NANCY M DEVEREUX (NPI# 1174681209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174681209 |
| Entity Type | Individual |
| Full Name | NANCY M DEVEREUX |
| Other Name | NANCY FORREST |
| Credential | PHD |
| Practice Address |
501 West 14th Street 6th Floor Wilmington DE 19801 |
| Mailing Address |
200 Hygeia Drive Physician Contracting - Suite 2300 Newark DE 19713 |
| Practice Telephone | 3024286756 |
| Practice Fax Number | 3024286750 |
| Mailing Telephone | 3026237010 |
| Mailing Fax Number | 3026230394 |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103G00000X | Clinical Neuropsychologist | B1-0001049 | DE | Behavioral Health & Social Service Providers |
| N | 103G00000X | Clinical Neuropsychologist | 071005310 | IL | Behavioral Health & Social Service Providers |
| N | 103T00000X | Psychologist | B1-0001049 | DE | Behavioral Health & Social Service Providers |
| N | 103TC0700X |
Psychologist Specialization: Clinical |
071005310 | IL | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | TAX ID | 363236791 | 01 |
| Street Address |
501 WEST 14TH STREET 6TH FLOOR |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19801 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396715736 | Christiana Care Health Services Inc. | Internal Medicine | 501 West 14th Street, Wilmington, DE 19899 | 2006-01-26 |
| 1902301591 | Zoya Iqbaluddin | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-27 |
| 1821592197 | Andrew Christopher Young | Student in an Organized Health Care Education/Training Program | 501 West 14th Street, Wilmington, DE 19899 | 2018-03-21 |
| 1437547668 | Stephanie A Evans-mitchell | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1012 | 2014-12-22 |
| 1548664592 | Molly Ann Bergamo | Registered Nurse | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1012 | 2014-10-20 |
| 1215362421 | Julia Jordan | Nurse Practitioner | 501 West 14th Street, 3rd Floor, Wilmington, DE 19801-1013 | 2013-09-06 |
| 1609163971 | Vishesh Agarwal | Psychiatry & Neurology | 501 West 14th Street, Wilmington Hospital, 3rd Floor, Wilmington, DE 19801-1012 | 2011-07-07 |
| 1902126147 | Aaron Daniel Broderick | Dentist | 501 West 14th Street, Wilmington, DE 19899 | 2010-06-10 |
| 1124289905 | Etern S Park | Dentist | 501 West 14th Street, Suite 2w44, Wilmington Hospital, Wilmington, DE 19801-2200 | 2008-06-24 |
| 1346383486 | Amro H. Shihabi | Oral & Maxillofacial Surgery | 501 West 14th Street, Dept. of Oral & Maxillofacial Surgery, Wilmington, DE 19899 | 2007-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386126068 | Meghan Cullen | Specialist/Technologist | 401 Garasches Lane, Wilmington, DE 19801 | 2018-08-30 |
| 1497257851 | Jevs Human Services | Psychologist | 300 Delaware Avenue, Suite 210, Wilmington, DE 19801 | 2018-03-01 |
| 1134627144 | Limen House, Inc | Substance Abuse Rehabilitation Facility | 1104 N. Adams Street / Triad, Wilmington, DE 19801 | 2018-01-24 |
| 1538698980 | Triad Ministry Inc | Community/Behavioral Health | 1104 N. Adams Street, Wilmington, DE 19801 | 2017-06-08 |
| 1649706086 | Fhr -act Program | Health Maintenance Organization | 103a Rogers Rd., Wilmington, DE 19801 | 2017-05-04 |
| 1275080707 | Suzanne Isenberg | Social Worker | 103 Rogers Roaad, Wilmington, DE 19801 | 2016-09-01 |
| 1467815191 | Jenna Leigh Laughlin | Internal Medicine | 501 W 14th St., Wilmington, DE 19801 | 2016-03-31 |
| 1962830430 | Antoinette L. Rodriguez | Counselor | 500 W 10th St., Connections Community Support Programs Inc., Wilmington, DE 19801 | 2013-10-21 |
| 1104173509 | Connections Community Support Programs, Inc. | Clinic/Center | 500 W. 10th Street, Wilmington, DE 19801 | 2012-08-06 |
| 1366719916 | Richard Mclaughlin | Counselor | 109 W. 7th St, Crossroads of Delaware, Wilmington, DE 19801 | 2011-11-28 |
| Find all providers in zip 19801 | ||||
| Taxonomy Code | 103G00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Clinical Neuropsychologist |
| An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |
| Notes: Source: American Psychological Association, Washington, DC, 1997. [1/1/2007: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699002089 | Cynthia R Fitzsimmons | Clinical Neuropsychologist | 313 Walnut St Ste 107, Wilmington, NC 28401-4063 | 2009-11-05 |
| 1184717605 | Richard A. Berg, PC | Clinical Neuropsychologist | 5010 Randall Parkway, Wilmington, NC 28403 | 2006-10-02 |
| 1508968843 | Antonio E Puente | Clinical Neuropsychologist | 1508 Military Cutoff Road, Ste 303, Wilmington, NC 28403 | 2006-09-05 |
| 1861439895 | Richard G. Ivins | Clinical Neuropsychologist | 1601 Concord Pike, Suite 92-100, Wilmington, DE 19803-3612 | 2006-05-31 |
| 1033161658 | Barbara Briggs | Clinical Neuropsychologist | 1073 Creekside Dr, Wilmington, DE 19804-3930 | 2006-05-16 |
| 1144218744 | Frederick Kurz | Clinical Neuropsychologist | 1601 Delaware Ave, Suite 32 B, Wilmington, DE 19806-3303 | 2005-10-10 |
| 1831689520 | Danielle Bosenbark | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2018-05-17 |
| 1194265793 | Laura Freeman | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2017-03-01 |
| 1245606920 | Gregory Adam Witkin | Clinical Neuropsychologist | 1600 Rockland Rd, Wilmington, DE 19803-3607 | 2015-08-17 |
| 1063890192 | Maya Zayat | Clinical Neuropsychologist | 1600 Rockland Rd, Nemours Dupont Pediatrics, Wilmington, DE 19803-3607 | 2015-05-08 |
| Find all providers in WILMINGTON | ||||
| City | WILMINGTON |
| Zip Code | 19801 |
Please comment or provide details below to improve the information on NANCY M DEVEREUX.
| 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.