Active NPI
Circle Integrative Psychiatric Group
- Psychiatric/Mental Health Nurse Practitioner
- West Boylston, MA
National Provider Identifier
1730960733
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- CIRCLE INTEGRATIVE PSYCHIATRIC GROUP
- Practice address
- 360 W Boylston St RM 205
West Boylston, MA 01583-2384 - Phone
- (508) 713-0297
- NPI assigned
- Oct 6, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Bernard Waigi
- Title
- Owner of Entity
- Phone
- (508) 713-0297
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
360 W Boylston St RM 205
West Boylston, MA 01583-2384
Mailing address
360 W Boylston St RM 205
West Boylston, MA 01583-2384
Phone (508) 713-0297
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
360 W Boylston St
Rm 205
West Boylston, MA 01583
Phone (508) 713-0297
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Brockton, MA
- NPI 1467079517
-
- Psychiatric/Mental Health Nurse Practitioner
- Worcester, MA
- NPI 1376004333
-
- Psychiatric/Mental Health Nurse Practitioner
- Southbridge, MA
- NPI 1487301768
-
- Nurse Practitioner
- Worcester, MA
- NPI 1639535073
-
- Addiction Psychiatry Physician
- San Juan, PR
- NPI 1013110899
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696550400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1696550400000",
"number": "1730960733",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST RM 205",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832384",
"telephone_number": "508-713-0297"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 W BOYLSTON ST RM 205",
"city": "WEST BOYLSTON",
"state": "MA",
"postal_code": "015832384",
"telephone_number": "508-713-0297"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CIRCLE INTEGRATIVE PSYCHIATRIC GROUP",
"organizational_subpart": "NO",
"enumeration_date": "2023-10-06",
"last_updated": "2023-10-06",
"certification_date": "2023-10-06",
"status": "A",
"authorized_official_last_name": "WAIGI",
"authorized_official_first_name": "BERNARD",
"authorized_official_title_or_position": "OWNER OF ENTITY",
"authorized_official_telephone_number": "508-713-0297"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Boylston, MA
- Central Massachusetts Physical Therapy and Wellness, L
- Central Massachusetts Physical Therapy and Wellness, LLC
- Susan A. Chlapowski, MA, M.ED., LMHC
- Elizabeth Christian
- Christos G. Kirusis, DMD., PC.
- CMS Wellness LLC
- Kelly Marie Colombie, PHARMD
- Shawna Marie Corey
- Elizabeth Ja Croteau Polak, L.I.C.S.W.
- Jannelys Cruz Fernandez
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.