Apt Foundation, Inc
Organization Active NPI Methadone Clinic · North Haven, CT
NPI 1073679445 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1073679445
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- License
- SA-0101 (CT)
- Legal business name
- APT FOUNDATION, INC
- Practice address
- 352 State St
North Haven, CT 06473-3108 - Phone
- (203) 781-4600
- Fax
- (203) 781-4624
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
Authorized official
- Name
- Ms. Lynn M Madden, MPA
- Title
- President/Chief Executive Officer
- Phone
- (203) 781-4600
Other NPIs on the same Medicare enrollment 5
Corporate family (same tax ID) 24
Practitioners 5
-
Andrea Gareri, LADC
-
Trusenia Onofrio, LPC
-
Hector Colon-Rivera, MBA, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200117001383 | CT | Part B Supplier - Opioid Treatment Program (Otp) | 8729250204 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Haven, CT; West Haven, CT; North Haven, CT; Guilford, CT |
National Provider Directory
- Tax ID family
- Apt Foundation Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | SA-0101 | CT | Yes |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | SA-0101 | CT |
Addresses
Primary practice location
352 State St
North Haven, CT 06473-3108
Mailing address
1 Long Wharf Dr
Suite 321
New Haven, CT 06511-5991
Phone (203) 781-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008058217 | Other | CT | SEARS MEDICAID |
| 008064634 | Other | CT | GARERI MEDICAID |
| 001218107 | Other | CT | SCHOTTENFELD MEDICAID |
| 008050283 | Other | CT | HAYNES MEDICAID |
| 008066315 | Other | CT | COLON RIVERA MEDICAID |
| 008038019 | Other | CT | MEDICAID ONOFRIO |
| 008038047 | Other | CT | DIMEOLA MEDICAID |
| 001423136 | Other | CT | TETRAULT MEDICAID |
| 004082286 | Other | CT | ORC/MEDICAID/MMT |
| 008038019 | Other | CT | MEDICAID ONOFRIO |
| 008053091 | Other | CT | BUTNER MEDICAID |
| 001302497 | Other | CT | SHI MEDICAID |
| 004235083 | Other | CT | YOUNG MEDICAID |
| 008037391 | Other | CT | SHACKELL MEDICAID |
| 008053715 | Other | CT | NUNLEY MEDICAID |
| 008066551 | Other | CT | DEOLIVEIRA MEDICAID |
| 500000315 | Other | CT | ORC/MEDICAID/SA |
| 008003745 | Other | CT | DESROSIERS MEDICAID |
| 008038049 | Other | CT | PETHO MEDICAID |
| 008043611 | Other | CT | ROSS MEDICAID |
| 008061077 | Other | CT | MEDICAID VOLLONO |
| 001340132 | Other | CT | SAVAGE MEDICAID |
Other names
- Orchard Hill Treatment Services
Other providers in North Haven, CT
- Annahaven LLC
- Angelo Annunziato
- Deanne Elia Annunziato
- Apex Medical Associates, LLC
- Apt Foundation Inc
- Apt Foundation, Inc
- Ralph A. Arnone
- Suzanne Reidy Arnone
- Art Therapy of Hamden LLC
- Vivian Afia-Serwaa Asare
All providers in North Haven, CT · Methadone Clinic in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 8, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.