APT FOUNDATION INC NPI 1780987099

NPI Information

NPI: 1780987099
Provider Name: APT FOUNDATION INC

Doing Business As: LEGION CLINIC

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
1 LONG WHARF DR
STE 321
NEW HAVEN, CT
ZIP 06511
Phone: (203) 781-4600
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APT FOUNDATION INC is a rehabilitation and substance use disorder clinic center in New Haven, CT. APT FOUNDATION INC NPI is 1780987099. The provider is registered as an organization entity type.
The provider Is Doing Business As Legion Clinic.

The provider's business location address is:

1 LONG WHARF DR
STE 321
NEW HAVEN, CT
ZIP 06511-991
Phone: (203) 781-4600
Fax: (203) 781-4624

The provider's authorized official is Lynn 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 12/8/2010 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	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	0230	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	001302497	OTHER	CONNECTICUT	SHI MEDICAID
2	D400316058	MEDICARE PIN	CONNECTICUT
3	D400358415	MEDICARE PIN	CONNECTICUT
4	001218107	OTHER	CONNECTICUT	SCHOTTENFELD MEDICAID
5	008037391	OTHER	CONNECTICUT	SHACKELL MEDICAID
6	008053091	OTHER	CONNECTICUT	BUTNER MEDICAID
7	008001325	OTHER	CONNECTICUT	LEGION/MEDICAID/SA
8	D400076510	MEDICARE PIN	CONNECTICUT
9	110004627	MEDICARE PIN	CONNECTICUT
10	D400082725	MEDICARE PIN	CONNECTICUT
11	008038037	OTHER	CONNECTICUT	EGGERT MEDICAID
12	008048393	OTHER	CONNECTICUT	BARRY MEDICAID
13	008045323	OTHER	CONNECTICUT	GARCIA MEDICAID
14	D400081097	MEDICARE PIN	CONNECTICUT
15	008061961	OTHER	CONNECTICUT	SMALL-OIE MEDICAID
16	008038052	OTHER	CONNECTICUT	NODELMAN MEDICAID
17	D400362888	MEDICARE PIN	CONNECTICUT
18	008038053	OTHER	CONNECTICUT	ROEHRICH MEDICAID
19	001423136	OTHER	CONNECTICUT	TETRAULT MEDICAID
20	008050785	OTHER	CONNECTICUT	DROZD MEDICAID
21	001340132	OTHER	CONNECTICUT	SAVAGE MEDICAID
22	008066293	OTHER	CONNECTICUT	MARDAM BEY MEDICAID
23	008070113	MEDICAID	CONNECTICUT
24	008069472	OTHER	CONNECTICUT	POTWARDOWSKI MEDICAID
25	008003745	OTHER	CONNECTICUT	DESROSIERS MEDICAID
26	D400172220	MEDICARE PIN	CONNECTICUT
27	D400083844	MEDICARE PIN	CONNECTICUT

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

NPI Synchronization or Removal

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