MASINO MENTAL HEALTH SERVICES, INC
NPI 1700214228
Psychologist in Niceville, FL

Active since October 18, 2013
507 JOHN SIMS PKWY E, NICEVILLE, FL 32578(850) 424-5210(850) 424-3220 Get Directions Write a Review

NPPES record last updated: October 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Masino Mental Health Services, Inc NPPES

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

MASINO MENTAL HEALTH SERVICES, INC (NPI 1700214228) is a healthcare organization registered as a psychologist in Niceville, Florida and active in the NPI registry since October 2013. The organization lists Theodore P Masino, Owner, as its authorized official.

NPPES Registry Identity

NPI1700214228
Entity TypeOrganization
Primary Taxonomy103T00000X
Legal Business NameMASINO MENTAL HEALTH SERVICES, INC
Location Address507 JOHN SIMS PKWY ENiceville, FL 32578-2027
Mailing Address507 John Sims Pkwy ENiceville, FL 32578-2027 · (850) 424-5210 · Fax (850) 424-3220
Fax(850) 424-3220
Organization SubpartNo
Authorized OfficialTheodore P MasinoOwner · (850) 424-5210
Enumeration DateOctober 18, 2013
Last NPPES UpdateOctober 14, 2025
NPPES CertifiedOctober 14, 2025
✔ NPI 1700214228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologistBehavioral Health & Social Service Providers
Taxonomy Code103T00000X
License✔ Licensed in FL · PY6920
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
507 JOHN SIMS PKWY E, Niceville, FL 32578

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Masino Mental Health Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateFloridaEnrollment IDO20131115000362Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Masino Mental Health Services, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Clinical Psychologist
NPI 1144214792
507 JOHN SIMS PKWY E
Niceville, FL 32578
(850) 424-5210
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Masino Mental Health Services, Inc's NPI number?

The NPI number for Masino Mental Health Services, Inc is 1700214228. It was assigned to this organization in the NPPES registry on October 18, 2013.

Where is Masino Mental Health Services, Inc located?

Masino Mental Health Services, Inc is located at 507 John Sims Pkwy E, Niceville, FL 32578. The listed phone number is (850) 424-5210.

What is Masino Mental Health Services, Inc's specialty?

The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.

Is Masino Mental Health Services, Inc enrolled in Medicare?

Yes. Masino Mental Health Services, Inc is registered in the Medicare PECOS enrollment system.

When is Masino Mental Health Services, Inc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Florida, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Masino Mental Health Services, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Clinical Psychologist) reassigns their Medicare billing to Masino Mental Health Services, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Masino Mental Health Services, Inc accept?

Health plans from Wellpoint list Masino Mental Health Services, Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Masino Mental Health Services, Inc was last updated on October 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.