Devereux Foundation

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

TMHP083851801 Issued in TX

Legal business name

DEVEREUX FOUNDATION

Doing business as

Devereux Texas Treatment Network

Practice address

1150 Devereux Dr
Outpatient Clinic
League City, TX 77573-2043

Phone

(281) 332-8608

Fax

(281) 332-5283

NPI assigned

Feb 9, 2006

Organization subpart

Yes

Parent organization

DEVEREUX FOUNDATIONAs reported in NPPES

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

Authorized official

Name

Ms. Pamela E. Helm

Title

Executive Director

Phone

(281) 335-1000

Specialties & licenses 6

Addresses

Other identifiers 2

Other names 1

• Devereux Texas Treatment Network Doing business as

Part of

Devereux Florida

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1518930650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 DEVEREUX DR",
            "address_2": "OUTPATIENT CLINIC",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732043",
            "telephone_number": "281-332-8608",
            "fax_number": "281-332-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1150 DEVEREUX DR",
            "address_2": "OUTPATIENT CLINIC",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775732043",
            "telephone_number": "281-332-8608",
            "fax_number": "281-332-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FOUNDATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DEVEREUX FOUNDATION",
        "enumeration_date": "2006-02-09",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "HELM",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "281-335-1000",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": false
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "TMHP083851801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083851801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOSPITAL LICENSE",
            "identifier": "000718",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Texas Treatment Network",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Callie Leigh Deloach, FNP-C
• Adam Demoss
• Vicki L Denaro
• Dental Etc
• Rachel Louise Desonier, R.D.
• Courtney R Devereux
• Ida Renee Diamond, APRN
• Dickinson OB-GYN Association, P.a.
• Maigen Dicristofaro, OTR/L
• Anthony Tan Diep, PHARMD

• Child & Adolescent Psychiatry Physician in League City, TX
• Providers in League City, TX by specialty
• Child & Adolescent Psychiatry Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; 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.