Devereux Foundation

Primary specialty

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

Legal business name

DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

240 Longhouse Dr
Hewitt, NJ 07421-3730

Phone

(856) 599-6400

NPI assigned

May 28, 2019

Last updated

May 28, 2019By 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

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

The Devereux Foundation333 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 Advanved Behavioral Health

  dba The Devereux Foundation

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Cape May Court House, NJ
  • NPI 1407523491
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • In Home Supportive Care Agency
  • West Deptford, NJ
  • NPI 1386162519
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clayton, NJ
  • NPI 1447882618
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Paulsboro, NJ
  • NPI 1467010132
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newton, NJ
  • NPI 1598141889
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Howell, NJ
  • NPI 1366976011
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Union, NJ
  • NPI 1366976953
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Elmwood Park, NJ
  • NPI 1376078642
  NPD tax ID
• The Devereux Foundation

  • Mental Illness Community Based Residential Treatment Facility
  • Paulsboro, NJ
  • NPI 1386781359
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Egg Harbor Township, NJ
  • NPI 1417481003
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clementon, NJ
  • NPI 1417481011
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Deptford, NJ
  • NPI 1417482704
  NPD tax ID

Locations

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1447817200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE RD",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "080661738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 LONGHOUSE DR",
            "city": "HEWITT",
            "state": "NJ",
            "postal_code": "074213730",
            "telephone_number": "856-599-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "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"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "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"
        }
    ]
}

• Kimberly Dejesus, MSN, FNP-BC
• Devereux Foundation (Devereux Advanced Behavioral Halth)
• Devereux Foundation (Devereux Advanced Behavioral Health)
• Devereux Foundation (Devereux Advanced Behavioral Health)
• Devereux Foundation (Devereux Advanced Beharioval Health)
• Andrea Renee Evans
• Lynda Ruth Fabbo, MSW, LCSW, CHT
• Alicia Feghhi
• John Peter Foley, MT-BC
• Pamela C. French-Stern, PH.D.

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hewitt, NJ
• Providers in Hewitt, 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 May 28, 2019; 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.