Provider Demographics
NPI:1710298716
Name:APT FOUNDATION INC
Entity Type:Organization
Organization Name:APT FOUNDATION INC
Other - Org Name:ORCHARD HILL TREATMENT SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MADDEN
Authorized Official - Suffix:
Authorized Official - Credentials:MPA
Authorized Official - Phone:203-781-4600
Mailing Address - Street 1:1 LONG WHARF DR
Mailing Address - Street 2:STE 321
Mailing Address - City:NEW HAVEN
Mailing Address - State:CT
Mailing Address - Zip Code:06511-5991
Mailing Address - Country:US
Mailing Address - Phone:203-781-4600
Mailing Address - Fax:203-781-4624
Practice Address - Street 1:352 STATE ST
Practice Address - Street 2:
Practice Address - City:NORTH HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06473-3108
Practice Address - Country:US
Practice Address - Phone:203-781-4600
Practice Address - Fax:203-781-4624
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2017-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0477261QM0850X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008064634OtherGARERI MEDICAID
CT008050283OtherHAYNES MEDICAID
CT008053715OtherNUNLEY MEDICAID
CT008066551OtherDEOLIVEIRA MEDICAID
CT001218107OtherSCHOTTENFELD MEDICAID
CT008037391OtherSHACKELL MEDICAID
CT008043611OtherROSS MEDICAID
CT008038019OtherMEDICAID ONOFRIO
CT001340132OtherSAVAGE MEDICAID
CT004235083OtherYOUNG MEDICAID
CT008003745OtherDESROSIERS MEDICAID
CT008038049OtherPETHO MEDICAID
CT008066315OtherCOLON RIVERA MEDICAID
CT008022626OtherORC/MEDICAID/MH
CT008058217OtherSEARS MEDICAID
CT001302497OtherSHI MEDICAID
CT001423136OtherTETRAULT MEDICAID
CT008038047OtherDIMEOLA MEDICAID
CT008053091OtherBUTNER MEDICAID
CT008061077OtherVOLLONO MEDICAID
CT008066551OtherDEOLIVEIRA MEDICAID
CT001302497OtherSHI MEDICAID
CTD400076510Medicare PIN
CT008064634OtherGARERI MEDICAID
CT001423136OtherTETRAULT MEDICAID
CTD400172220Medicare PIN
CTD400318773Medicare PIN
CTD400357718Medicare PIN
CT008038047OtherDIMEOLA MEDICAID
CTD400360105Medicare PIN