Active NPI
Devereux Foundation
Doing business as Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Clarksboro, 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
- 271 Whiskey Mill Rd
Clarksboro, NJ 08020-1128 - Phone
- (856) 599-6400
- NPI assigned
- May 28, 2019
- Last updated
- May 28, 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
271 Whiskey Mill Rd
Clarksboro, NJ 08020-1128
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
- Comm SVCS of Devereux
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.
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bridgeton, NJ
- NPI 1770969065
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mount Royal, NJ
- NPI 1609333194
-
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
- Pilesgrove, NJ
- NPI 1801435466
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1811653843
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Deptford, NJ
- NPI 1619402906
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Mays Landing, NJ
- NPI 1619562733
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Brick, NJ
- NPI 1629502398
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Deptford, NJ
- NPI 1629503917
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Ringwood, NJ
- NPI 1649704230
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Deptford, NJ
- NPI 1649704313
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559001600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559001600000",
"number": "1700443579",
"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": "271 WHISKEY MILL RD",
"city": "CLARKSBORO",
"state": "NJ",
"postal_code": "080201128",
"telephone_number": "856-599-6400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEVEREUX FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-28",
"last_updated": "2019-05-28",
"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 Clarksboro, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 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.