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KANNER LAURA VILLA
NPI 1164546644
Community Based Residential Treatment Facility, Mental Illness in West Chester, PA

Active since March 19, 2007
390 E BOOT RD, WEST CHESTER, PA 19380(610) 431-8100(610) 431-3155 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kanner Laura Villa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KANNER LAURA VILLA (NPI 1164546644) is a healthcare organization registered as a community based residential treatment facility, mental illness in West Chester, Pennsylvania and active in the NPI registry since March 2007. The organization lists Fran Wagner, National Director, Ar, as its authorized official.

NPPES Registry Identity

NPI1164546644
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameDEVEREUX KANNER
Location Address390 E BOOT RDWest Chester, PA 19380-1222
Mailing Address2012 Renaissance BlvdKing Of Prussia, PA 19406-2786 · (610) 542-3084 · Fax (610) 542-3191
Phone(610) 431-8100
Fax(610) 431-3155
Organization SubpartNo
Authorized OfficialFran WagnerNational Director, Ar · (610) 542-3084
Enumeration DateMarch 19, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1164546644 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in PA · 112070
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
390 E BOOT RD, West Chester, PA 19380
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Other Names 1

Other NameKanner Laura Villa

Other Identifiers 1

Medicaid0010464NJ

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROL ANNE MCNELLIS PSY.D.
Psychologist (Clinical)
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8160
DEVEREUX KANNER
Community Based Residential Treatment Facility, Mental Illness
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8100
DEVEREUX CIDDS DONOVAN
Residential Treatment Facility, Emotionally Disturbed Children
390 E BOOT RD, 102 GENUARDI CIRCLE
WEST CHESTER, PA 19380
Chester County (610) 431-8100
DEVEREUX FOUNDATION
Residential Treatment Facility, Emotionally Disturbed Children
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8100
JENNY NIELSEN PH.D., BCBA-D
Psychologist
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8830
DEVEREUX KANNER
Community Based Residential Treatment Facility, Mental Illness
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8100
THE DEVEREUX FOUNDATION
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
390 E BOOT RD, 105 DEVEREUX CIRCLE
WEST CHESTER, PA 19380
Chester County (610) 431-8191
DEVEREUX FOUNDATION
Residential Treatment Facility, Emotionally Disturbed Children
390 E BOOT RD
WEST CHESTER, PA 19380
Chester County (610) 431-8100

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Devereux Kanner's NPI number?

The NPI number for Devereux Kanner is 1164546644. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as Kanner Laura Villa.

Where is Devereux Kanner located?

Devereux Kanner is located at 390 E Boot Rd, West Chester, PA 19380. The listed phone number is (610) 431-8100.

What is Devereux Kanner's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Devereux Kanner was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.