OrganizationActive
The Devereux Foundation
NPI 1306939368 · Adolescent and Children Mental Health Clinic/Center · Phoenix, AZ
Provider details
- NPI number
- 1306939368
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yvette Jackson, Executive Director(480) 889-0558
- License
- LC-003(8-01) (AZ)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4000 N Central Ave Ste 100
Phoenix, AZ 85012-3520
Phone: (602) 896-3106
Street-level locationGet directions
Mailing address
6141 E Grant Rd Bldg a
Tucson, AZ 85712-5829
Other names (DBA / former)
- Doing business as
- Devereux Arizona
- Doing business as
- Devereux Arizona
Registry dates
- Enumerated
- 2006-10-02
- Last updated
- 2026-02-13
- Certified
- 2026-02-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.