Active NPI
The Devereux Foundation
Doing business as Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somserset, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- License
- SA1372
- Legal business name
- THE DEVEREUX FOUNDATION
- Doing business as
- Devereux Advanced Behavioral Health
- Practice address
- 1 JFK Boulevard, Unit 42L
Somserset, NJ 08873 - Phone
- (856) 599-6400
- Fax
- (856) 599-6404
- NPI assigned
- Apr 24, 2017
- Last updated
- Apr 24, 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 | SA1372 | NJ | Primary |
Addresses
Primary practice location
1 JFK Boulevard, Unit 42L
Somserset, NJ 08873
Mailing address
286 Mantua Grove Road, Building #4
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
- The Devereux Foundation
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
dba Devereux New Jersey
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- West Deptford, NJ
- NPI 1952646705
-
dba The Devereux Foundation
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Cape May Court House, NJ
- NPI 1881368264
-
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
- Woolwich Township, NJ
- NPI 1932766797
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Bridgeton, NJ
- NPI 1861926453
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Somerset, NJ
- NPI 1861927238
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pennington, NJ
- NPI 1891220174
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Manchester, NJ
- NPI 1891229563
-
dba Devereux Advanced Behavioral Health
- Developmentally Disabled Services Day Training Agency
- West Berlin, NJ
- NPI 1891389037
-
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- West Deptford, NJ
- NPI 1902132111
-
dba Devereux Advanced Behavioral Health
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
- Pitman, NJ
- NPI 1902330657
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1492992000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1492992000000",
"number": "1952836322",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "286 MANTUA GROVE ROAD, BUILDING #4",
"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 JFK BOULEVARD, UNIT 42L",
"city": "SOMSERSET",
"state": "NJ",
"postal_code": "08873",
"telephone_number": "856-599-6400",
"fax_number": "856-599-6404"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE DEVEREUX FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2017-04-24",
"last_updated": "2017-04-24",
"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": "SA1372",
"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 Somserset, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.