NPIMap

Organization Active NPI

Devereux Cleo Wallace

  • Community/Behavioral Health Agency
  • Denver, CO
National Provider Identifier
1538501333
Registry record updated Nov 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVEREUX CLEO WALLACE
Practice address
3801 E Florida Ave
Denver, CO 80210-2571
Phone
(303) 639-1715
NPI assigned
Jul 22, 2013
Last updated
Nov 16, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2017

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

Authorized official

Name
Anthony McKeever
Title
National Director Accounts Receivab
Phone
(610) 542-3064

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

3801 E Florida Ave
Denver, CO 80210-2571

Mailing address

8405 Church Ranch Blvd
Westminster, CO 80021-3918
Phone (303) 639-1715

National Provider Directory

National Provider Directory
Tax ID family
Devereux Cleo Wallace4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1374451200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510790400000",
    "number": "1538501333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8405 CHURCH RANCH BLVD",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800213918",
            "telephone_number": "303-639-1715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3801 E FLORIDA AVE",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802102571",
            "telephone_number": "303-639-1715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX CLEO WALLACE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-22",
        "last_updated": "2017-11-16",
        "status": "A",
        "authorized_official_last_name": "MCKEEVER",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "NATIONAL DIRECTOR ACCOUNTS RECEIVAB",
        "authorized_official_telephone_number": "610-542-3064"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 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.