NPIMap

Organization Active NPI

Devereux

  • Community/Behavioral Health Agency
  • Lincoln, RI
National Provider Identifier
1013397843
Registry record updated Jun 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVEREUX
Practice address
6 Blackstone Valley PL
Suite 402
Lincoln, RI 02865-1179
Phone
(401) 305-7770
NPI assigned
Jun 7, 2015
Organization subpart
Yes
Parent organization
DEVEREUXAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Stephen Yerdon
Title
Executive Director
Phone
(508) 886-4746

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

6 Blackstone Valley PL
Suite 402
Lincoln, RI 02865-1179

Mailing address

60 Miles Rd
Rutland, MA 01543-1423

Other names 1

  • The Devereux Foundation Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one
Part of
Devereux Florida

Organizations with this tax ID in the same state 1

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

60 Miles Rd
Rutland, MA 01543
Phone (508) 886-4746

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433635200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433635200000",
    "number": "1013397843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 MILES RD",
            "city": "RUTLAND",
            "state": "MA",
            "postal_code": "015431423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 BLACKSTONE VALLEY PL",
            "address_2": "SUITE 402",
            "city": "LINCOLN",
            "state": "RI",
            "postal_code": "028651179",
            "telephone_number": "401-305-7770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVEREUX",
        "enumeration_date": "2015-06-07",
        "last_updated": "2015-06-07",
        "status": "A",
        "authorized_official_last_name": "YERDON",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "508-886-4746",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Devereux Foundation",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lincoln, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.