| Apt Foundation, Inc | |
|
1 Long Wharf Dr Suite 10 New Haven CT 06511-5991 | |
| (203) 781-4357 | |
| (203) 781-4705 |
| Full Name | Apt Foundation, Inc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1 Long Wharf Dr, New Haven, Connecticut |
| Authorized Official Name and Position | Lynn M Madden (PRESIDENT/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 2037814600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Apt Foundation, Inc 1 Long Wharf Dr Suite 321 New Haven CT 06511-5991 Ph: (203) 781-4600 | Apt Foundation, Inc 1 Long Wharf Dr Suite 10 New Haven CT 06511-5991 Ph: (203) 781-4357 |
| NPI Number | 1861558405 |
|---|---|
| Provider Enumeration Date | 12/28/2006 |
| Last Update Date | 04/26/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861558405 | NPI | - | NPPES |
| 001302497 | Other | CT | SHI MEDICAID |
| 008038040 | Other | CT | LENCZYCKI MEDICAID |
| 008063217 | Other | CT | APPLEGET MEDICAID |
| 001307439 | Other | CT | ALTICE MEDICAID |
| 001340132 | Other | CT | SAVAGE MEDICAID |
| 008038044 | Other | CT | FARNUM MEDICAID |
| 008053091 | Other | CT | BUTNER MEDICAID |
| 008064860 | Other | CT | WEISS MEDICAID |
| 008001077 | Other | CT | MOORE MEDICAID |
| 008038741 | Other | CT | OWEN MEDICAID |
| 008040283 | Other | CT | CAMENGA MEDICAID |
| 008048733 | Other | CT | SUCHMAN MEDICAID |
| 008057039 | Other | CT | MILLER MEDICAID |
| 001218107 | Other | CT | SCHOTTENFELD MEDICAID |
| 004041000 | Other | CT | ASCESS/MEDICAID/MH |
| 008037391 | Other | CT | SHACKELL MEDICAID |
| 008038043 | Other | CT | WHELAN MEDICAID |
| 008042701 | Other | CT | KATZMAN MEDICAID |
| 008058728 | Other | CT | RIERA TIMOTHY MEDICAID |
| 008069118 | Other | CT | CAMPBELL MEDICAID # |
| 008048372 | Other | CT | SHARMAIN MEDICAID |
| 008048393 | Other | CT | BARRY MEDICAID |
| 008066801 | Other | CT | HAQUE MEDICAID |
| 008038036 | Other | CT | BAKER MEDICAID |
| 008038042 | Other | CT | POLANETSKA MEDICAID |
| 008039605 | Other | CT | HERMES MEDICAID # |
| 001155787 | Other | CT | SHIMELMAN MEDICAID |
| 001423136 | Other | CT | TETRAULT MEDICAID |
| 008009745 | Other | CT | DESROSIERS MEDICAID |
| 008058058 | Other | CT | SADINSKY MEDICAID |
| 008071202 | Other | CT | MEDICAID AMYNAH DHARANI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | C 0265 (Connecticut) | Primary |
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