DEVEREUX (NPI# 1962835686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962835686 |
| Entity Type | Organization |
| Organization Name | DEVEREUX |
| Practice Address |
1010 Executive Center Dr Orlando FL 32803-3529 |
| Mailing Address |
5850 T G Lee Blvd Orlando FL 32822-4407 |
| Practice Telephone | 4073671665 |
| Enumeration Date | 2013-08-16 |
| Last Update Date | 2013-08-16 |
| Authorized Official Name | VICKY HERRICK (CLINICIAN) |
| Authorized Official Telephone | 4079637873 |
| Authorized Official Credential | M.A. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
FL | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609257930 | Devereux | Case Management | 85 Old Eagle Rd, Strafford, PA 19087-2556 | 2015-06-11 |
| 1306195185 | Devereux | Exclusive Provider Organization | 6365 Taft St. Suite 2002, Hollywood, FL 33024 | 2012-09-07 |
| 1326301706 | Devereux | Clinic/Center | 5850 T G Lee Blvd, Suite 400, Orlando, FL 32822-4407 | 2012-06-20 |
| 1013397843 | Devereux | Community/Behavioral Health | 6 Blackstone Valley Pl, Suite 402, Lincoln, RI 02865-1179 | 2015-06-07 |
| 1922415074 | Devereux | Community/Behavioral Health | 120 E New York Ave, Suite B, Deland, FL 32724-5568 | 2014-07-21 |
| 1053735266 | Devereux | Community/Behavioral Health | 120 E New York Ave Ste B, Deland, FL 32724-5527 | 2014-02-07 |
| 1952747032 | Devereux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2012 Renaissance Blvd, King of Prussia, PA 19406 | 2013-05-16 |
| 1952646705 | Devereux | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 286 Mantua Grove Rd, Bldg #4, West Deptford, NJ 08066-1738 | 2012-12-05 |
| 1780931659 | Devereux | Foster Care Agency | 6365 Taft St, Hollywood, FL 33024-5952 | 2012-08-10 |
| 1912040403 | Devereux | Counselor | 501 N Wymore Rd, Winter Park, FL 32789-2808 | 2007-02-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | DEVEREUX & ASSOCIATES LLC | 9 Bromyard Lane, Bella Vista, AR 72714-2911 |
| New York State Corporations | DEVEREUX ADVISORS LLC | 6 Devereux Place, Garden City, New York 11530 |
| New York State Corporations | DEVEREUX ASSOCIATES, LCSW P.C. | 11 Devereux Street, 4th Floor, Utica, Ny 13501 |
| New York State Corporations | DEVEREUX ASSOCIATION OF PARENTS OF NEW YORK, INC. | Po Box 662, Rhinebeck, Ny 12572 |
| Oregon Corporations, Companies and Business Names | DEVEREUX B & E LLC | 5658 Shady Ln, Florence, OR 97439 |
| Virginia Business Entities | Devereux Barns LLC | 1671 Lockes Mill Road, Berryville, Virginia 22611 |
| Massachusetts Corporations | DEVEREUX BEACH CORPORATION | 141 Humphrey Street, Swampscott, MA 01907 |
| Vermont Business Registrations | DEVEREUX BUILDERS | 1141 Tarbell Hill Rd, Cavendish, VT 05142 |
| Virginia Business Entities | Devereux Construction LLC | 13664 Balmoral Greens Ave, Clifton, Virginia 20124 |
| Colorado Business Entities | Devereux Enterprises, Inc. | 2675 Mall of Georgia Blvd., Suite 602, Buford, CO 30519 |
| Street Address |
1010 EXECUTIVE CENTER DR |
| City | ORLANDO |
| State | FL |
| Zip Code | 32803-3529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689700932 | Julian A Green | Case Manager/Care Coordinator | 1010 Executive Center Dr, Suite 250, Orlando, FL 32803-3529 | 2007-02-23 |
| 1023355906 | Faith Scott | Social Worker | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2013-01-11 |
| 1700123270 | Jacquita Elston | Counselor | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2013-01-03 |
