Active NPI
Blue Circle Health Clinical Inc
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
National Provider Identifier
1235939927
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- Legal business name
- BLUE CIRCLE HEALTH CLINICAL INC
- Practice address
- 56 Broad St Ste 14281
Boston, MA 02109-4301 - Phone
- (888) 404-4813
- Fax
- (888) 675-4061
- NPI assigned
- Mar 13, 2025
- Organization subpart
- Yes
- Parent organization
- BLUE CIRCLE HEALTH INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lucesita Scammon
- Title
- Program Manager
- Phone
- (413) 213-2918
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Clinical Social Worker | 1041C0700X | |||
| Registered Dietitian | 133V00000X | |||
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | Primary | ||
| Family Nurse Practitioner | 363LF0000X |
Addresses
Primary practice location
56 Broad St Ste 14281
Boston, MA 02109-4301
Mailing address
56 Broad St Ste 14281
Boston, MA 02109-4301
Phone (888) 404-4813
National Provider Directory
National Provider Directory- Part of
- Blue Circle Health Inc
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Endocrinology, Diabetes & Metabolism Physician
- Boston, MA
- NPI 1104513951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1741824000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761868800000",
"number": "1235939927",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "56 BROAD ST STE 14281",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "56 BROAD ST STE 14281",
"city": "BOSTON",
"state": "MA",
"postal_code": "021094301",
"telephone_number": "888-404-4813",
"fax_number": "888-675-4061"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BLUE CIRCLE HEALTH CLINICAL INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "BLUE CIRCLE HEALTH INC",
"enumeration_date": "2025-03-13",
"last_updated": "2025-10-31",
"certification_date": "2025-10-31",
"status": "A",
"authorized_official_last_name": "SCAMMON",
"authorized_official_first_name": "LUCESITA",
"authorized_official_title_or_position": "PROGRAM MANAGER",
"authorized_official_telephone_number": "413-213-2918"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": null,
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
- Latarah Blount, LCSW
- Carrie Lynn Blout, MS, CGC, LGC
- Laura Blowick, LAURA BLOWICK, MSC
- Ryan Nolan Bloxham, LMHC
- Juergen Bludau, MD
- Blue Circle Health of Massachusetts PC
- Blue Circle Health, Inc.
- Blue Cross and Blue Shield of Massachusetts HMO Blue, Inc.
- Blue Gems ABA Ma LLC
- Blue Hill Pharmacy LLC (Blue Hill Pharmacy)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.