LEGION AVENUE CLINIC
NPI 1649405887
Clinic/Center - Adult Mental Health in New Haven, CT
NPI Status: Active since May 18, 2009
Contact Information
495 CONGRESS AVE
NEW HAVEN, CT
ZIP 06519
Phone: (203) 781-4740
Fax: (203) 781-4751
- Organization
- Clinic/Center
- Adult Mental Health
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 adult mental health . The healthcare provider is registered in the NPI registry with number 1649405887 assigned on May 2009. The practitioner's primary taxonomy code is 261QM0850X with license number 0476 (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/ceo)
- NPI
- 1649405887
- 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
- 05-18-2009
- Last Update Date
- 02-21-2017
- Code Navigator
Location Map
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 Adult Mental Health
- Taxonomy Code
- 261QM0850X
- Type
- Ambulatory Health Care Facilities
- License No.
- 0476
- License State
- CT
- Taxonomy Description
- An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
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.
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 |
|---|---|---|---|
| D400081097 | MEDICARE PIN (08) | CT | |
| 008053091 | OTHER (01) | CT | BUTNER MEDICAID |
| 008003745 | OTHER (01) | CT | DESROSIERS MEDICAID |
| 008038053 | OTHER (01) | CT | ROEHRICH MEDICAID |
| D400082726 | MEDICARE PIN (08) | CT | |
| 001302497 | OTHER (01) | CT | SHI MEDICAID |
| 008069472 | OTHER (01) | CT | POTWARDOWSKI MEDICAID |
| D400076510 | MEDICARE PIN (08) | CT | |
| 008050854 | OTHER (01) | CT | BUTNER MEDICAID |
| 001423136 | OTHER (01) | CT | TETRAULT MEDICAID |
| 008038037 | OTHER (01) | CT | EGGERT MEDICAID |
| 008037391 | OTHER (01) | CT | SHACKELL MEDICAID |
| 008048393 | OTHER (01) | CT | BARRY MEDICAID |
| 008070113 | MEDICAID (05) | CT | |
| D400316058 | MEDICARE PIN (08) | CT | |
| 008061961 | OTHER (01) | CT | SMALL-OIE MEDICAID |
| 008050785 | OTHER (01) | CT | DROZD MEDICAID |
| 008038052 | OTHER (01) | CT | NODELMAN MEDICAID |
| 008045323 | OTHER (01) | CT | GARCIA MEDICAID |
| D400362888 | MEDICARE PIN (08) | CT | |
| D400358415 | MEDICARE PIN (08) | CT | |
| 001218107 | OTHER (01) | CT | SCHOTTENFELD MEDICAID |
| 001340132 | OTHER (01) | CT | SAVAGE MEDICAID |
| 110004627 | MEDICARE PIN (08) | CT | |
| D400353164 | MEDICARE PIN (08) | CT | |
| D400083844 | MEDICARE PIN (08) | CT | |
| D400172220 | MEDICARE PIN (08) | CT | |
| 008066293 | OTHER (01) | CT | MARDAM BEY MEDICAID |
| 008022622 | OTHER (01) | CT | LEGION/MEDICAID/MH |
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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 1649405887, we treat the final digit (7) 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 73. The final step is to find the difference between that total and the next multiple of ten (80 - 73 = 7).
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.
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.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 73 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
NEW HAVEN, CT 06519
NEW HAVEN, CT 06519
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649405887, enumerated as an "organization" on May 18, 2009.
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 261QM0850X and a focus in Adult Mental Health.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
