DEVEREUX FOUNDATION MASSACHUSETTS (NPI# 1205052313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205052313 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION MASSACHUSETTS |
| Other Organization Name | MASSACHUSETTS CENTER |
| Practice Address |
60 Miles Rd Rutland MA 01543 |
| Mailing Address |
60 Miles Rd Rutland MA 01543-0219 |
| Practice Telephone | 5088864746 |
| Practice Fax Number | 5088862274 |
| Mailing Telephone | 5088864746 |
| Mailing Fax Number | 5088862274 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | FRAN WAGNER (NATIONAL DIRECTOR, ACCTS RECEIVABLE) |
| Authorized Official Telephone | 6105423084 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 323P00000X | Psychiatric Residential Treatment Facility | 147344 | MA | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Massachusetts Center | Other Name - Individual/Organization |
| Street Address |
60 MILES RD |
| City | RUTLAND |
| State | MA |
| Zip Code | 01543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609497882 | Rebecca Estelle Himmelstein | Social Worker | 60 Miles Rd, Rutland, MA 01543-1423 | 2020-04-29 |
| 1083084552 | Martin Carolan | Behavioral Analyst | 60 Miles Rd, Rutland, MA 01543-1423 | 2015-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053896936 | Judith Audette | Social Worker | 84 Irish Ln, Rutland, MA 01543 | 2018-09-26 |
| 1073051975 | Teach Us | Behavioral Analyst | 21 Charnock Hill Rd, Rutland, MA 01543 | 2017-02-10 |
| 1447590930 | Rose Santucci | Nurse's Aide | 63 Ridge St, Rutland, MA 01543 | 2013-02-21 |
| 1356477210 | Colleen G. Tunney | Counselor | 60 Miles Road, Devereux, Rutland, MA 01543 | 2007-02-26 |
| 1184950594 | David H. Tuttle | Pharmacist | 18 Maple Ave., Rutland, MA 01543-0233 | 2009-10-20 |
| 1457530792 | Rutland Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 18 Maple Ave, Rutland, MA 01543-0233 | 2007-11-02 |
| 1659510329 | West Boylston Family Medicine PC | Family Medicine | 259 Main St., Rutland, MA 01543-0367 | 2009-02-19 |
| 1013083641 | Theresa E Taylor | Counselor | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2006-11-27 |
| 1689239220 | Courtney Bennet | Assistant Behavior Analyst | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2019-05-09 |
| 1730744277 | Rachel Mccormick | Behavior Technician | 191 Barre Paxton Rd, Rutland, MA 01543-1239 | 2019-05-09 |
| Find all providers in zip 01543 | ||||
| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689976201 | Drpc Comm & It Solution | Psychiatric Residential Treatment Facility | 220 Belmont St # 3, Malden, MA 02148 | 2010-12-02 |
| 1225497092 | Ausaten Riggs Center | Psychiatric Residential Treatment Facility | 25 Main Street, Stockbridge, MA 01262-0962 | 2016-02-22 |
| 1275887556 | Blair Mcbride | Psychiatric Residential Treatment Facility | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2012-11-07 |
| 1285980797 | Academy At Swift River | Psychiatric Residential Treatment Facility | 151 South St, Cummington, MA 01026-9501 | 2012-08-02 |
| 1407092778 | Christian F Nunez | Psychiatric Residential Treatment Facility | 14 Porter St, East Boston, MA 02128-2116 | 2008-12-16 |
| 1235252362 | Austen Riggs Center | Psychiatric Residential Treatment Facility | 25 Main Street, Stockbridge, MA 01262 | 2007-04-06 |
| 1992778781 | Walden Behavioral Care LLC | Psychiatric Residential Treatment Facility | 9 Hope Ave, Ste 500, Waltham, MA 02453 | 2006-02-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.