Leslie Ann Delisle, APRN, PMHCNS-BC

Primary specialty

Adult Psychiatric/Mental Health Clinical Nurse SpecialistTaxonomy code 364SP0809X

License

250699 Issued in MA

Practice address

22 Christy Dr
Brockton, MA 02301-1839

Phone

(508) 580-4611

NPI assigned

Dec 7, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Certified Clinical Nurse Specialist (CNS)

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hanover Psychiatry Group LLCGroup PAC ID 6800257387, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Hanover Psychiatry Group LLC

  • Adult Psychiatric/Mental Health Clinical Nurse Specialist
  • Hanover, MA
  • NPI 1174257919

  Psychiatric/Mental Health, Adult

  Medicare reassignment Care Compare group NPD Authorized official
• Westside Behavioral Health, LLC

  • Clinical Social Worker
  • Brockton, MA
  • NPI 1689720302
  Medicare reassignment

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

{
    "created_epoch": "1260144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615420800000",
    "number": "1831427632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 MAIN ST",
            "city": "HANOVER",
            "state": "MA",
            "postal_code": "023391571",
            "telephone_number": "617-538-8232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CHRISTY DR",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "023011839",
            "telephone_number": "508-580-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELISLE",
        "first_name": "LESLIE",
        "middle_name": "ANN",
        "credential": "APRN, PMHCNS-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-07",
        "last_updated": "2021-03-11",
        "certification_date": "2021-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SP0809X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Adult",
            "state": "MA",
            "license": "250699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "hpgwellness.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "273 Hanover St Ste 7",
            "city": "Hanover",
            "state": "MA",
            "country_code": "US",
            "postal_code": "023392234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Nicilda Dejesus
• Vanessa Dejesus, M.S.W.
• Corinne Victoria Dejoseph, DPT
• Mark Anthony Delaney, BS PSYCHOLOGY
• Anderson D Delgado
• Lisa Marie Dellaro, R.D.
• Allison Delmonte, PT, DPT
• Jamie Lynn Delmonte, PA-C
• Samantha Deltufo
• Kathryn Deluca

• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Brockton, MA
• Providers in Brockton, MA by specialty
• Adult Psychiatric/Mental Health Clinical Nurse Specialist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.