NPIMap

Organization Active NPI

The Devereux Foundation

  • Community/Behavioral Health Agency
  • Berwyn, PA
National Provider Identifier
1174664742
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
102780 Issued in PA
Legal business name
THE DEVEREUX FOUNDATION
Practice address
139 Leopard Rd
Berwyn, PA 19312-1809
Phone
(610) 296-6800
Fax
(610) 251-2013
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Fran Wagner
Title
National Accts Receivable Director
Phone
(610) 542-3084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 102780 PA Primary

Addresses

Primary practice location

139 Leopard Rd
Berwyn, PA 19312-1809

Mailing address

139 Leopard Rd
Berwyn, PA 19312-1809
Phone (610) 296-6800

Other identifiers 1

IdentifierTypeStateIssuer
1000019130415MedicaidPA

Other names 1

  • Devereux Whitlock Center Other name

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

Locations

139 Leopard Rd
Berwyn, PA 19312
Phone (610) 296-6800

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174664742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "139 LEOPARD RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121809",
            "telephone_number": "610-296-6800",
            "fax_number": "610-251-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "139 LEOPARD RD",
            "city": "BERWYN",
            "state": "PA",
            "postal_code": "193121809",
            "telephone_number": "610-296-6800",
            "fax_number": "610-251-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "NATIONAL ACCTS RECEIVABLE DIRECTOR",
        "authorized_official_telephone_number": "610-542-3084",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "PA",
            "license": "102780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019130415",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Whitlock Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Berwyn, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.