The Devereux Foundation

Primary specialty

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

License

GH1008 Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Doing business as

Devereux Advanced Behavioral Health

Practice address

1727 Burrsville Road
Brick, NJ 08724

Phone

(856) 599-6400

Fax

(856) 599-6404

NPI assigned

Apr 19, 2017

Last updated

Apr 19, 2017By 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

Ms. 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

Comm SVCS of Devereux332 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 Foundation

  dba Devereux Advanced Behavioral Health

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

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mount Royal, NJ
  • NPI 1609333194
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Emotionally Disturbed Childrens' Residential Treatment Facility
  • Hillsborough, NJ
  • NPI 1639656705
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Vineland, NJ
  • NPI 1679230486
  NPD tax ID
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Clarksboro, NJ
  • NPI 1700443579
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Newark, NJ
  • NPI 1508390287
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, NJ
  • NPI 1518492982
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Millville, NJ
  • NPI 1528444734
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Woodbury, NJ
  • NPI 1528592276
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Plumstead, NJ
  • NPI 1538693205
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Sicklerville, NJ
  • NPI 1558747758
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Lafayette, NJ
  • NPI 1558895144
  NPD tax ID

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492560000000",
    "number": "1629502398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE ROAD, BUILDING #4",
            "city": "WEST DEPTFORD",
            "state": "NJ",
            "postal_code": "08066",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 BURRSVILLE ROAD",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "08724",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "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",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NJ",
            "license": "GH1008",
            "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"
        }
    ]
}

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• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Brick, NJ
• Providers in Brick, 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 Apr 19, 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.