The Devereux Foundation

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

GH395 Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

92 Princeton Avenue
Bridgeton, NJ 08302

Phone

(856) 599-6400

Fax

(856) 599-6404

NPI assigned

Apr 20, 2017

Last updated

Apr 20, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Carole Cirucci

Title

Director of Finance

Phone

(856) 599-6429

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Devereux Advanced Behavioral Health Doing business as

Tax ID family

Comm SVCS of Devereux332 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.

• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, NJ
  • NPI 1174909469
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hewitt, NJ
  • NPI 1205494978
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Pennsville, NJ
  • NPI 1255998035
  NPD tax ID
• Devereux Foundation

  dba Devereux

  • Developmentally Disabled Services Day Training Agency
  • Swedesboro, NJ
  • NPI 1275190050
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Williamstown, NJ
  • NPI 1306594254
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Beharioval Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Hewitt, NJ
  • NPI 1326606062
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bound Brook, NJ
  • NPI 1346700010
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woolwich Township, NJ
  • NPI 1346808011
  NPD tax ID
• Devereux NJ Reach Treatment Home

  • Mental Illness Community Based Residential Treatment Facility
  • Freehold, NJ
  • NPI 1265620934
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1205360245
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbine, NJ
  • NPI 1205361839
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Glassboro, NJ
  • NPI 1215461066
  NPD tax ID

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

{
    "created_epoch": "1492646400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492646400000",
    "number": "1306370994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE ROAD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 PRINCETON AVENUE",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-20",
        "last_updated": "2017-04-20",
        "status": "A",
        "authorized_official_last_name": "CIRUCCI",
        "authorized_official_first_name": "CAROLE",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE",
        "authorized_official_telephone_number": "856-599-6429",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH395",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0399507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Advanced Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Karla Yasel Tapia Pliego
• Shaylynn Teal-Canty, PHARMD, RPH
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• The Devereux Foundation (Devereux Advanced Behavioral Health)
• Julia Thomas, LCSW
• Kameisha L Thomas

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2017; 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.