1. Home
  2. Directory
  3. Pennsylvania
  4. West Chester
  5. Residential Treatment Facility Emotionally Disturbed Children
  6. NPI Profile

KANNER JACKSON VILLA
NPI 1306960091
Residential Treatment Facility, Emotionally Disturbed Children in West Chester, PA

Active since March 19, 2007
390 E BOOT RD, 101 GENUARDI CIRCLE, WEST CHESTER, PA 19380(610) 431-8100(610) 431-3155 Get Directions Write a Review

NPPES record last updated: August 31, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kanner Jackson Villa NPPES

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

KANNER JACKSON VILLA (NPI 1306960091) is a healthcare organization registered as a residential treatment facility, emotionally disturbed children 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

NPI1306960091
Entity TypeOrganization
Primary Taxonomy322D00000X
Legal Business NameDEVEREUX KANNER
Location Address390 E BOOT RD, 101 GENUARDI CIRCLEWest 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 31, 2010
✔ NPI 1306960091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyResidential Treatment Facility, Emotionally Disturbed ChildrenResidential Treatment Facilities
Taxonomy Code322D00000X
License✔ Licensed in PA · 132880
Definition
A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X · License 112050 (PA)
390 E BOOT RD, West Chester, PA 19380
Open in Google Maps ↗

Other Names 1

Other NameKanner Jackson Villa

Other Identifiers 1

Medicaid0010537NJ

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
DEVEREUX KANNER
Community Based Residential Treatment Facility, Mental Illness
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

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 1306960091. It was assigned to this organization in the NPPES registry on March 19, 2007. The provider is also known as Kanner Jackson Villa.

Where is Devereux Kanner located?

Devereux Kanner is located at 390 E Boot Rd 101 Genuardi Circle, 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 Residential Treatment Facility, Emotionally Disturbed Children with taxonomy code 322D00000X.

When was this NPI record last updated?

The NPPES record for Devereux Kanner was last updated on August 31, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.