NPIMap

Organization Active NPI

The Devereux Foundation

  • Psychiatric Hospital
  • Malvern, PA
National Provider Identifier
1164584520
Registry record updated Jul 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
License
114190 Issued in PA
Legal business name
THE DEVEREUX FOUNDATION
Practice address
655 Sugartown Rd
Malvern, PA 19355-0275
Phone
(800) 935-6789
Fax
(610) 251-2415
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2016

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

Authorized official

Name
Mr. Robert Dunne
Title
Controller
Phone
(610) 542-3063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X 114190 PA Primary

Addresses

Primary practice location

655 Sugartown Rd
Malvern, PA 19355-0275

Mailing address

655 Sugartown Rd
Box 275
Malvern, PA 19355-0275
Phone (800) 935-6789

Other identifiers 3

IdentifierTypeStateIssuer
7433409MedicaidNJ
0002464000MedicaidWV
1000019130411MedicaidPA

National Provider Directory

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

Organizations with this tax ID in the same state 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467936000000",
    "number": "1164584520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 SUGARTOWN RD",
            "address_2": "BOX 275",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550275",
            "telephone_number": "800-935-6789",
            "fax_number": "610-251-2415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "655 SUGARTOWN RD",
            "city": "MALVERN",
            "state": "PA",
            "postal_code": "193550275",
            "telephone_number": "800-935-6789",
            "fax_number": "610-251-2415"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2016-07-08",
        "status": "A",
        "authorized_official_last_name": "DUNNE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "610-542-3063",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "PA",
            "license": "114190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7433409",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002464000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019130411",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Malvern, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2016; 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.