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

NPI Status: Active since December 29, 2006

Contact Information

495 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 781-4740
Fax: (203) 781-4751

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  • Organization
  • Clinic/Center
  • Methadone

About LEGION AVENUE CLINIC

This page provides the complete NPI Profile along with additional information for Legion Avenue Clinic, a provider established in New Haven, Connecticut operating as a Clinic/center, focusing in methadone . The healthcare provider is registered in the NPI registry with number 1144386442 assigned on December 2006. The practitioner's primary taxonomy code is 261QM2800X with license number 0230 (CT). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Legion Avenue Clinic. The authorized official of this NPI record is Ms. Lynn M Madden Mpa (President/chief Executive Officer)

NPI
1144386442
Provider Legal Name
APT FOUNDATION, INC
Other Organization Name
LEGION AVENUE CLINIC
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
495 CONGRESS AVE NEW HAVEN, CT 06519
Location Phone
(203) 781-4740
Location Fax
(203) 781-4751
Mailing Address
1 LONG WHARF DR SUITE 321 NEW HAVEN, CT 06511
Mailing Phone
(203) 781-4600
Mailing Fax
(203) 781-4751
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-29-2006
Last Update Date
02-21-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Methadone

Taxonomy Code
261QM2800X
Type
Ambulatory Health Care Facilities
License No.
0230
License State
CT
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MS. LYNN M MADDEN MPA

Authorized Official Title
PRESIDENT/CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(203) 781-4600

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
008045323OTHER (01)CTGARCIA MEDICAID
001423136OTHER (01)CTTETRAULT MEDICAID
008037391OTHER (01)CTSHACKELL MEDICAID
D400082725MEDICARE PIN (08)CT 
D400076510MEDICARE PIN (08)CT 
001302497OTHER (01)CTSHI MEDICAID
008038053OTHER (01)CTROEHRICH MEDICAID
008038052OTHER (01)CTNODELMAN MEDICAID
001340132OTHER (01)CTSAVAGE MEDICAID
D400083844MEDICARE PIN (08)CT 
D400353164MEDICARE PIN (08)CT 
D400316058MEDICARE PIN (08)CT 
008050785OTHER (01)CTDROZD MEDICAID
D400081097MEDICARE PIN (08)CT 
D400172220MEDICARE PIN (08)CT 
008061961OTHER (01)CTSMALL-OIE MEDICAID
D400358415MEDICARE PIN (08)CT 
001218107OTHER (01)CTSCHOTTENFELD MEDICAID
008066293OTHER (01)CTMARDAM BEY MEDICAID
008038037OTHER (01)CTEGGERT MEDICAID
110004627MEDICARE PIN (08)CT 
D400362888MEDICARE PIN (08)CT 
008069472OTHER (01)CTPOTWARDOWSKI MEDICAID
008003745OTHER (01)CTDESROSIERS MEDICAID
008053091OTHER (01)CTBUTNER MEDICAID
008070113MEDICAID (05)CT 
008048393OTHER (01)CTBARRY MEDICAID
004082260OTHER (01)CTLEGION/MEDICAID/MMT

Reviews for LEGION AVENUE CLINIC

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1144386442, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
4
Doubled → 8
Pos 4
4
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
4
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 6 → 12 → 3 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 8 + 4 + 6 + 8 + 1 + 2 + 4 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1144386442.

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.