LEGION AVENUE CLINIC
NPI 1144386442
Clinic/Center - Methadone in New Haven, CT

Active since December 29, 2006
495 CONGRESS AVE, NEW HAVEN, CT 06519(203) 781-4740(203) 781-4751 Get Directions Write a Review

NPPES record last updated: February 21, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Feb 21, 2017, Feb 1, 2017, Jan 17, 2017 and 10 more (13 updates tracked since 2015).

About Legion Avenue Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LEGION AVENUE CLINIC (NPI 1144386442) is a healthcare organization registered as a methadone in New Haven, Connecticut and active in the NPI registry since December 2006. The organization lists Lynn M Madden, President/chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1144386442
Entity TypeOrganization
Primary Taxonomy261QM2800X
Legal Business NameAPT FOUNDATION, INC
Location Address495 CONGRESS AVENew Haven, CT 06519-1312
Mailing Address1 Long Wharf Dr, Suite 321New Haven, CT 06511-5991 · (203) 781-4600 · Fax (203) 781-4624
Fax(203) 781-4751
Organization SubpartNo
Authorized OfficialLynn M MaddenPresident/chief Executive Officer · (203) 781-4600
Enumeration DateDecember 29, 2006
Last NPPES UpdateFebruary 21, 201713 updates tracked since enumeration
NPI 1144386442 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · MethadoneAmbulatory Health Care Facilities
Taxonomy Code261QM2800X
License Licensed in CT · 0230
Definition

An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

495 CONGRESS AVE, New Haven, CT 06519

Other Names 1

Doing Business AsLegion Avenue Clinic

Other Identifiers 28

Other008045323CT · Garcia Medicaid
Other001423136CT · Tetrault Medicaid
Other008037391CT · Shackell Medicaid
Medicare PIND400082725CT
Medicare PIND400076510CT
Other001302497CT · Shi Medicaid
Other008038053CT · Roehrich Medicaid
Other008038052CT · Nodelman Medicaid
Other001340132CT · Savage Medicaid
Medicare PIND400083844CT
Medicare PIND400353164CT
Medicare PIND400316058CT
Other008050785CT · Drozd Medicaid
Medicare PIND400081097CT
Medicare PIND400172220CT
Other008061961CT · Small-oie Medicaid
Medicare PIND400358415CT
Other001218107CT · Schottenfeld Medicaid
Other008066293CT · Mardam Bey Medicaid
Other008038037CT · Eggert Medicaid
Medicare PIN110004627CT
Medicare PIND400362888CT
Other008069472CT · Potwardowski Medicaid
Other008003745CT · Desrosiers Medicaid
Other008053091CT · Butner Medicaid
Medicaid008070113CT
Other008048393CT · Barry Medicaid
Other004082260CT · Legion/medicaid/mmt

Reviews for LEGION AVENUE CLINIC

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Nurse Practitioner (Adult Health)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
495 CONGRESS AVE, 495 CONGRES AVENUE
NEW HAVEN, CT 06519
Social Worker (Clinical)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Clinic/Center
495 CONGRESS AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Clinic/Center (Adult Mental Health)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Social Worker (Clinical)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Registered Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Registered Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1144386442, enumerated as an "organization" on December 29, 2006.

The provider is located at 495 CONGRESS AVE NEW HAVEN, CT 06519 and the phone number is (203) 781-4740.

Clinic/Center with taxonomy code 261QM2800X and a focus in Methadone.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.