MASONICARE BEHAVIORAL HEALTH, LLC
NPI 1992781488
Psychiatry & Neurology - Geriatric Psychiatry in Wallingford, CT

NPI Status: Active since December 16, 2005

Contact Information

67 MASONIC AVE
1ST FLOOR
WALLINGFORD, CT
ZIP 06492
Phone: (203) 265-5720
Fax: (203) 679-5623

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  • Organization
  • Psychiatry & Neurology
  • Geriatric Psychiatry

About MASONICARE BEHAVIORAL HEALTH, LLC

This page provides the complete NPI Profile along with additional information for Masonicare Behavioral Health, Llc, a provider established in Wallingford, Connecticut operating as a Psychiatry & Neurology, focusing in geriatric psychiatry . The healthcare provider is registered in the NPI registry with number 1992781488 assigned on December 2005. The practitioner's primary taxonomy code is 2084P0805X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is John Tibbetts (Authorized Official)

NPI
1992781488
Provider Name
MASONICARE BEHAVIORAL HEALTH, LLC
Entity Type
Organization
Location Address
67 MASONIC AVE 1ST FLOOR WALLINGFORD, CT 06492
Location Phone
(203) 265-5720
Location Fax
(203) 679-5623
Mailing Address
67 MASONIC AVE 1ST FLOOR WALLINGFORD, CT 06492
Mailing Phone
(203) 265-5720
Mailing Fax
(203) 679-5623
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
12-16-2005
Last Update Date
06-06-2014
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Psychiatry & Neurology Geriatric Psychiatry

Taxonomy Code
2084P0805X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
Geriatric Psychiatry is a subspecialty with 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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN TIBBETTS

Authorized Official Title
AUTHORIZED OFFICIAL
Authorized Official Phone
(203) 265-5720

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
004183050MEDICAID (05)CT 
C02770MEDICARE PIN (08)CT 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1992781488, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
9
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
2
Unchanged
Pos 5
7
Doubled → 14 → 1 + 4
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
4
Unchanged
Pos 9
8
Doubled → 16 → 1 + 6
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 7 → 14 → 5 1 → 2 8 → 16 → 7

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 9 + 1 + 8 + 2 + 1 + 4 + 8 + 2 + 4 + 1 + 6 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1992781488.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
67 MASONIC AVE, 1ST FLOOR
WALLINGFORD, CT 06492
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
67 MASONIC AVE, 1ST FLOOR
WALLINGFORD, CT 06492
Internal Medicine
67 MASONIC AVE, 1ST FLOOR
WALLINGFORD, CT 06492
Psychiatry & Neurology (Pain Medicine)
67 MASONIC AVE, SUITE 2400
WALLINGFORD, CT 06492
Pain Medicine (Interventional Pain Medicine)
67 MASONIC AVE, SUITE 2400
WALLINGFORD, CT 06492
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
67 MASONIC AVE
WALLINGFORD, CT 06492
Internal Medicine
67 MASONIC AVE, SUITE 3100
WALLINGFORD, CT 06492
Nurse Practitioner (Primary Care)
67 MASONIC AVE, SUITE 3100
WALLINGFORD, CT 06492
Nurse Practitioner (Adult Health)
67 MASONIC AVE, SUITE 3100
WALLINGFORD, CT 06492
Internal Medicine
67 MASONIC AVE, SUITE 3100
WALLINGFORD, CT 06492
Psychiatry & Neurology (Psychiatry)
67 MASONIC AVE
WALLINGFORD, CT 06492
Psychiatry & Neurology (Geriatric Psychiatry)
67 MASONIC AVE
WALLINGFORD, CT 06492
Nurse Practitioner (Family)
67 MASONIC AVE, SUITE 3100
WALLINGFORD, CT 06492
Social Worker (Clinical)
67 MASONIC AVE
WALLINGFORD, CT 06492
Occupational Therapist
67 MASONIC AVE
WALLINGFORD, CT 06492
Durable Medical Equipment & Medical Supplies
67 MASONIC AVE
WALLINGFORD, CT 06492
Internal Medicine
67 MASONIC AVE
WALLINGFORD, CT 06492
Audiologist
67 MASONIC AVE
WALLINGFORD, CT 06492

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992781488, enumerated as an "organization" on December 16, 2005.

The provider is located at 67 MASONIC AVE 1ST FLOOR WALLINGFORD, CT 06492 and the phone number is (203) 265-5720.

Psychiatry & Neurology with taxonomy code 2084P0805X and a focus in Geriatric Psychiatry.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.