NPIMap

Organization Active NPI

Discovery Practice Management, Inc.

  • Adult Mental Health Clinic/Center
  • Southport, CT
National Provider Identifier
1487108908
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
DISCOVERY PRACTICE MANAGEMENT, INC.
Practice address
3530 Post Rd Ste 304&306
Southport, CT 06890-1169
Phone
(714) 828-1800
Fax
(714) 882-1186
NPI assigned
Aug 12, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Magdalen Gustilo
Title
Director of Payer Relations
Phone
(714) 568-7667

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary
Mental Illness Community Based Residential Treatment Facility 320800000X
Psychiatric Residential Treatment Facility 323P00000X

Addresses

Primary practice location

3530 Post Rd Ste 304&306
Southport, CT 06890-1169

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531
Phone (714) 828-1800

Other practice location 1

3530 Post Rd Ste 304
Southport, CT 06890-1169
Phone (203) 764-2055

Other practice location 2

900 Chapel St
Ste 1101
New Haven, CT 06510-2802
Phone (866) 382-1306

Other names 1

  • Center For Discovery, Southport OP Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Discovery Practice Management Inc105 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 6

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

900 Chapel St
Ste 1101
New Haven, CT 06510
Phone (866) 382-1306

3530 Post Rd
Ste 304306
Southport, CT 06890

3530 Post Rd
Ste 306
Southport, CT 06890

3530 Post Rd
Ste 304
Southport, CT 06890
Phone (203) 764-2055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711411200000",
    "number": "1487108908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18401 VON KARMAN AVE STE 500",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926128531",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3530 POST RD STE 304&306",
            "city": "SOUTHPORT",
            "state": "CT",
            "postal_code": "068901169",
            "telephone_number": "714-828-1800",
            "fax_number": "714-882-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3530 Post Rd Ste 304",
            "address_purpose": "LOCATION",
            "city": "Southport",
            "state": "CT",
            "postal_code": "068901169",
            "country_code": "US",
            "telephone_number": "203-764-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Chapel St",
            "address_2": "Ste 1101",
            "address_purpose": "LOCATION",
            "city": "New Haven",
            "state": "CT",
            "postal_code": "065102802",
            "country_code": "US",
            "telephone_number": "866-382-1306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DISCOVERY PRACTICE MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-12",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A",
        "authorized_official_last_name": "GUSTILO",
        "authorized_official_first_name": "MAGDALEN",
        "authorized_official_title_or_position": "DIRECTOR OF PAYER RELATIONS",
        "authorized_official_telephone_number": "714-568-7667"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Center For Discovery, Southport OP",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Center For Discovery, Southport OP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Southport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.