Desta Lissanu MD, LLC

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DESTA LISSANU MD, LLC

Practice address

55 Fruit Street
Warren Suite 12-20
Boston, MA 02114

Phone

(617) 982-3152

NPI assigned

Aug 31, 2026

Organization subpart

No

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

Authorized official

Name

Desta Lissanu

Title

Psychiatrist

Phone

(617) 982-3152

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1922916865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "WARREN SUITE 12-20",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "WARREN SUITE 12-20",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-982-3152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESTA LISSANU MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "LISSANU",
        "authorized_official_first_name": "DESTA",
        "authorized_official_title_or_position": "PSYCHIATRIST",
        "authorized_official_telephone_number": "617-982-3152"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Desroches, NP
• Katelyn Desrosiers
• Kieley Anne Desrosiers, DR
• Nicole Anne Desrosiers, N.P.
• Justine Dessalines
• Nicholas R Destefino
• Nindra Destine, PA-C
• Erline Destra, NP
• Suzette Desty, MD
• Bharti Balhara Deswal, MD

• All providers in Boston, MA
• Psychiatry Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.