NPIMap

Organization Active NPI

Devereux

  • Community/Behavioral Health Agency
  • Deland, FL
National Provider Identifier
1922415074
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVEREUX
Practice address
120 E New York Ave
Suite B
Deland, FL 32724-5568
Phone
(386) 738-5543
Fax
(866) 596-2824
NPI assigned
Jul 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Authorized official

Name
Marisol Lindsay
Title
Program Manager
Phone
(386) 738-5543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

120 E New York Ave
Suite B
Deland, FL 32724-5568

Mailing address

120 E New York Ave
Suite B
Deland, FL 32724-5568
Phone (386) 738-5543

National Provider Directory

National Provider Directory

Locations

120 E New York Ave
Ste B
Deland, FL 32724
Phone (386) 738-5543

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1405900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405900800000",
    "number": "1922415074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E NEW YORK AVE",
            "address_2": "SUITE B",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245568",
            "telephone_number": "386-738-5543",
            "fax_number": "866-596-2824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E NEW YORK AVE",
            "address_2": "SUITE B",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327245568",
            "telephone_number": "386-738-5543",
            "fax_number": "866-596-2824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-21",
        "last_updated": "2014-07-21",
        "status": "A",
        "authorized_official_last_name": "LINDSAY",
        "authorized_official_first_name": "MARISOL",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "386-738-5543"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deland, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2014; 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.