Active NPI
Devereux Foundation
Doing business as Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mount Royal, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Legal business name
- DEVEREUX FOUNDATION
- Doing business as
- Devereux Advanced Behavioral Health
- Practice address
- 34 Creek LN
Mount Royal, NJ 08061-1039 - Phone
- (856) 599-6400
- Fax
- (856) 599-6404
- NPI assigned
- Feb 21, 2019
- Last updated
- Feb 21, 2019
- 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
- Carole Cirucci
- Title
- Director of Finance
- Phone
- (856) 599-6429
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NU | Primary |
Addresses
Primary practice location
34 Creek LN
Mount Royal, NJ 08061-1039
Mailing address
286 Mantua Grove Rd
West Deptford, NJ 08066-1738
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
- Devereux Arizona
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 Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Paulsboro, NJ
- NPI 1467010132
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newton, NJ
- NPI 1598141889
-
dba Devereux Advanced Behavioral Health
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Hillsborough, NJ
- NPI 1639656705
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1679230486
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clarksboro, NJ
- NPI 1700443579
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Elmwood Park, NJ
- NPI 1457885048
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bridgeton, NJ
- NPI 1508390196
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Newark, NJ
- NPI 1508390287
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somerset, NJ
- NPI 1518492982
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Millville, NJ
- NPI 1528444734
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Woodbury, NJ
- NPI 1528592276
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Plumstead, NJ
- NPI 1538693205
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550707200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1550707200000",
"number": "1609333194",
"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": "34 CREEK LN",
"city": "MOUNT ROYAL",
"state": "NJ",
"postal_code": "080611039",
"telephone_number": "856-599-6400",
"fax_number": "856-599-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVEREUX FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-21",
"last_updated": "2019-02-21",
"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": "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"
}
]
}
Other providers in Mount Royal, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.