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MASONICARE HEALTH CENTER
NPI 1174516041
Psychiatric Hospital in Wallingford, CT

Active since August 25, 2005CLIA 07D0724435 · Waiver
22 MASONIC AVE, WALLINGFORD, CT 06492(203) 679-5900 Get Directions Write a Review

NPPES record last updated: January 26, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Masonicare Health Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MASONICARE HEALTH CENTER (NPI 1174516041) is a healthcare organization registered as a psychiatric hospital in Wallingford, Connecticut and active in the NPI registry since August 2005. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Jon-paul Venoit, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1174516041
Entity TypeOrganization
Primary Taxonomy283Q00000X
Legal Business NameMASONICARE HEALTH CENTER
Location Address22 MASONIC AVEWallingford, CT 06492-3048
Mailing Address22 Masonic AveWallingford, CT 06492-3048 · (203) 679-5900
Phone(203) 679-5900
Organization SubpartNo
Authorized OfficialJon-paul VenoitPresident & Ceo · (203) 679-5000
Enumeration DateAugust 25, 2005
Last NPPES UpdateJanuary 26, 2024
NPPES CertifiedJanuary 26, 2024
✔ NPI 1174516041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatric HospitalHospitals
Taxonomy Code283Q00000X
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
22 MASONIC AVE, Wallingford, CT 06492
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Other Identifiers 3

Medicaid000070177CT
Other082CT · Blue Cross
Medicaid004025425CT

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 07D0724435

Masonic Healthcare Center · Wallingford, CT
Active · expires Aug 31, 2026
CLIA Number07D0724435
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorAnuruddha Walaliyadda
Laboratory Phone(203) 679-5900
Laboratory LocationMasonic Healthcare Center22 Masonic Avenue PO Box 70, Wallingford, CT 06492
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LISA ANN MURRAY SLP
Speech-Language Pathologist
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-5409
MASONICARE HEALTH CENTER
Skilled Nursing Facility
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-5959
ANGELO MANDRY JR.
Occupational Therapy Assistant
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-6247
AMY F VUMBACK PT
Physical Therapist
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-6273
MRS. RACHEL W PATA D.P.T
Physical Therapist
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-6909
MS. JENNIFER LYNNE WILKOSZ MPT
Physical Therapist
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-6909
MRS. MICHELLE LYNN GAWITT MS, CCC-SLP
Speech-Language Pathologist
22 MASONIC AVE
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-5409
MASONICARE
Rehabilitation Hospital
22 MASONIC AVE, REHAB DEPARTMENT
WALLINGFORD, CT 06492
South Central Connecticut Planning Region (203) 679-5900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Masonicare Health Center's NPI number?

The NPI number for Masonicare Health Center is 1174516041. It was assigned to this organization in the NPPES registry on August 25, 2005.

Where is Masonicare Health Center located?

Masonicare Health Center is located at 22 Masonic Ave, Wallingford, CT 06492. The listed phone number is (203) 679-5900.

What is Masonicare Health Center's specialty?

The primary specialty registered for this NPI is Psychiatric Hospital with taxonomy code 283Q00000X.

Does Masonicare Health Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 07D0724435) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Masonicare Health Center was last updated on January 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.