NPIMap

Organization Active NPI

Devereux Foundation

Doing business as Devereux Arizona - Pima Outpatient #2

  • Community/Behavioral Health Agency
  • Tucson, AZ
National Provider Identifier
1992171268
Registry record updated Jan 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DEVEREUX FOUNDATION
Doing business as
Devereux Arizona - Pima Outpatient #2
Practice address
2502 N Dodge Blvd
Suite 110
Tucson, AZ 85716-2671
Phone
(520) 296-5551
NPI assigned
Aug 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2016

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

Authorized official

Name
Lane Martin-Barker
Title
Executive Director
Phone
(602) 283-1573

Specialties & licenses 1

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

Addresses

Primary practice location

2502 N Dodge Blvd
Suite 110
Tucson, AZ 85716-2671

Mailing address

11000 N Scottsdale Rd
Suite 260
Scottsdale, AZ 85254-6130
Phone (520) 296-5551

Other names 1

  • Devereux Arizona - Pima Outpatient #2 Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Devereux Florida331 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 12

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations

2502 N Dodge Blvd
Ste 110
Tucson, AZ 85716
Phone (520) 296-5551

NPI Registry JSON

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

{
    "created_epoch": "1440028800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454025600000",
    "number": "1992171268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11000 N SCOTTSDALE RD",
            "address_2": "SUITE 260",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546130",
            "telephone_number": "520-296-5551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2502 N DODGE BLVD",
            "address_2": "SUITE 110",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857162671",
            "telephone_number": "520-296-5551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEVEREUX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-20",
        "last_updated": "2016-01-29",
        "status": "A",
        "authorized_official_last_name": "MARTIN-BARKER",
        "authorized_official_first_name": "LANE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-283-1573"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Devereux Arizona - Pima Outpatient #2",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2016; 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.