DEANA MARIE THEROUX MD
NPI 1134200033
Pediatrics - Developmental - Behavioral Pediatrics in Fall River, MA

Q: What is Deana Theroux's NPI number?

The NPI number for Deana Theroux is 1134200033. It was assigned to this individual provider in the NPPES registry on October 18, 2006.

Q: What is Deana Theroux's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Q: When was this NPI record last updated?

The NPPES record for Deana Theroux was last updated on August 11, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since October 18, 2006PECOS Enrolled

795 MIDDLE ST, FALL RIVER, MA 02721(508) 235-5285(508) 678-6905 Get Directions Write a Review

NPPES record last updated: August 11, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Deana Marie Theroux Md NPPES

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

DEANA MARIE THEROUX MD (NPI 1134200033) is an individual developmental - behavioral pediatrics provider in Fall River, Massachusetts, licensed in Massachusetts (235054) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Warren Alpert Medical School Of Brown University (1996).

NPPES Registry Identity

NPI1134200033

Entity TypeIndividualFemale

Primary Taxonomy2080P0006X

Provider Legal NameDEANA MARIE THEROUXCredential: MD

Location Address795 MIDDLE STFall River, MA 02721-1733

Mailing Address795 Middle StFall River, MA 02721-1733 · (508) 235-5285 · Fax (508) 678-6905

Phone(508) 235-5285

Fax(508) 678-6905

Sole ProprietorNo

Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 1996

Enumeration DateOctober 18, 2006

Last NPPES UpdateAugust 11, 2009

✔ NPI 1134200033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians

Taxonomy Code2080P0006X

License✔ Licensed in MA · 235054

Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License 2003-00716 (NC)

795 MIDDLE ST, Fall River, MA 02721

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Other Identifiers 2

Medicaid891347GNC

Medicare UPINH02939NC

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Deana Marie Theroux Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID42370421

PECOS Enrollment IDI20081114000317

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

MRS. DESIREE GILLPATRICK LICSW

Social Worker (Clinical)