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DEVEREUX WHITLOCK CENTER
NPI 1174664742
Community/Behavioral Health in Berwyn, PA

Active since February 08, 2007CLIA 39D0943522 · Waiver
139 LEOPARD RD, BERWYN, PA 19312(610) 296-6800(610) 251-2013 Get Directions Write a Review

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

About Devereux Whitlock Center NPPES

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

DEVEREUX WHITLOCK CENTER (NPI 1174664742) is a healthcare organization registered as a community/behavioral health in Berwyn, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through March 29, 2028 and lists Fran Wagner, National Accts Receivable Director, as its authorized official.

NPPES Registry Identity

NPI1174664742
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameTHE DEVEREUX FOUNDATION
Location Address139 LEOPARD RDBerwyn, PA 19312-1809
Mailing Address139 Leopard RdBerwyn, PA 19312-1809 · (610) 296-6800 · Fax (610) 251-2013
Phone(610) 296-6800
Fax(610) 251-2013
Organization SubpartNo
Authorized OfficialFran WagnerNational Accts Receivable Director · (610) 542-3084
Enumeration DateFebruary 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174664742 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in PA · 102780
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
139 LEOPARD RD, Berwyn, PA 19312
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Other Names 1

Other NameDevereux Whitlock Center

Other Identifiers 1

Medicaid1000019130415PA

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0943522

Devereux Whitlock Center · Berwyn, PA
Active · expires Mar 29, 2028
CLIA Number39D0943522
Laboratory TypeOther
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorWilliam L. Carroll MD
Laboratory Phone(610) 296-6800
Laboratory LocationDevereux Whitlock Center141 Leopard Road, Berwyn, PA 19312
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

DEVEREUX FOUNDATION - WHITLOCK
Custodial Care Facility (Adult Care Home)
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800
BANNET AGESA BA
Counselor (Professional)
139 LEOPARD RD
BERWYN, PA 19312
Chester County (215) 839-8769
DEVEREUX FOUNDATION
Day Training, Developmentally Disabled Services
139 LEOPARD RD
BERWYN, PA 19312
Chester County (570) 839-6151
MARIA L MIGLIACCIO MA, LPC, BCBA
Counselor (Mental Health)
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6801
MS. MIYOSHI FAGGINS M.ED
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 688-1636
THE DEVEREUX FOUNDATION
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800
MADALENA REBECCA SANTORO MS, BCBA
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (609) 943-1143
MS. ANNALISE MCGRATH MS
Behavior Analyst
139 LEOPARD RD
BERWYN, PA 19312
Chester County (610) 296-6800

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 The Devereux Foundation's NPI number?

The NPI number for The Devereux Foundation is 1174664742. It was assigned to this organization in the NPPES registry on February 8, 2007. The provider is also known as Devereux Whitlock Center.

Where is The Devereux Foundation located?

The Devereux Foundation is located at 139 Leopard Rd, Berwyn, PA 19312. The listed phone number is (610) 296-6800.

What is The Devereux Foundation's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does The Devereux Foundation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0943522) is associated with this NPI, valid through March 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Devereux Foundation 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.