NPIMap

Organization Active NPI

Apt Foundation, Inc

  • Methadone Clinic
  • New Haven, CT
National Provider Identifier
1104184670
Registry record updated Jul 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
Legal business name
APT FOUNDATION, INC
Practice address
54 E Ramsdell St
New Haven, CT 06515-1140
Phone
(203) 337-9943
Fax
(203) 387-6533
NPI assigned
May 2, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Ms. Lynn M Madden, MPA
Title
President, Ceo
Phone
(203) 781-4600

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 42

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

View all 42

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
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

National Provider Directory
Tax ID family
Apt Foundation Inc (25 organizations share this tax ID)

Locations

495 Congress Ave
New Haven, CT 06519
Phone (203) 781-4600

495 Congress Ave
Fl 3
New Haven, CT 06519
Phone (203) 781-4640

352 State St
North Haven, CT 06473
Phone (203) 781-4600

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Methadone Clinic 261QM2800X Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X

Addresses

NPPES NPI Registry

Primary practice location

54 E Ramsdell St
New Haven, CT 06515-1140

Mailing address

1 Long Wharf Dr
New Haven, CT 06511-5991
Phone (203) 781-4600

Other identifiers 15

NPPES NPI Registry
IdentifierTypeStateIssuer
001423136OtherCTTETRAULT MEDICAID
008030353OtherCTFELDMAN MEDICAID
008037391OtherCTSHACKELL MEDICAID
008069619OtherCTPARISI MEDICAID
008038186OtherCTIEAD MEDICAID
008070148OtherCTBURGDORFER MEDICAID
008042339OtherCTRSD/MEDICAID/MMT
008045348OtherCTTAVERNER MEDICAID
008003745OtherCTDESROSIERS MEDICAID
001302497OtherCTSHI MEDICAID
008023170OtherCTWILLIAMS MEDICAID
008053091OtherCTBUTNER MEDICAID
008058232OtherCTANDERSON MEDICAID
001340132OtherCTSAVAGE MEDICAID
008056047OtherCTROSS MEDICAID

Other names 1

NPPES NPI Registry
  • RESIDENTIAL SERVICES DIVISION Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 5, 2019.

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562284800000",
    "number": "1104184670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 LONG WHARF DR",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065115991",
            "telephone_number": "203-781-4600",
            "fax_number": "203-781-4624"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 E RAMSDELL ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065151140",
            "telephone_number": "203-337-9943",
            "fax_number": "203-387-6533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "APT FOUNDATION, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2019-07-05",
        "status": "A",
        "authorized_official_last_name": "MADDEN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "203-781-4600",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TETRAULT MEDICAID",
            "identifier": "001423136",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FELDMAN MEDICAID",
            "identifier": "008030353",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHACKELL MEDICAID",
            "identifier": "008037391",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARISI MEDICAID",
            "identifier": "008069619",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IEAD MEDICAID",
            "identifier": "008038186",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BURGDORFER MEDICAID",
            "identifier": "008070148",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RSD/MEDICAID/MMT",
            "identifier": "008042339",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAVERNER MEDICAID",
            "identifier": "008045348",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DESROSIERS MEDICAID",
            "identifier": "008003745",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SHI MEDICAID",
            "identifier": "001302497",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WILLIAMS MEDICAID",
            "identifier": "008023170",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUTNER MEDICAID",
            "identifier": "008053091",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANDERSON MEDICAID",
            "identifier": "008058232",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SAVAGE MEDICAID",
            "identifier": "001340132",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ROSS MEDICAID",
            "identifier": "008056047",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RESIDENTIAL SERVICES DIVISION",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "RESIDENTIAL SERVICES DIVISION",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.