DEVEREUX FOUNDATION WHITLOCK (NPI# 1609908375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1609908375 |
Entity Type | Organization |
Organization Name | DEVEREUX FOUNDATION WHITLOCK |
Other Organization Name | WHITLOCK VOCATIONAL SERVICES |
Practice Address |
121 Leopard Rd Berwyn PA 19312-1809 |
Mailing Address |
2012 Renaissance Blvd King of Prussia PA 19406-2786 |
Practice Telephone | 6102966800 |
Practice Fax Number | 6102512013 |
Mailing Telephone | 6105423084 |
Mailing Fax Number | 6105423191 |
Enumeration Date | 2007-03-09 |
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 |
---|---|---|---|---|---|
N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
123180 | PA | Ambulatory Health Care Facilities |
Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
104270 | PA | Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
PA | 100001913-0268 | 05 | |
PA | 100001913-0242 | 05 |
Other Name | Type Code |
---|---|
Whitlock Vocational Services | Other Name - Individual/Organization |
Street Address |
121 LEOPARD RD |
City | BERWYN |
State | PA |
Zip Code | 19312-1809 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1770113847 | Theresa Marie Estrada | Dietitian, Registered | 534 Howellville Rd., Berwyn, PA 19312 | 2020-01-17 |
1407279664 | True Care Medical Transport LLC | Ambulance | 1189 Lancaster Ave, Berwyn, PA 19312 | 2014-01-23 |
1124440730 | Sofie Heyman | Marriage & Family Therapist | 1034 Beaumont Rd, Berwyn, PA 19312 | 2014-01-16 |
1437303880 | Megan O'keefe | Occupational Therapist | 622 First Ave., Berwyn, PA 19312 | 2008-11-12 |
1235383084 | Working Together Inc. | Naturopath | 411 E. Lancaster Ave., Wayne, PA 19312 | 2008-11-06 |
1750559050 | Kenneth Kondracki | Pharmacist | 450 Mw Swedesford Rd, Berwyn, PA 19312 | 2008-02-20 |
1962624312 | John B Fitzgerald IIi | Dentist | 1201 W Swedesford Road, Berwyn, PA 19312 | 2007-05-03 |
1760607576 | Kathleen Jane Ramsdell | Occupational Therapist | 2 Harrow Lane, Berwyn, PA 19312 | 2007-04-16 |
1679604979 | Matthew Lewullis | Family Medicine | 1001 Chesterbrook Boulevard, Berwyn, PA 19312 | 2007-03-08 |
1962550996 | Christine Marie Specht | Registered Nurse | 1199 Lancaster Avenue, Suite 106, Berwyn, PA 19312 | 2007-01-08 |
Find all providers in zip 19312 |
Taxonomy Code | 261QD1600X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Developmental Disabilities |
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528677986 | Karen Elizabeth Depoulter | Clinic/Center | 3315 Appleton Rd, Landenberg, PA 19350-1203 | 2020-07-30 |
1437771102 | Rachel Schuibbeo | Clinic/Center | 519 Kenview Ave, Kennett Square, PA 19348-3147 | 2020-05-15 |
1518420025 | A Place Called Home Independent Living Communities of Pennsylvania | Clinic/Center | 709 Trefoil Ct Ste 3, Monroeville, PA 15146-3544 | 2019-04-11 |
1831606128 | Lehigh University Autism Services | Clinic/Center | 111 Research Dr., Bethlehem, PA 18015 | 2018-01-08 |
1538684220 | Holcomb Associates Inc. | Clinic/Center | 126 East Baltimore Pike, Gayley Square, Media, PA 19063 | 2017-08-03 |
1679010656 | Bridges To Greater Grace Foundation | Clinic/Center | 820 N 45th St Unit 202, Philadelphia, PA 19104-1377 | 2017-01-27 |
1972789840 | Southeastern Pa Autism Resource Center | Clinic/Center | 1160 Mcdermott Dr, #214, West Chester, PA 19383-0001 | 2008-01-10 |
1023159852 | Developmental Enterprises Corporation | Clinic/Center | 333 E Airy St, Norristown, PA 19401-5039 | 2007-02-12 |
1235278722 | Acsr, Inc. | Clinic/Center | 6 Neshaminy Interplex Dr, Suite 401, Trevose, PA 19053-6964 | 2007-02-05 |
1912461617 | Applied Behavioral Mental Health Counseling P.c | Clinic/Center | 3477 Corporate Pkwy Ste 100, Center Valley, PA 18034-8237 | 2019-01-27 |
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.