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Organization Active NPI

Devereux Florida

Doing business as Devereux Advanced Behavioral Health

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Orlando, FL
National Provider Identifier
1720648322
Registry record updated Jun 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
Legal business name
DEVEREUX FLORIDA
Doing business as
Devereux Advanced Behavioral Health
Practice address
4119 Eagle Feather Dr
Orlando, FL 32829-8436
Phone
(407) 380-7816
NPI assigned
Jun 17, 2019
Last updated
Jun 17, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2019

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

Authorized official

Name
Michael Sweezey
Title
Business Analyst
Phone
(407) 362-9274

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X NU Primary

Addresses

Primary practice location

4119 Eagle Feather Dr
Orlando, FL 32829-8436

Mailing address

4119 Eagle Feather Dr
Orlando, FL 32829-8436
Phone (407) 380-7816

Other identifiers 1

IdentifierTypeStateIssuer
672473696MedicaidFL

Other names 1

  • Devereux Advanced Behavioral Health Doing business as

National Provider Directory

National Provider Directory
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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1560729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560729600000",
    "number": "1720648322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4119 EAGLE FEATHER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298436",
            "telephone_number": "407-380-7816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4119 EAGLE FEATHER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328298436",
            "telephone_number": "407-380-7816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FLORIDA",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-17",
        "last_updated": "2019-06-17",
        "status": "A",
        "authorized_official_last_name": "SWEEZEY",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "BUSINESS ANALYST",
        "authorized_official_telephone_number": "407-362-9274"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "672473696",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Advanced Behavioral Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.

Verify at the official NPI Registry.