Provider Demographics
NPI:1336205905
Name:APT FOUNDATION, INC
Entity Type:Organization
Organization Name:APT FOUNDATION, INC
Other - Org Name:APT RESIDENTIAL SERVICES DIVISION (RSD)
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
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:203-781-4640
Mailing Address - Street 1:1 LONG WHARF DR
Mailing Address - Street 2:SUITE 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:203-387-6533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-28
Last Update Date:2019-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT008056047OtherROSS MEDICAID
CT001423136OtherTETRAULT MEDICAID
CT008003745OtherDESROSIERS MEDICAID
CT008030353OtherFELDMAN MEDICAID
CT008038188OtherREILLY MEDICAID
CT008023170OtherWILLIAMS MEDICAID
CT008037391OtherSHACKELL MEDICAID
CT008038186OtherIEAD MEDICAID
CT008045348OtherTAVERNER MEDICAID
CT008070148OtherBURGDORFER MEDICAID
CT001340132OtherSAVAGE MEDICAID
CT001302497OtherSHI MEDICAID
CT008058232OtherANDERSON MEDICAID
CT008053091OtherBUTNER MEDICAID
CT008069619OtherPARISI MEDICAID
CTD400357444Medicare PIN
CT008038188OtherREILLY MEDICAID
CT001423136OtherTETRAULT MEDICAID
CTD400083844Medicare PIN
CTD400081097Medicare PIN
CT001340132OtherSAVAGE MEDICAID
CT008023170OtherWILLIAMS MEDICAID
CT008038186OtherIEAD MEDICAID
CT008045348OtherTAVERNER MEDICAID
CT110004627OtherSHI MEDICARE
CT008053091OtherBUTNER MEDICAID
CTD400083844OtherDESROSIERS MEDICARE
CT008058532OtherDESPOELBERCH MEDICAID