Active NPI
Apt Foundation Inc
Doing business as Legion Avenue Clinic
- Adult Mental Health Clinic/Center
- New Haven, CT
National Provider Identifier
1649405887
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- 0476
- Legal business name
- APT FOUNDATION INC
- Doing business as
- Legion Avenue Clinic
- Practice address
- 495 Congress Ave
New Haven, CT 06519-1312 - Phone
- (203) 781-4740
- Fax
- (203) 781-4751
- NPI assigned
- May 18, 2009
- Last updated
- Feb 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lynn M Madden, MPA
- Title
- President/Ceo
- Phone
- (203) 781-4600
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | 0476 | CT | Primary |
Addresses
Primary practice location
495 Congress Ave
New Haven, CT 06519-1312
Mailing address
1 Long Wharf Dr
Suite 321
New Haven, CT 06511-5991
Phone (203) 781-4600
Other identifiers 19
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 008022622 | Other | CT | LEGION/MEDICAID/MH |
| 008048393 | Other | CT | BARRY MEDICAID |
| 001218107 | Other | CT | SCHOTTENFELD MEDICAID |
| 001340132 | Other | CT | SAVAGE MEDICAID |
| 008050785 | Other | CT | DROZD MEDICAID |
| 008053091 | Other | CT | BUTNER MEDICAID |
| 008003745 | Other | CT | DESROSIERS MEDICAID |
| 008038037 | Other | CT | EGGERT MEDICAID |
| 008038052 | Other | CT | NODELMAN MEDICAID |
| 008045323 | Other | CT | GARCIA MEDICAID |
| 008070113 | Medicaid | CT | |
| 008066293 | Other | CT | MARDAM BEY MEDICAID |
| 001302497 | Other | CT | SHI MEDICAID |
| 001423136 | Other | CT | TETRAULT MEDICAID |
| 008037391 | Other | CT | SHACKELL MEDICAID |
| 008038053 | Other | CT | ROEHRICH MEDICAID |
| 008050854 | Other | CT | BUTNER MEDICAID |
| 008061961 | Other | CT | SMALL-OIE MEDICAID |
| 008069472 | Other | CT | POTWARDOWSKI MEDICAID |
Other names 1
- Legion Avenue Clinic
National Provider Directory
National Provider Directory- Tax ID family
- Addiction Prev Treatmen
Other organizations with this tax ID 24
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Orchard Hill Treatment Services
- Adult Mental Health Clinic/Center
- North Haven, CT
- NPI 1710298716
-
dba Legion Clinic
- Substance Use Disorder Rehabilitation Clinic/Center
- New Haven, CT
- NPI 1780987099
-
dba RSD
- Substance Use Disorder Rehabilitation Clinic/Center
- New Haven, CT
- NPI 1942511944
-
- Adult Mental Health Clinic/Center
- West Haven, CT
- NPI 1215488184
-
- Methadone Clinic
- West Haven, CT
- NPI 1982155859
-
dba Orchard Hill Treatment Services
- Methadone Clinic
- North Haven, CT
- NPI 1073679445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1487635200000",
"number": "1649405887",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 LONG WHARF DR",
"address_2": "SUITE 321",
"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": "495 CONGRESS AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065191312",
"telephone_number": "203-781-4740",
"fax_number": "203-781-4751"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "APT FOUNDATION INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-18",
"last_updated": "2017-02-21",
"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": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "CT",
"license": "0476",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LEGION/MEDICAID/MH",
"identifier": "008022622",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BARRY MEDICAID",
"identifier": "008048393",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SCHOTTENFELD MEDICAID",
"identifier": "001218107",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SAVAGE MEDICAID",
"identifier": "001340132",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DROZD MEDICAID",
"identifier": "008050785",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUTNER MEDICAID",
"identifier": "008053091",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DESROSIERS MEDICAID",
"identifier": "008003745",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EGGERT MEDICAID",
"identifier": "008038037",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NODELMAN MEDICAID",
"identifier": "008038052",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GARCIA MEDICAID",
"identifier": "008045323",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "008070113",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARDAM BEY MEDICAID",
"identifier": "008066293",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHI MEDICAID",
"identifier": "001302497",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TETRAULT MEDICAID",
"identifier": "001423136",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SHACKELL MEDICAID",
"identifier": "008037391",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROEHRICH MEDICAID",
"identifier": "008038053",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BUTNER MEDICAID",
"identifier": "008050854",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SMALL-OIE MEDICAID",
"identifier": "008061961",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "POTWARDOWSKI MEDICAID",
"identifier": "008069472",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Legion Avenue Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in New Haven, CT
- Anneliese Zach Appleton, PHARMD
- Jenna Rose Appleton, PA-C
- Apt Foundation Inc (Access Center)
- Apt Foundation Inc
- Apt Foundation Inc (RSD)
- Apt Foundation Inc (Legion Clinic)
- Apt Foundation Inc (RSD)
- Apt Foundation, Inc (Residential Services Division)
- Apt Foundation, Inc (Legion Avenue Clinic)
- Apt Foundation, Inc (APT Residential Services Division (RSD))
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.