Masonicare Behavioral Health, LLC
Masonicare Behavioral Health, LLC provides Geriatric Psychiatry Physician services in Wallingford, Connecticut. Registered with an NPI since 2005.
- In the registry since
- 2005
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
67 Masonic Ave 1st FlWallingford, CT 06492-3095 Not confirmed with CMS for 12 years — call before visiting
Phone: (203) 265-5720
Fax: (203) 679-5623
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Geriatric Psychiatry Physician (primary) | Taxonomy 2084P0805X |
|---|
Record details
| NPI number | 1992781488 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Masonicare Primary Care Physicians, PC |
| Authorized official | John Tibbetts — Authorized Official · (203) 265-5720 |
| NPI enumerated | December 16, 2005 |
| Last updated in NPPES | June 6, 2014 |
| Mailing address | 67 Masonic Ave, 1st Floor, Wallingford, CT 06492-3095 |
Other providers in Wallingford
-
Dr. Subbarao Bollepalli, MD
97 Barnes Rd Ste #2, Wallingford, CT 06492-1885 · (203) 679-5605
-
Javier Salabarria, MD
67 Masonic Ave, Wallingford, CT 06492-3095 · (203) 265-5720