| 1386993780 | Latressa J Fudge | Social Worker | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2012-08-31 |
| 1629326517 | Carmen Emilia Ziers | Counselor | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2012-08-27 |
| 1912255043 | Kristina Garcia | Counselor | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2012-08-21 |
| 1083962575 | Allyson Mary Niemier | Social Worker | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2012-08-15 |
| 1255688727 | Jamie Ann Burgman | Case Manager/Care Coordinator | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2012-08-14 |
| 1780930438 | Valerie N Shahen | Social Worker | 1010 Executive Center Dr, Orlando, FL 32803-3529 | 2012-07-31 |
| 1801158043 | Marjorie Edd Rivera Melendez | Social Worker | 1010 Executive Center Dr, #100, Orlando, FL 32803-3529 | 2012-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255952636 | Laiza Souza Tanner | Technician | 500 E Rollins St, Orlando, FL 32803 | 2020-04-27 |
| 1407415342 | Betty Carrol | Marriage & Family Therapist | 1516 E Colonial Dr Ste 100, Orlando, FL 32803 | 2019-06-12 |
| 1326606047 | Anthony Balingit | Physical Therapy Assistant | 1870 Aloma Avenue, Orlando, FL 32803 | 2019-05-29 |
| 1396234795 | Natasha Le Morvan | Technician/Technologist | 1364 Ferris Ave, Orlando, FL 32803 | 2018-05-02 |
| 1306365796 | Sarah E Fischer | Nurse Practitioner | Adventhealth Orlando, 601 E Rollins St, Orlando, FL 32803 | 2017-09-17 |
| 1710404249 | Emilia's Direct Care Agency | Community/Behavioral Health | 3218 E Colonial Dr Rm 118, Orlando, FL 32803 | 2017-08-25 |
| 1760907620 | Kalie Brianne Morris | Speech-Language Pathologist | 1120 Portland Ave Unit 7, Orlando, FL 32803 | 2017-08-11 |
| 1972024271 | Tatiana Ungredda | Psychologist | 5201 Raymond St Ste 424, Orlando, FL 32803 | 2017-06-28 |
| 1063942662 | Michael Thomas | Licensed Practical Nurse | 101 South Bumby Ave, E11, Orlando, FL 32803 | 2017-06-15 |
| 1598209249 | Danielle Marin | Behavioral Analyst | 2807 Edgewater Dr, Orlando, FL 32803 | 2016-12-15 |
| Find all providers in zip 32803 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770181638 | Wise Future Group Support Services, LLC | Clinic/Center | 2307 Greenwillow Dr, Orlando, FL 32825-7572 | 2020-10-13 |
| 1326301706 | Devereux | Clinic/Center | 5850 T G Lee Blvd, Suite 400, Orlando, FL 32822-4407 | 2012-06-20 |
| 1194051946 | Alliance Healthcare Clinic Corp | Clinic/Center | 4311 Anderson Rd, Orlando, FL 32812-7358 | 2009-10-29 |
| 1033653779 | Akeso Behavioral Health Services | Clinic/Center | 6100 Lake Ellenor Dr, #212, Orlando, FL 32809-4614 | 2016-12-15 |
| 1528446887 | The Devereux Foundation | Clinic/Center | 5850 T G Lee Blvd, Orlando, FL 32822-4407 | 2015-05-07 |
| 1154660165 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr Ste 100, Orlando, FL 32803-3521 | 2013-02-11 |
| 1366704074 | Devereux Florida | Clinic/Center | 1010 Executive Center Dr, 100, Orlando, FL 32803-3529 | 2012-06-10 |
| 1790047413 | Michael Charles Cepero | Clinic/Center | 1010 Executive Center Dr, Suite 100, Orlando, FL 32803-3529 | 2012-06-08 |
| 1578740635 | The Devereux Foundation | Clinic/Center | 6147 Christian Way, Orlando, FL 32808-1435 | 2008-01-30 |
| 1194900688 | The Devereux Foundation | Clinic/Center | 6147 Christian Way, Orlando, FL 32808-1435 | 2008-01-03 |
| Find all providers in ORLANDO | ||||
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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.