CENTER FOR DISCOVERY, SOUTHPORT RTC – NPI #1134500507
Community Based Residential Treatment Facility, Mental Illness

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CENTER FOR DISCOVERY, SOUTHPORT RTC is a community based residential treatment facility located in SOUTHPORT, CT. NPPES has assigned the NPI number 1134500507 to CENTER FOR DISCOVERY, SOUTHPORT RTC on June 11, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “CENTER FOR DISCOVERY, SOUTHPORT RTC” is a dba name, the actual legal business name for this organization is DISCOVERY PRACTICE MANAGEMENT, INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 320800000X from the Health Care Provider Taxonomy code set, which is classified as Community Based Residential Treatment Facility, Mental Illness.

The NPI profile was previously updated about 3 years ago on Nov 02, 2023. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for CENTER FOR DISCOVERY, SOUTHPORT RTC below.

NPI Profile for
DISCOVERY PRACTICE MANAGEMENT, INC

NPI Number
1134500507
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DISCOVERY PRACTICE MANAGEMENT, INC
Doing Business As (dba): CENTER FOR DISCOVERY, SOUTHPORT RTC
Primary location
1320 MILL HILL RD
SOUTHPORT, CT 06890-3017
Phone: (714) 828-1800 Fax: (714) 882-1186
Mailing address
18401 VON KARMAN AVE STE 500
IRVINE, CA 92612-8531
Phone: (714) 828-1800 Fax: (714) 882-1186
Organization Subpart
No
Authorized Official
MAGDALEN GUSTILO
DIRECTOR OF PAYER RELATIONS
Phone: (714) 568-7667
Updated
Certification Date
Nov 02, 2023

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.