NPIMap

Organization Active NPI

Devereux Advanced Behavioral Health

  • Psychiatric Residential Treatment Facility
  • Glenmoore, PA
National Provider Identifier
1073257200
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DEVEREUX ADVANCED BEHAVIORAL HEALTH
Practice address
160 Devereux Rd
Glenmoore, PA 19343-1615
Phone
(484) 595-6778
NPI assigned
Apr 25, 2022
Last updated
Apr 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Authorized official

Name
Jessica Kalbach
Title
Contracts Account Manager
Phone
(610) 542-3042

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

160 Devereux Rd
Glenmoore, PA 19343-1615

Mailing address

160 Devereux Rd
Glenmoore, PA 19343-1615
Phone (484) 595-6778

Other identifiers 2

IdentifierTypeStateIssuer
100001913MedicaidPA
148170OtherPALICENSE

Other names 1

  • Brier II Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rwoods4@devereux.org Direct

National Provider Directory

National Provider Directory
Tax ID family
Devereux Arizona332 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650844800000",
    "number": "1073257200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 DEVEREUX RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431615",
            "telephone_number": "484-595-6778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 DEVEREUX RD",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431615",
            "telephone_number": "484-595-6778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX ADVANCED BEHAVIORAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-08",
        "status": "A",
        "authorized_official_last_name": "KALBACH",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CONTRACTS ACCOUNT MANAGER",
        "authorized_official_telephone_number": "610-542-3042"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100001913",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "148170",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rwoods4@devereux.org",
            "affiliation": "N",
            "endpointDescription": "business email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "business email",
            "address_1": "160 Devereux Rd",
            "city": "Glenmoore",
            "state": "PA",
            "country_code": "US",
            "postal_code": "193431615",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Brier II",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Glenmoore, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2022; 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.