Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DESTA LISSANU MD, LLC
NPI 1922916865
Psychiatry & Neurology - Psychiatry in Boston, MA

Q: What is Desta Lissanu MD, LLC's NPI number?

The NPI number for Desta Lissanu MD, LLC is 1922916865. It was assigned to this organization in the NPPES registry on August 31, 2026.

Q: What is Desta Lissanu MD, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Active since August 31, 2026

55 FRUIT STREET, WARREN SUITE 12-20, BOSTON, MA 02114(617) 982-3152 Get Directions Write a Review

NPPES record added: August 31, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

On this page

About Desta Lissanu Md, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DESTA LISSANU MD, LLC (NPI 1922916865) is a healthcare organization registered as a psychiatry in Boston, Massachusetts and active in the NPI registry since August 2026. The organization lists Desta Lissanu, Psychiatrist, as its authorized official.

NPPES Registry Identity

NPI1922916865

Entity TypeOrganization

Primary Taxonomy2084P0800X

Legal Business NameDESTA LISSANU MD, LLC

Location Address55 FRUIT STREET, WARREN SUITE 12-20Boston, MA 02114

Mailing Address55 Fruit Street, Warren Suite 12-20Boston, MA 02114

Phone(617) 982-3152

Organization SubpartNo

Authorized OfficialDesta LissanuPsychiatrist · (617) 982-3152

Enumeration DateAugust 31, 2026

NPPES CertifiedAugust 31, 2026

✔ NPI 1922916865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

55 FRUIT STREET, Boston, MA 02114

Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KUI TOH GERARD LEONG M.D.

Internal Medicine (Cardiovascular Disease)

55 FRUIT STREET, MASSACHUSETTS GENERAL HOSPITAL
BOSTON, MA 02114

Suffolk County (617) 726-8862

MS. JACQUELINE BANGO LICSW

Social Worker (Clinical)

55 FRUIT STREET, FOUNDERS BUILDING SUITE 880
BOSTON, MA 02114

Suffolk County (617) 643-8281

SARA ELIZABETH GROSSLEIN PA

Physician Assistant

55 FRUIT STREET, WHITE 1
BOSTON, MA 02114

Suffolk County (617) 724-4100

JEFFREY M ELLENBOGEN M.D.

Psychiatry & Neurology (Neurology)

55 FRUIT STREET, WANG 720 (NEUROLOGY)
BOSTON, MA 02114

Suffolk County (617) 724-7419

DR. NANCY LEE HARRIS MD

Pathology (Anatomic Pathology & Clinical Pathology)

55 FRUIT STREET, WRN 2 PATHOLOGY ASSOCIATES
BOSTON, MA 02114

Suffolk County (617) 726-5155

DR. STANLEY YANG SHAW MD PHD

Internal Medicine (Cardiovascular Disease)

55 FRUIT STREET, YAW 5 CARDIAC UNIT ASSOCIATES
BOSTON, MA 02114

Suffolk County (617) 724-6750

LEONARDO V RIELLA M.D., PHD

Internal Medicine

55 FRUIT STREET, WHITE 5
BOSTON, MA 02114

Suffolk County (617) 726-5050

SUSAN MAHER CRNA

Nurse Anesthetist, Certified Registered

55 FRUIT STREET, CLN 309 MGH ANESTHESIA ASSOCIATES
BOSTON, MA 02114

Suffolk County (617) 726-3030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Desta Lissanu MD, LLC's NPI number?

The NPI number for Desta Lissanu MD, LLC is 1922916865. It was assigned to this organization in the NPPES registry on August 31, 2026.

Where is Desta Lissanu MD, LLC located?

Desta Lissanu MD, LLC is located at 55 Fruit Street Warren Suite 12-20, Boston, MA 02114. The listed phone number is (617) 982-3152.

What is Desta Lissanu MD, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Desta Lissanu MD, LLC was last updated on August 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.