DEVEREUX FOUNDATION (NPI# 1578011185) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578011185 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Other Organization Name | DEVEREUX COMMUNITY SERVICES |
| Practice Address |
630 Churchmans Rd Newark DE 19702-1900 |
| Practice Telephone | 3027250590 |
| Practice Fax Number | 3027250590 |
| Mailing Telephone | 3027250590 |
| Mailing Fax Number | 3027250590 |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2020-02-13 |
| Authorized Official Name | JOSEPH MCLAUGHLIN (BUSINESS MANAGER) |
| Authorized Official Telephone | 6104221463 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Devereux Community Services | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 604 Glen Circle Dr, Tobyhanna, PA 18466-8300 | 2020-10-06 |
| 1356969679 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 100 Genuardi Circle, West Chester, PA 19380 | 2020-07-13 |
| 1447882618 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 147 W Academy St, Clayton, NJ 08312-1435 | 2020-02-06 |
| 1043866858 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 124 Wertsville Rd Bldg 2, Hillsborough, NJ 08844-3908 | 2019-08-16 |
| 1205494978 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 240 Longhouse Dr Bldg B, Hewitt, NJ 07421-3730 | 2019-05-29 |
| 1023675808 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 440 Fislerville Rd, South Harrison Township, NJ 08062-4435 | 2019-05-28 |
| 1346700010 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 780 Watchung Rd, Bound Brook, NJ 08805-1455 | 2019-03-20 |
| 1609333194 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 34 Creek Ln, Mount Royal, NJ 08061-1039 | 2019-02-21 |
| 1902370570 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 122 Leopard Rd, Berwyn, PA 19312-1809 | 2019-01-17 |
| 1326512476 | Devereux Foundation | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 109 Bloss Rd, Canadensis, PA 18325-4741 | 2019-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | DEVEREUX FOUNDATION, INC., THE | 81 Sabbaday La, Washington, CT 06793 |
| Street Address |
630 CHURCHMANS RD |
| City | NEWARK |
| State | DE |
| Zip Code | 19702-1900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568713832 | Pain Solution Centers of Delaware | Residential Treatment Facility, Physical Disabilities | 630 Churchmans Rd, Suite 109, Newark, DE 19702-1900 | 2012-09-27 |
| 1306479910 | Jeffrey Marshall | Counselor | 630 Churchmans Rd, Newark, DE 19702-1900 | 2020-02-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467814 | Leilanie Redondiez | Physical Therapist | 110 Blue Ridge Circle, Newark, DE 19702 | 2020-08-11 |
| 1285118679 | A Center for Mental Wellness Community Support Programs, LLC | Substance Abuse Rehabilitation Facility | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-09-20 |
| 1124510854 | Shena Williams | Counselor | 1423 Capital Trail Rd, Newark, DE 19702 | 2018-05-30 |
| 1437664737 | Excellence Home Care LLC | Home Health | 122 Delaware Street, New Castle, DE 19702 | 2017-12-08 |
| 1710496773 | Kirt Leigh Randolph | Physical Therapy Assistant | 229 Barrett Run Place, Newark, DE 19702 | 2017-09-21 |
| 1871014399 | Edeline Elicin | Marriage & Family Therapist | 260 Chapman Road, Suite 100-b, Newark, DE 19702 | 2017-07-06 |
| 1831646454 | Rickia Izetta Spivey-kennedy | Counselor | 36 Avignon Drive, Newark, DE 19702 | 2016-09-01 |
| 1134585748 | Thomas Wolters | Pharmacist | 248 Chaoman Road, Newark, DE 19702 | 2016-01-12 |
| 1851700686 | Candice Roberts | Nurse Practitioner | 100 Biddle Ave Ste 101, Newark, DE 19702 | 2014-08-06 |
| 1316367428 | Evyline Chioma | Occupational Therapist | 25 Buttonwood Ct., Newark, DELAWARE 19702 | 2014-04-16 |
| Find all providers in zip 19702 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801361977 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| 1881169969 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 25 S. Old Baltimore Pike, Lafayette Building 1, Suite 201, Newark, DE 19702 | 2018-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548795859 | Connections Community Support Programs, Inc. | Clinic/Center | 350 N. High Street Extension, Smyrna, DE 19977 | 2017-04-24 |
| 1861820318 | A Better Chance for Our Children, Inc. | Clinic/Center | 1307 Philadelphia Pike, Wilmington, DE 19809 | 2013-10-19 |
| 1417192584 | Psychotherapeutic Services Inc | Clinic/Center | 630 W. Division St, Suite F, Dover, DE 19904 | 2008-12-03 |
| 1760636013 | Psychotherapeutic Children's Services | Clinic/Center | 630 W Division Street, Suite F, Dover, DE 19904 | 2008-11-13 |
| 1780733170 | Aquila of Delaware, Inc | Clinic/Center | 1812 Newport Gap Pike, Wilmington, DE 19808-6179 | 2007-01-09 |
| 1164501318 | State of Delaware Dscyf | Clinic/Center | 493 E Main St, Middletown, DE 19709-1463 | 2006-11-06 |
| 1144309394 | State of Delaware Dscyf | Clinic/Center | 1825 Faulkland Rd, Wilmington, DE 19805-1121 | 2006-11-06 |
| 1356816433 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1699240770 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| 1255806337 | A Center for Mental Wellness Community Support Programs, LLC | Clinic/Center | 121 W Loockerman St, Dover, DE 19904-7325 | 2018-10-04 |
| Find all providers with the same taxonomy | ||||
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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.