Active NPI
The Devereux Foundation
Doing business as Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Farmingdale, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- GH847
- Legal business name
- THE DEVEREUX FOUNDATION
- Doing business as
- Devereux Advanced Behavioral Health
- Practice address
- 1 Havensbridge Road
Farmingdale, NJ 07728 - Phone
- (856) 599-6400
- Fax
- (856) 599-6404
- NPI assigned
- Apr 19, 2017
- Last updated
- Apr 19, 2017
- 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
- Ms. 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 | GH847 | NJ | Primary |
Addresses
Primary practice location
1 Havensbridge Road
Farmingdale, NJ 07728
Mailing address
286 Mantua Grove Road
West Deptford, NJ 08066
Phone (856) 599-6400
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.
-
dba The Devereux Foundation
- Developmentally Disabled Services Day Training Agency
- West Deptford, NJ
- NPI 1841920329
-
dba The Devereux Foundation
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cape May Court House, NJ
- NPI 1881368264
-
- 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
- Pilesgrove, NJ
- NPI 1801435466
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Vineland, NJ
- NPI 1811653843
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- Lakehurst, NJ
- NPI 1861115081
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Mays Landing, NJ
- NPI 1902282205
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Hillsborough, NJ
- NPI 1710411301
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somerset, NJ
- NPI 1710411319
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somers Point, NJ
- NPI 1730613316
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sparta, NJ
- NPI 1730614017
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Sewell, NJ
- NPI 1760004568
NPI Registry JSON
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": "1841724697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 MANTUA GROVE ROAD",
"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": "1 HAVENSBRIDGE ROAD",
"city": "FARMINGDALE",
"state": "NJ",
"postal_code": "07728",
"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": "GH847",
"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 Farmingdale, NJ
Sources for this page
- 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.