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LEGION AVENUE CLINIC
NPI 1649405887
Clinic/Center - Adult Mental Health in New Haven, CT

Active since May 18, 2009
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 26, 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 1649405887) is a healthcare organization registered as an adult mental health in New Haven, Connecticut and active in the NPI registry since May 2009. The organization lists Lynn M Madden, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1649405887
Entity TypeOrganization
Primary Taxonomy261QM0850X
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
Phone(203) 781-4740
Fax(203) 781-4751
Organization SubpartNo
Authorized OfficialLynn M MaddenPresident/ceo · (203) 781-4600
Enumeration DateMay 18, 2009
Last NPPES UpdateFebruary 21, 201713 updates tracked since enumeration
✔ NPI 1649405887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in CT · 0476
Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

495 CONGRESS AVE, New Haven, CT 06519
Open in Google Maps ↗

Other Names 1

Doing Business AsLegion Avenue Clinic

Other Identifiers 29

Medicare PIND400081097CT
Other008053091CT · Butner Medicaid
Other008003745CT · Desrosiers Medicaid
Other008038053CT · Roehrich Medicaid
Medicare PIND400082726CT
Other001302497CT · Shi Medicaid
Other008069472CT · Potwardowski Medicaid
Medicare PIND400076510CT
Other008050854CT · Butner Medicaid
Other001423136CT · Tetrault Medicaid
Other008038037CT · Eggert Medicaid
Other008037391CT · Shackell Medicaid
Other008048393CT · Barry Medicaid
Medicaid008070113CT
Medicare PIND400316058CT
Other008061961CT · Small-oie Medicaid
Other008050785CT · Drozd Medicaid
Other008038052CT · Nodelman Medicaid
Other008045323CT · Garcia Medicaid
Medicare PIND400362888CT
Medicare PIND400358415CT
Other001218107CT · Schottenfeld Medicaid
Other001340132CT · Savage Medicaid
Medicare PIN110004627CT
Medicare PIND400353164CT
Medicare PIND400083844CT
Medicare PIND400172220CT
Other008066293CT · Mardam Bey Medicaid
Other008022622CT · Legion/medicaid/mh

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. JUNE DEMARINIS APRN
Nurse Practitioner (Adult Health)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4640
TERESA ROEHRICH LADC
Counselor (Addiction (Substance Use Disorder))
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4740
EARLE B SANFORD LPC, LADC
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
ANNE M GAETANO LPC, NCC, CCMHC, BCP
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
ASHLEY SPOSE LPC
Counselor (Professional)
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. SHENIK'A LEE LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
MS. TANISHA JOHNSON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600
DESIREE NEWTON LPN
Licensed Practical Nurse
495 CONGRESS AVE
NEW HAVEN, CT 06519
South Central Connecticut Planning Region (203) 781-4600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Apt Foundation Inc's NPI number?

The NPI number for Apt Foundation Inc is 1649405887. It was assigned to this organization in the NPPES registry on May 18, 2009. The provider is doing business as Legion Avenue Clinic.

Where is Apt Foundation Inc located?

Apt Foundation Inc is located at 495 Congress Ave, New Haven, CT 06519. The listed phone number is (203) 781-4740.

What is Apt Foundation Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Apt Foundation Inc was last updated on February 21, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.