Masonicare 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.
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.
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. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.