Active NPI
Michelle Ruth Deveau, BA
- Developmental Therapist
- Woburn, MA
National Provider Identifier
1851695589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- Practice address
- 10J Gill St
Woburn, MA 01801-1721 - Phone
- (781) 932-8888
- NPI assigned
- Jan 10, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | MA | Primary |
Addresses
Primary practice location
10J Gill St
Woburn, MA 01801-1721
Mailing address
10J Gill St
Woburn, MA 01801-1721
Phone (781) 932-8888
Other names 1
- Mrs. Michelle Ruth Reilly
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor of Arts
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294617600000",
"number": "1851695589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10J GILL ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011721",
"telephone_number": "781-932-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10J GILL ST",
"city": "WOBURN",
"state": "MA",
"postal_code": "018011721",
"telephone_number": "781-932-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEVEAU",
"first_name": "MICHELLE",
"middle_name": "RUTH",
"credential": "BA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-10",
"last_updated": "2011-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "MA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "REILLY",
"middle_name": "RUTH",
"prefix": "MRS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Woburn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.