NPIMap

Organization Active NPI

The Devereux Foundation

  • Psychiatric Residential Treatment Facility
  • Devon, PA
National Provider Identifier
1437211612
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
License
193080 Issued in PA
Legal business name
THE DEVEREUX FOUNDATION
Practice address
228 Highland Ave
Devon, PA 19333-1451
Phone
(610) 964-3164
Fax
(610) 964-3177
NPI assigned
Dec 14, 2006
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
Mr. Robert Dunne
Title
Controller
Phone
(610) 542-3063

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X 193080 PA Primary

Addresses

Primary practice location

228 Highland Ave
Devon, PA 19333-1451

Mailing address

228 Highland Ave
Devon, PA 19333-1451
Phone (610) 964-3164

Other identifiers 3

IdentifierTypeStateIssuer
1000019130429MedicaidPA
0002464003MedicaidWV
8387800MedicaidNJ

Other names 1

  • Stone & Gables 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

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": "1598054400000",
    "number": "1437211612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "228 HIGHLAND AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331451",
            "telephone_number": "610-964-3164",
            "fax_number": "610-964-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "228 HIGHLAND AVE",
            "city": "DEVON",
            "state": "PA",
            "postal_code": "193331451",
            "telephone_number": "610-964-3164",
            "fax_number": "610-964-3177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "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": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "PA",
            "license": "193080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000019130429",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0002464003",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8387800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stone & Gables",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Devon, 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.