Individual provider Active NPI

Theresa Rose Cerulli-Banks, MD

  • Psychiatry Physician
  • Acton, MA
National Provider Identifier
1871604066
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
152303 Issued in MA
Practice address
201 Great Rd Ste 202
Acton, MA 01720-5700
Phone
(508) 834-3183
Fax
(508) 532-1168
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 152303 MA Primary

Addresses

Primary practice location

201 Great Rd Ste 202
Acton, MA 01720-5700

Mailing address

201 Great Rd Ste 202
Acton, MA 01720-5700
Phone (508) 834-3183

Other names 1

  • Theresa Rose Cerulli-Banks Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 20, 2026 through Mar 20, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Progressive Therapeutics LLC Psychiatry PastSince Dec 17, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1871604066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 GREAT RD STE 202",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205700",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 GREAT RD STE 202",
            "city": "ACTON",
            "state": "MA",
            "postal_code": "017205700",
            "telephone_number": "508-834-3183",
            "fax_number": "508-532-1168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CERULLI-BANKS",
        "first_name": "THERESA",
        "middle_name": "ROSE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MA",
            "license": "152303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "THERESA",
            "last_name": "CERULLI-BANKS",
            "middle_name": "ROSE",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Acton, MA

Sources for this page

Verify at the official NPI Registry.