Theodore Peter Masino II, PSY. D.

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PY6920 Issued in FL

Practice address

507 John Sims Pkwy E
Niceville, FL 32578-2027

Phone

(850) 424-5210

Fax

(850) 424-3220

NPI assigned

Sep 9, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Psychologist

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Masino Mental Health Services, Inc

  • Psychologist
  • Niceville, FL
  • NPI 1700214228
  Medicare reassignment NPD Authorized official
• Masino Therapy Services, LLC

  • Assisted Living Facility (Mental Illness)
  • Destin, FL
  • NPI 1982832614
  NPD Authorized official
• The Anchor Clinic, LLC

  • Health Service Psychologist
  • Pensacola, FL
  • NPI 1629161435
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1144214792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 JOHN SIMS PKWY E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782027",
            "telephone_number": "850-424-5210",
            "fax_number": "850-424-3220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 JOHN SIMS PKWY E",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782027",
            "telephone_number": "850-424-5210",
            "fax_number": "850-424-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASINO",
        "first_name": "THEODORE",
        "middle_name": "PETER",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "PSY. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "FL",
            "license": "PY6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chadwick Martin
• Gail Charmaine Martin, PT
• Laura Martin
• Venusia Martinez, LCSW
• Masino Mental Health Services, Inc
• Frank Joseph Materese, PHARM. D.
• Kristina Matthiesen, NBCHWC
• Marina Nabil Mawad
• April Clark McCabe, PT, DPT, OCS
• Austin McCart

• Clinical Psychologist in Niceville, FL
• Providers in Niceville, FL by specialty
• Clinical Psychologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.