Provider Demographics
NPI:1942511944
Name:APT FOUNDATION INC
Entity Type:Organization
Organization Name:APT FOUNDATION INC
Other - Org Name:RSD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/CEO
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 1:54 E RAMSDELL ST
Practice Address - Street 2:
Practice Address - City:NEW HAVEN
Practice Address - State:CT
Practice Address - Zip Code:06515-1140
Practice Address - Country:US
Practice Address - Phone:203-337-9943
Practice Address - Fax:203-337-9986
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-24
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008070148OtherBURGDORFER MEDICAID
CT008023170OtherWILLIAMS MEDICAID
CT001423136OtherTETRAULT MEDICAID
CT008030353OtherFELDMAN MEDICAID
CT001302497OtherSHI MEDICAID
CT008045348OtherTAVERNER MEDICAID
CT008053091OtherBUTNER MEDICAID
CT008058232OtherANDERSON MEDICAID
CT008056047OtherROSS MEDICAID
CT008003745OtherDESROSIERS MEDICAID
CT008024427OtherRSD/MEDICAID/SA/OUTPATIENT
CT008069619OtherPARISI MEDICAID
CT08038186OtherIEAD MEDICAID
CT008024427OtherRSD/MEDICAID/SA/OUTPATIENT
CT008053091OtherBUTNER MEDICAID
CTD400357444Medicare PIN
CT008056047OtherROSS MEDICAID
CT008045348OtherTAVERNER MEDICAID
CT008070148OtherBURGDORFER MEDICAID
CT008016167Medicaid
CT008039241Medicaid
CT008030943Medicaid
CT001423136Medicaid
CT008024427Medicaid
CT008045376Medicaid
CT001302497Medicaid
CT008042992Medicaid