DEVEREUX FOUNDATION – NPI #1346319142
Psychiatric Residential Treatment Facility

A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary

DEVEREUX FOUNDATION is a psychiatric residential treatment facility located in KENNESAW, GA. NPPES has assigned the NPI number 1346319142 to DEVEREUX FOUNDATION on November 07, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. DEVEREUX FOUNDATION is also known by the name DEVEREUX GEORGIA TREATMENT NETWORK. The primary taxonomy selected by this provider is 323P00000X from the Health Care Provider Taxonomy code set, which is classified as Psychiatric Residential Treatment Facility.

The NPI profile was previously updated about 17 years ago on Jan 16, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DEVEREUX FOUNDATION below.

NPI Profile for
DEVEREUX FOUNDATION

NPI Number
1346319142
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DEVEREUX FOUNDATION
Other Name: DEVEREUX GEORGIA TREATMENT NETWORK
Primary location
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone: (770) 427-0147 Fax:
Mailing address
1283 KENNESTONE CIR
SUITE 100
MARIETTA, GA 30066-6029
Phone: (770) 427-0147 Fax: (770) 423-1502
Organization Subpart
No
Authorized Official
MARIO BOLIVAR
EXECUTIVE DIRECTOR
Phone: (687) 303-2669
Updated
Identifiers

Identifiers for DEVEREUX FOUNDATION

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA087592297A
MEDICAIDMD700401000
MEDICAIDNC3404521
MEDICAIDWV0002464004
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
323P00000X
- Psychiatric Residential Treatment Facility (Primary)
GA 5910

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.