health clinic center in New Haven, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. APT FOUNDATION INC NPI is 1649405887. The provider is registered as an organization entity type.
The provider Is Doing Business As Legion Avenue Clinic.

The provider's business location address is:

495 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519-312
Phone: (203) 781-4740
Fax: (203) 781-4751

The provider's authorized official is Lynn M Madden .
The authorized official title is President/ceo and has the following contact phone number (203) 781-4600.

The enumeration date for this NPI number is 5/18/2009 and was last updated on 2/21/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	0476	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	D400081097	MEDICARE PIN	CONNECTICUT
2	008053091	OTHER	CONNECTICUT	BUTNER MEDICAID
3	008003745	OTHER	CONNECTICUT	DESROSIERS MEDICAID
4	008038053	OTHER	CONNECTICUT	ROEHRICH MEDICAID
5	D400082726	MEDICARE PIN	CONNECTICUT
6	001302497	OTHER	CONNECTICUT	SHI MEDICAID
7	008069472	OTHER	CONNECTICUT	POTWARDOWSKI MEDICAID
8	D400076510	MEDICARE PIN	CONNECTICUT
9	008050854	OTHER	CONNECTICUT	BUTNER MEDICAID
10	001423136	OTHER	CONNECTICUT	TETRAULT MEDICAID
11	008038037	OTHER	CONNECTICUT	EGGERT MEDICAID
12	008037391	OTHER	CONNECTICUT	SHACKELL MEDICAID
13	008048393	OTHER	CONNECTICUT	BARRY MEDICAID
14	008070113	MEDICAID	CONNECTICUT
15	D400316058	MEDICARE PIN	CONNECTICUT
16	008061961	OTHER	CONNECTICUT	SMALL-OIE MEDICAID
17	008050785	OTHER	CONNECTICUT	DROZD MEDICAID
18	008038052	OTHER	CONNECTICUT	NODELMAN MEDICAID
19	008045323	OTHER	CONNECTICUT	GARCIA MEDICAID
20	D400362888	MEDICARE PIN	CONNECTICUT
21	D400358415	MEDICARE PIN	CONNECTICUT
22	001218107	OTHER	CONNECTICUT	SCHOTTENFELD MEDICAID
23	001340132	OTHER	CONNECTICUT	SAVAGE MEDICAID
24	110004627	MEDICARE PIN	CONNECTICUT
25	D400353164	MEDICARE PIN	CONNECTICUT
26	D400083844	MEDICARE PIN	CONNECTICUT
27	D400172220	MEDICARE PIN	CONNECTICUT
28	008066293	OTHER	CONNECTICUT	MARDAM BEY MEDICAID
29	008022622	OTHER	CONNECTICUT	LEGION/MEDICAID/MH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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