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DR. CONRAD DANIEL SPEZZACATENA PSY.D.
NPI 1205382777
Clinical Neuropsychologist in Los Angeles, CA

Active since August 25, 2016PECOS EnrolledAccepts Medicare Assignment
92.5/100
CMS Quality Rating
11835 W OLYMPIC BLVD STE 1270E, LOS ANGELES, CA 90064(623) 377-7410 Get Directions Write a Review

NPPES record last updated: March 31, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2026, Dec 23, 2022, Sep 23, 2016 and 1 more (4 updates tracked since 2016).

About Dr. Conrad Daniel Spezzacatena Psy.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. CONRAD DANIEL SPEZZACATENA PSY.D. (NPI 1205382777) is an individual clinical neuropsychologist in Los Angeles, California, licensed in Arizona (4763) and active in the NPI registry since August 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1205382777
Entity TypeIndividualMale
Primary Taxonomy103G00000X
Provider Legal NameDR. CONRAD DANIEL SPEZZACATENACredential: PSY.D.
Location Address11835 W OLYMPIC BLVD STE 1270ELos Angeles, CA 90064-5053
Mailing Address11835 W Olympic Blvd Ste 1270eLos Angeles, CA 90064-5053 · (623) 377-7410 · Fax (866) 798-8023
Phone(623) 377-7410
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 25, 2016
Last NPPES UpdateMarch 31, 20264 updates tracked since enumeration
NPPES CertifiedMarch 31, 2026
✔ NPI 1205382777 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinical NeuropsychologistBehavioral Health & Social Service Providers
Taxonomy Code103G00000X
License✔ Licensed in AZ · 4763
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X · License 4763 (AZ)
11835 W OLYMPIC BLVD STE 1270E, Los Angeles, CA 90064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Conrad Daniel Spezzacatena Psy.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800184763
PECOS Enrollment IDI20161007001114, I20251127000087
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Conrad Spezzacatena reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Executive Mental Health, Inc.
Same address
Mental Health
11835 W OLYMPIC BLVD STE 1270E
Los Angeles, CA 90064
  • Reassigned Medicare billing, California enrollment
  • 53 clinicians in this Medicare group
NPI 1275670036 (310) 273-4843
Arizona Neurology Associates PLLC
356 mi
Neurology
10474 W THUNDERBIRD BLVD STE 200
Sun City, AZ 85351
  • Reassigned Medicare billing, Arizona enrollment
  • 11 clinicians in this Medicare group
NPI 1932569324 (855) 506-3876
Arizona Neuropsychological Services, PLLC
382 mi
Clinical Neuropsychologist
3115 S PRICE RD
Chandler, AZ 85248
  • Reassigned Medicare billing, Arizona enrollment
  • 4 clinicians in this Medicare group
NPI 1639494883 (480) 720-5473

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Administration of psychological or neuropsychological test by technician, each additional 30 minutes 96139
This service involves a technician administering additional psychological or neuropsychological testing. Each session lasts for an extra 30 minutes. These tests assess cognitive abilities, such as memory, attention, and problem-solving skills, to aid in diagnosing or monitoring mental health conditions.
650 services118 patients
Evaluation of neuropsychological test, each additional hour 96133
This service involves further evaluation of your neuropsychological test results beyond the initial hour. It helps to understand your cognitive functioning better, focusing on areas like memory, attention, and problem-solving skills.
303 services120 patients
Exam of neurobehavioral status, first hour 96116
An exam of neurobehavioral status is a medical procedure that evaluates your brain's functions. This includes assessing your cognitive abilities, emotional responses, and behavioral patterns. The first hour of the exam is typically dedicated to this initial evaluation.
139 services139 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
126 services126 patients
Administration of psychological or neuropsychological test by technician, first 30 minutes 96138
This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.
118 services118 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
12 services12 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85
Improvement Activities40

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DYLAN VAUGHN PHD
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 620-2185
EXECUTIVE MENTAL HEALTH, INC.
Counselor (Mental Health)
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
HOLLY GEORGE
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
JUNG YUN JANG PH.D.
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
DR. AMANDA TING PH.D.
Psychologist (Clinical)
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
MARAL AGHVINIAN
Clinical Neuropsychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
NESHA HARPER PHD
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843
COURTNEY CRISP
Psychologist
11835 W OLYMPIC BLVD STE 1270E
LOS ANGELES, CA 90064
Los Angeles County (310) 273-4843

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Conrad Spezzacatena's NPI number?

The NPI number for Conrad Spezzacatena is 1205382777. It was assigned to this individual provider in the NPPES registry on August 25, 2016.

Where is Conrad Spezzacatena located?

Conrad Spezzacatena practices at 11835 W Olympic Blvd Ste 1270E, Los Angeles, CA 90064. The listed phone number is (623) 377-7410.

What is Conrad Spezzacatena's specialty?

The primary specialty registered for this NPI is Clinical Neuropsychologist with taxonomy code 103G00000X.

Is Conrad Spezzacatena enrolled in Medicare?

Yes. Conrad Spezzacatena is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Conrad Spezzacatena's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Conrad Spezzacatena reassigns Medicare benefits to 3 organizations: Executive Mental Health, Inc. (Los Angeles, CA), Arizona Neurology Associates PLLC (Sun City, AZ) and Arizona Neuropsychological Services, PLLC (Chandler, AZ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Conrad Spezzacatena's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Conrad Spezzacatena accept?

Health plans from Imperial Insurance Companies, Inc. list Conrad Spezzacatena as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Conrad Spezzacatena was last updated on March 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.