DEVEREUX GEORGIA TREATMENT NETWORK
NPI 1346319142
Psychiatric Residential Treatment Facility in Kennesaw, GA

NPI Status: Active since November 07, 2006

Contact Information

1291 STANLEY RD NW
KENNESAW, GA
ZIP 30152
Phone: (770) 427-0147

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  • Organization
  • Psychiatric Residential Treatment Facili...
  • Accepts Insurance

About DEVEREUX GEORGIA TREATMENT NETWORK

This page provides the complete NPI Profile along with additional information for Devereux Georgia Treatment Network, a provider established in Kennesaw, Georgia operating as a Psychiatric Residential Treatment Facility. The healthcare provider is registered in the NPI registry with number 1346319142 assigned on November 2006. The practitioner's primary taxonomy code is 323P00000X with license number 5910 (GA). The provider is registered as an organization and their NPI record was last updated 17 years ago. The provider's other name is Devereux Georgia Treatment Network. The authorized official of this NPI record is Mr. Mario Bolivar Jr. (Executive Director)

NPI
1346319142
Provider Legal Name
DEVEREUX FOUNDATION
Other Organization Name
DEVEREUX GEORGIA TREATMENT NETWORK
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
1291 STANLEY RD NW KENNESAW, GA 30152
Location Phone
(770) 427-0147
Mailing Address
1283 KENNESTONE CIR SUITE 100 MARIETTA, GA 30066
Mailing Phone
(770) 427-0147
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-07-2006
Last Update Date
01-16-2009
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatric Residential Treatment Facility

Taxonomy Code
323P00000X
Type
Residential Treatment Facilities
License No.
5910
License State
GA
Taxonomy Description
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

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Standard Expanded Bronze - HMO
  • Standard Gold - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Clarity Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options - HMO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Clear Silver with $0 Insulin Options - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Gold with Atrium Health - HMO
  • Complete Gold with Atrium Health + Vision + Adult Dental - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Bronze with Atrium Health - HMO
  • Elite Bronze with Atrium Health + Vision + Adult Dental - HMO
  • Enhanced Asthma/COPD Care Silver with $0 Drug Options - HMO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options - EPO
  • Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. MARIO BOLIVAR JR.

Authorized Official Title
EXECUTIVE DIRECTOR
Authorized Official Phone
(687) 303-2669

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
3404521MEDICAID (05)NC 
087592297AMEDICAID (05)GA 
0002464004MEDICAID (05)WV 
700401000MEDICAID (05)MD 
019200400MEDICARE ID-TYPE UNSPECIFIED (04)DCDC MEDICAID
8387605MEDICARE ID-TYPE UNSPECIFIED (04)NJNJ MEDICAID

Reviews for DEVEREUX GEORGIA TREATMENT NETWORK

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1346319142, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
4
Doubled → 8
Pos 4
6
Unchanged
Pos 5
3
Doubled → 6
Pos 6
1
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
1
Unchanged
Pos 9
4
Doubled → 8
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 4 → 8 3 → 6 9 → 18 → 9 4 → 8

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 8 + 6 + 6 + 1 + 1 + 8 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1346319142.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker
1291 STANLEY RD NW
KENNESAW, GA 30152
Counselor (Mental Health)
1291 STANLEY RD NW
KENNESAW, GA 30152
Counselor (Professional)
1291 STANLEY RD NW
KENNESAW, GA 30152
Social Worker (Clinical)
1291 STANLEY RD NW
KENNESAW, GA 30152
Psychiatric Residential Treatment Facility
1291 STANLEY RD NW
KENNESAW, GA 30152
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1291 STANLEY RD NW
KENNESAW, GA 30152
Nurse Practitioner (Psychiatric/Mental Health)
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Social Worker
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Counselor (Addiction (Substance Use Disorder))
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Recreation Therapist
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Licensed Practical Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Registered Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152
Licensed Practical Nurse
1291 STANLEY RD NW
KENNESAW, GA 30152

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346319142, enumerated as an "organization" on November 07, 2006.

The provider is located at 1291 STANLEY RD NW KENNESAW, GA 30152 and the phone number is (770) 427-0147.

Psychiatric Residential Treatment Facility with taxonomy code 323P00000X.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.