Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Theodore Peter Masino II, PSYD

Individual provider Clinical Psychologist · NPI 1144214792

Dr. Theodore Peter Masino II, PSYD is a Clinical Psychologist in Niceville, Florida. Qualified in 2001, 25 years ago. Practices as a sole proprietor. Licensed in Florida.

Years since qualifying
25
Licensed in
FL
In the registry since
2005
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

507 John Sims Pkwy E
Niceville, FL 32578-2027
Phone: (850) 424-5210
Fax: (850) 424-3220
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PY6920 (FL)

Record details

NPI number1144214792
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedSeptember 9, 2005
Last updated in NPPESOctober 14, 2025
Certification dateOctober 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Accepts Medicare assignment Not indicated

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