Organization · Type 2 NPI

Discovery Practice Management, Inc.

Adult Mental Health Clinic/Center · Southport, CT

NPI number 1487108908 Active

Practice location

3530 Post Rd Ste 304&306
Southport, CT 06890-1169

Call (714) 828-1800 Map

Fax (714) 882-1186

Mailing address

18401 Von Karman Ave Ste 500
Irvine, CA 92612-8531

Other practice locations

3530 Post Rd Ste 304, Southport, CT 06890-1169 · (203) 764-2055
900 Chapel St, Ste 1101, New Haven, CT 06510-2802 · (866) 382-1306

Specialties and licenses

Taxonomy	Code	License
Adult Mental Health Clinic/Center Primary	261QM0850X	None listed
Mental Illness Community Based Residential Treatment Facility	320800000X	None listed
Psychiatric Residential Treatment Facility	323P00000X	None listed

Adult Mental Health Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

NPI record

NPI: 1487108908
Entity type: Organization (Type 2)
Issued: Aug 12, 2016
Last updated: Mar 26, 2024
Status: Active

Other names

<unavail>
Center for Discovery, Southport Op · doing business as
Center for Discovery, Southport Op · doing business as

Authorized official

Magdalen Gustilo
Director of Payer Relations
(714) 568-7667

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1487108908

Discovery Practice Management, Inc.'s National Provider Identifier is 1487108908, issued on Aug 12, 2016. The primary taxonomy on file is Adult Mental Health Clinic/Center (261QM0850X), and the practice location is in Southport, CT. The record was last updated on Mar 26, 2024.