Active NPI
Devereux Foundation
Doing business as Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Paulsboro, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmentally Disabled Services Day Training Agency
- Legal business name
- DEVEREUX FOUNDATION
- Doing business as
- Devereux Advanced Behavioral Health
- Practice address
- 1460 Grandview Ave
Paulsboro, NJ 08066-1866 - Phone
- (856) 599-6400
- NPI assigned
- May 29, 2019
- Last updated
- Jun 13, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin McDonald
- Title
- Director of Finance
- Phone
- (856) 599-6429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | NU | Primary |
Addresses
Primary practice location
1460 Grandview Ave
Paulsboro, NJ 08066-1866
Mailing address
1515 Burnt Mill Rd
Cherry Hill, NJ 08003-3637
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0399507 | Medicaid | NJ |
Other names 1
- Devereux Advanced Behavioral Health
National Provider Directory
National Provider Directory- Tax ID family
- Comm SVCS of Devereux
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.
-
dba The Devereux Foundation
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cape May Court House, NJ
- NPI 1407523491
-
dba Devereux Advanced Behavioral Health
- In Home Supportive Care Agency
- West Deptford, NJ
- NPI 1386162519
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hewitt, NJ
- NPI 1447817200
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clayton, NJ
- NPI 1447882618
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newton, NJ
- NPI 1598141889
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mount Royal, NJ
- NPI 1609333194
-
- Mental Illness Community Based Residential Treatment Facility
- Paulsboro, NJ
- NPI 1386781359
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Egg Harbor Township, NJ
- NPI 1417481003
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clementon, NJ
- NPI 1417481011
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Deptford, NJ
- NPI 1417482704
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mantua, NJ
- NPI 1437683034
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- North Plainfield, NJ
- NPI 1437683109
Locations
1460 Grandview Ave
Paulsboro, NJ 08066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559088000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1655078400000",
"number": "1467010132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 BURNT MILL RD",
"city": "CHERRY HILL",
"state": "NJ",
"postal_code": "080033637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1460 GRANDVIEW AVE",
"city": "PAULSBORO",
"state": "NJ",
"postal_code": "080661866",
"telephone_number": "856-599-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVEREUX FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-29",
"last_updated": "2022-06-13",
"certification_date": "2022-06-13",
"status": "A",
"authorized_official_last_name": "MCDONALD",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "DIRECTOR OF FINANCE",
"authorized_official_telephone_number": "856-599-6429"
},
"taxonomies": [
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": "NU",
"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"
},
{
"organization_name": "Devereux Advanced Behavioral Health",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Paulsboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.