Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Masonicare Behavioral Health, LLC

Geriatric Psychiatry Physician in Wallingford, CT · enumerated 2005 · authorized official John Tibbetts, Authorized Official.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1992781488

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Registry record

Entity type Organization (Type 2)

Legal business name Masonicare Behavioral Health, LLC

Parent organization Masonicare Primary Care Physicians, PC

Practice address 67 Masonic Ave, 1st Floor, Wallingford, CT, 06492

Phone (203) 265-5720

Fax (203) 679-5623

Enumeration date Dec 16, 2005

Last updated in NPPES Jun 6, 2014

Taxonomy & classification

2084P0805X Geriatric Psychiatry Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name John Tibbetts

Title Authorized Official

Phone (203) 265-5720

Other identifiers

Identifier	Type	State	Issuer
004183050	Medicaid	CT	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Where is Masonicare Behavioral Health, LLC located?

The practice location on file with NPPES is in Wallingford, CT.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2014-06-06. Verify at npiregistry.cms.hhs.gov.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2014-06-06.