Apt Foundation Inc.
Organization Active NPI Methadone Clinic · West Haven, CT
NPI 1982155859 · NPPES record last updated Feb 8, 2017
Key facts
- NPI
- 1982155859
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Methadone Clinic 261QM2800X
- License
- 0515 (CT)
- Legal business name
- APT FOUNDATION INC.
- Practice address
- 184 Front Ave
West Haven, CT 06516-2836 - Phone
- (203) 781-4600
- Fax
- (203) 781-4624
- NPI assigned
- Oct 17, 2016
- 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
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 | 0515 | CT | Yes |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 0515 | CT |
Addresses
Primary practice location
184 Front Ave
West Haven, CT 06516-2836
Mailing address
1 Long Wharf Dr
Suite 321
New Haven, CT 06511-5991
Phone (203) 781-4600
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001340132 | Medicaid | CT | |
| 008038037 | Medicaid | CT | |
| 008050785 | Medicaid | CT | |
| 008038052 | Medicaid | CT | |
| 008069472 | Medicaid | CT |
Other providers in West Haven, CT
- John Philip Antinone
- Alyssa Appelbaum
- Sofia Appleby
- Apt Foundation Inc.
- Apt Foundation Inc.
- Kristen Arcari Wawrzyniak
- Elizabeth A Armstrong
- Bachaar Arnaout
- Anna Arntsen
- Theresa Arrington-Heard
All providers in West 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.