Healthcare Provider Details

I. General information

NPI: 1609898675
Provider Name (Legal Business Name): TONI DELISI PSY. D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 12/21/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 PARK PLZ SUITE 611
BOSTON MA
02116-4303
US

IV. Provider business mailing address

20 PARK PLZ SUITE 611
BOSTON MA
02116-4303
US

V. Phone/Fax

Practice location:
  • Phone: 617-292-7792
  • Fax:
Mailing address:
  • Phone: 617-292-7792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number6475
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: