Masino Mental Health Services, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PY6920 Issued in FL

Legal business name

MASINO MENTAL HEALTH SERVICES, INC

Practice address

507 John Sims Pkwy E
Niceville, FL 32578-2027

Phone

(850) 424-5210

Fax

(850) 424-3220

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Theodore P Masino II, PSYDNPI 1144214792

Title

Owner

Phone

(850) 424-5210

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Theodore Peter Masino II, PSY. D.

  • Clinical Psychologist
  • Niceville, FL
  • NPI 1144214792
  Medicare reassignment NPD Authorized official
• Jordan Huettl, LCSW

  • Clinical Social Worker
  • Destin, FL
  • NPI 1548937824
  NPD
• Jennifer Peterson, IMH

  • Mental Health Counselor
  • Destin, FL
  • NPI 1023771268
  NPD
• Asher Zaslaw Ward, LCSW

  • Clinical Social Worker
  • Destin, FL
  • NPI 1497000731
  NPD
• Jamie Smith Johnston, PH.D.

  • Psychologist
  • Destin, FL
  • NPI 1689958142
  NPD (past)
• Jennifer June Sillence Masino, PSY. D.

  • Clinical Psychologist
  • Hurlburt Field, FL
  • NPI 1306830120
  NPD (past)

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1700214228",
    "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": {
        "organization_name": "MASINO MENTAL HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "MASINO",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-424-5210",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSYD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": "FL",
            "license": "PY6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Darlene Martin, RN
• Chadwick Martin
• Gail Charmaine Martin, PT
• Laura Martin
• Venusia Martinez, LCSW
• Theodore Peter Masino II, PSY. D.
• Frank Joseph Materese, PHARM. D.
• Kristina Matthiesen, NBCHWC
• Marina Nabil Mawad
• April Clark McCabe, PT, DPT, OCS

• Psychologist in Niceville, FL
• Providers in Niceville, FL by specialty
• 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.