Masonicare Behavioral Health, Llc
Psychiatry | Geriatric Clinic
67 Masonic Ave, 1st Floor, Wallingford
Connecticut, 06492-3095
203-265-5720 203-679-5623
Maps & DirectionsMasonicare Behavioral Health, Llc is a Psychiatry | Geriatric Clinic in Wallingford, Connecticut. This organization is also known as sub part of Masonicare Primary Care Physicians, Pc. It is located at 67 Masonic Ave, 1st Floor, Wallingford, CT and its contact number is 203-265-5720. The authorized person for Masonicare Behavioral Health, Llc is John Tibbetts
who is Authorized Official of the clinic and his/her contact number is 203-265-5720.
Masonicare Behavioral Health, Llc Clinic has mental health professionals having psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients.
Complete Clinic Profile:
Masonicare Behavioral Health, Llc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Masonicare Behavioral Health, Llc |
| Specialization: | Geriatric |
| Clinic Address: | 67 Masonic Ave, 1st Floor, Wallingford,
Connecticut, 06492-3095 |
| Phone: | 203-265-5720 |
| Fax: | 203-679-5623 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | John Tibbetts |
| Position: | Authorized Official |
| Contact Number: | 203-265-5720 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Masonicare Behavioral Health, Llc clinic are as mentioned below.
| NPI Number: | 1992781488 |
| Parent Organization: | Masonicare Primary Care Physicians, Pc |
| NPI Enumeration Date: | 16 Dec, 2005 |
| NPI Last Update On: | 06 Jun, 2014 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Masonicare Behavioral Health, Llc are as mentioned below.
| Specialization | License Number | State | Status | |
| Geriatric Psychiatry | | | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 004183050 | Medicaid | Connecticut | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Masonicare Behavioral Health, Llc
67 Masonic Ave, 1st Floor
Wallingford, Connecticut |
| Zip: | 06492-3095 |
| Phone Number: | 203-265-5720 |
| Fax Number: | 203-679-5623 |
Patients can reach Masonicare Behavioral Health, Llc at
67 Masonic Ave, 1st Floor, Wallingford, Connecticut or can
call to book an appointment on 203-265-5720.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 October, 2025.