DEVEREUX FOUNDATION (NPI# 1932573136) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932573136 |
| Entity Type | Organization |
| Organization Name | DEVEREUX FOUNDATION |
| Other Organization Name | PIMA AIC |
| Practice Address |
2502 N Dodge Blvd Suite 120 Tucson AZ 85716-2671 |
| Mailing Address |
11000 N Scottsdale Rd Suite 260 Scottsdale AZ 85254-6130 |
| Practice Telephone | 5202965551 |
| Mailing Telephone | 6022831573 |
| Mailing Fax Number | 4804435587 |
| Enumeration Date | 2015-11-25 |
| Last Update Date | 2015-11-25 |
| Authorized Official Name | MS. LANE BARKER (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6022831573 |
| Authorized Official Credential | LMFT |
| Is Organization Subpart | Y |
| Parent Organization Name | DEVEREUX FOUNDATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| Pima AIC | Doing Business As Name - 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 |
2502 N DODGE BLVD SUITE 120 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85716-2671 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013012699 | Ivy L Schwartz | Family Medicine | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2006-09-14 |
| 1811432149 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 2502 N Dodge Blvd, Suite 190 Central & East, Tucson, AZ 85716 | 2016-12-22 |
| 1215487384 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-10-12 |
| 1740737196 | Community Bridges, Inc. | Clinical Medical Laboratory | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2016-09-01 |
| 1427415215 | Community Partnership Care Coordination, LLC | Counselor | 2502 N Dodge Blvd, Suite 100, Tucson, AZ 85716-2671 | 2016-01-25 |
| 1740645571 | Rachel Martin | Social Worker | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-12-21 |
| 1992171268 | Devereux Foundation | Community/Behavioral Health | 2502 N Dodge Blvd, Suite 110, Tucson, AZ 85716-2671 | 2015-08-20 |
| 1700252707 | Eric Parrish | Counselor | 2502 N Dodge Blvd, Tucson, AZ 85716-2671 | 2015-08-13 |
| 1275914830 | Mary Pentland | Social Worker | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-06-09 |
| 1457746497 | Pasadera Behavioral Health Network, Inc. | Rehabilitation, Substance Use Disorder Unit | 2502 N Dodge Blvd, Suite 190, Tucson, AZ 85716-2671 | 2015-04-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063065043 | Kristi Watson Mdpc | Clinic/Center | Hodges Eye Care and Surgical Location, 1502 N. Tucson Blvd, Tucson, AZ 85716 | 2019-07-19 |
| 1639731326 | Leigh-anne Andre | Social Worker | 1135 N. Jones Blvd, Tucson, AZ 85716 | 2019-07-02 |
| 1053802462 | Thomas Scott Mcvean | Technician, Pathology | 718 N Richey Blvd, Tucson, AZ 85716 | 2018-05-21 |
| 1063923787 | Intermountain Health Center, Inc. | Clinic/Center | 3815 E. Monte Vista, Apt. 1101, Tuscon, AZ 85716 | 2017-10-20 |
| 1992224729 | Rocio Fonseca | Counselor | 1014 N Country Club, Tucson, AZ 85716 | 2017-09-13 |
| 1548784473 | Adrian Linda Fait | Speech-Language Pathologist | Child & Family Resources, Inc., 2800 E. Broadway Blvd, Tucson, AZ 85716 | 2017-08-02 |
| 1447701867 | Katheryn Fredman | Counselor | 3830 E. Bellevue St., Tucson, AZ 85716 | 2016-10-20 |
| 1396114211 | Craig Stark | Internal Medicine | 2978 E Greenlee St, Tucson, AZ 85716 | 2015-09-21 |
| 1598142283 | Layla Carol Bradley | Nurse Practitioner | 3832 E. Speedway, Minute Clinic, Tucson, AZ 85716 | 2015-05-01 |
| 1134547813 | Maeve Shaughnessy | Counselor | 2921 E Fort Lowell Rd Ste 207, Tucson, AZ 85716 | 2014-03-31 |
| Find all providers in zip 85716 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811519705 | Rhema Home | Community Based Residential Treatment Facility, Mental Illness | 5959 S Rowan Ct, Tucson, AZ 85706-0005 | 2020-05-13 |
| 1063059525 | Dream Builders of Arizona | Community Based Residential Treatment Facility, Mental Illness | 5115 W Sumter Dr, Tucson, AZ 85742-8247 | 2019-12-04 |
| 1548817497 | Christus Group Home | Community Based Residential Treatment Facility, Mental Illness | 6986 S Red Maids Dr, Tucson, AZ 85756-5100 | 2019-08-23 |
| 1255983037 | Devereux Arizona | Community Based Residential Treatment Facility, Mental Illness | 2000 E Spring St, Tucson, AZ 85719-3428 | 2019-07-12 |
| 1194280479 | Tender Loving Care Home LLC | Community Based Residential Treatment Facility, Mental Illness | 509 S Staunton Dr, Tucson, AZ 85710-6254 | 2019-01-31 |
| 1649755562 | Winam Behavioral Services | Community Based Residential Treatment Facility, Mental Illness | 534 S Kenyon Dr, Tucson, AZ 85710-4645 | 2018-09-26 |
| 1699226068 | Codac Health, Recovery & Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2482 N Palo Verde Ave, Tucson, AZ 85716-2548 | 2016-10-20 |
| 1255881355 | Codac Health, Recovery & Wellness, Inc. | Community Based Residential Treatment Facility, Mental Illness | 4801 E Helen St, Tucson, AZ 85712-4717 | 2016-10-12 |
| 1245787043 | Community Partners Integrated Healthcare, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2502 N Dodge Blvd Ste 190-west, Tucson, AZ 85716-2671 | 2016-09-08 |
| 1720439961 | Toate Ganago | Community Based Residential Treatment Facility, Mental Illness | 6781 S Aquiline Dr, Tucson, AZ 85756-8639 | 2016-06-29 |
| Find all providers in TUCSON | ||||
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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.