Michael Delisle, C-NP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

RN2322923 Issued in MA

Practice address

892 Worcester St Ste 210
Wellesley, MA 02482-3729

Phone

(781) 214-1078

Fax

(617) 207-2787

NPI assigned

May 27, 2018

Last updated

Sep 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner

State licenses

Practice roles

Locations

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

• SB Transitional Sub, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Brockton, MA
  • NPI 1962091173
  Medicare reassignment NPD
• Habit Opco, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Fitchburg, MA
  • NPI 1255034880
  NPD (past)

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

{
    "created_epoch": "1527379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789344000000",
    "number": "1447741293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "892 WORCESTER ST STE 210",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823729",
            "telephone_number": "781-214-1078",
            "fax_number": "617-207-2787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "892 WORCESTER ST STE 210",
            "city": "WELLESLEY",
            "state": "MA",
            "postal_code": "024823729",
            "telephone_number": "781-214-1078",
            "fax_number": "617-207-2787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "MICHAEL",
        "credential": "C-NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-27",
        "last_updated": "2026-09-14",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2322923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn M Deanzeris, M.D.
• Kara Deaver Chang, M.D.
• Danelle Debye, NP
• Karen Ann Decker, M.S., R.D.
• Barbara Delgado-Anciani
• Abigail Stuart Demarzo, LMHC
• Angelika Dembinska, PHARMD
• Erin Marie Demille, RDN
• Michael Demille, DPT
• Lynn H. Dennis, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Wellesley, MA
• Providers in Wellesley, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.