NPIMap

Organization Active NPI

Masino Therapy Services, LLC

  • Assisted Living Facility (Mental Illness)
  • Destin, FL
National Provider Identifier
1982832614
Registry record updated Mar 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
PY6920 Issued in FL
Legal business name
MASINO THERAPY SERVICES, LLC
Practice address
1008 Airport Rd
Destin, FL 32541-2823
Phone
(850) 424-5210
Fax
(850) 424-3220
NPI assigned
Jul 1, 2009
Last updated
Mar 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2012

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

Authorized official

Name
Dr. Theodore Peter Masino II, PSY.D.NPI 1144214792
Title
President
Phone
(850) 797-6060

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X PY6559 FL
Assisted Living Facility (Mental Illness) 3104A0625X PY6920 FL Primary

Addresses

Primary practice location

1008 Airport Rd
Destin, FL 32541-2823

Mailing address

1008 Airport Rd
Suite D
Destin, FL 32541-2823
Phone (850) 424-5210

National Provider Directory

National Provider Directory

Locations

1008 Airport Rd
Destin, FL 32541
Phone (850) 424-5210

Practitioners & affiliated clinicians

Practitioners 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330646400000",
    "number": "1982832614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 AIRPORT RD",
            "address_2": "SUITE D",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412823",
            "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": "1008 AIRPORT RD",
            "city": "DESTIN",
            "state": "FL",
            "postal_code": "325412823",
            "telephone_number": "850-424-5210",
            "fax_number": "850-424-3220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASINO THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2012-03-02",
        "status": "A",
        "authorized_official_last_name": "MASINO",
        "authorized_official_first_name": "THEODORE",
        "authorized_official_middle_name": "PETER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "850-797-6060",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "PY6559",
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "FL",
            "license": "PY6920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Destin, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.