The Devereux Foundation

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

3000-036 Issued in NJ

Legal business name

THE DEVEREUX FOUNDATION

Practice address

286 Mantua Grove Rd
Building 4
Paulsboro, NJ 08066-1731

Phone

(856) 599-6400

Fax

(856) 599-6401

NPI assigned

Jan 30, 2007

Last updated

Aug 22, 2020By 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. Fran Wagner

Title

National Accounts Receivable Direct

Phone

(610) 542-3084

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• New Jersey Treatment Network Other name

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 Bridgeton

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Bridgeton, NJ
  • NPI 1770969065
  NPD tax ID
• 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
• Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Pilesgrove, NJ
  • NPI 1801435466
  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 Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Somerset, NJ
  • NPI 1598290967
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Deptford, NJ
  • NPI 1619402906
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Developmentally Disabled Services Day Training Agency
  • Mays Landing, NJ
  • NPI 1619562733
  NPD tax ID
• The Devereux Foundation

  dba Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Brick, NJ
  • NPI 1629502398
  NPD tax ID

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669518254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE RD",
            "address_2": "BUILDING 4",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661731",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "286 MANTUA GROVE RD",
            "address_2": "BUILDING 4",
            "city": "PAULSBORO",
            "state": "NJ",
            "postal_code": "080661731",
            "telephone_number": "856-599-6400",
            "fax_number": "856-599-6401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "FRAN",
        "authorized_official_title_or_position": "NATIONAL ACCOUNTS RECEIVABLE DIRECT",
        "authorized_official_telephone_number": "610-542-3084",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NJ",
            "license": "3000-036",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8835101",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Jersey Treatment Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Holly Roche, RPH
• Joanna Marie Rodman, M.A. CCC-SLP
• Jenna Nicole Sanchez, RBT, BA
• Annette Cynthia Schunk, COTA
• The Devereux Foundation
• Underwood-Memorial Hospital
• Victory Day Pharmacy LLC
• Andrea Helen Villare
• Anthony William Villare, MD
• Westwood Women's Health Center PC

• Mental Illness Community Based Residential Treatment Facility in Paulsboro, NJ
• Providers in Paulsboro, NJ by specialty
• Mental Illness 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 Aug 22, 2020; 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.