Masonicare Behavioral Health, LLC
NPI 1992781488 · Geriatric Psychiatry Physician · Wallingford, CT
Masonicare Behavioral Health, LLC is a Geriatric Psychiatry Physician organization in Wallingford, CT (NPI 1992781488).
Provider details
- NPI number
- 1992781488
- Entity type
- Organization
- Primary specialty
- Geriatric Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Masonicare Primary Care Physicians, PC
- Organization subpart
- Yes
- Authorized official
- John Tibbetts, Authorized Official(203) 265-5720
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-12-16
- Last updated
- 2014-06-06
Frequently asked questions
- What is Masonicare Behavioral Health, LLC's NPI number?
- Masonicare Behavioral Health, LLC's National Provider Identifier (NPI) is 1992781488, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Masonicare Behavioral Health, LLC?
- Masonicare Behavioral Health, LLC is classified in the NPPES registry as Geriatric Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Masonicare Behavioral Health, LLC located?
- Masonicare Behavioral Health, LLC's practice location on file with NPPES is 67 Masonic Ave, Wallingford, CT 06492-3095.
- What is Masonicare Behavioral Health, LLC's phone number?
- The practice phone number listed in the NPPES registry for Masonicare Behavioral Health, LLC is (203) 265-5720.
- Who is the authorized official for Masonicare Behavioral Health, LLC?
- The authorized official listed on Masonicare Behavioral Health, LLC's NPPES record is John Tibbetts, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Masonicare Behavioral Health, LLC's NPI active?
- Yes — Masonicare Behavioral Health, LLC's NPI (1992781488) is active in the NPPES registry as of the last update on 2014-06-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.