PERRY MICHAEL NICASSIO PHD
NPI 1215951868
Psychologist - Clinical in Los Angeles, CA
About Perry Michael Nicassio Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PERRY MICHAEL NICASSIO PHD (NPI 1215951868) is an individual clinical provider in Los Angeles, California, licensed in California (PSY10381) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Perry Michael Nicassio Phd 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 90095 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
LOS ANGELES, CA 90095
LOS ANGELES, CA 90095
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 Perry Nicassio's NPI number?
The NPI number for Perry Nicassio is 1215951868. It was assigned to this individual provider in the NPPES registry on July 27, 2006.
Where is Perry Nicassio located?
Perry Nicassio practices at 300 Medical Plz, Los Angeles, CA 90095. The listed phone number is (310) 825-9989.
What is Perry Nicassio's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.
Is Perry Nicassio enrolled in Medicare?
Yes. Perry Nicassio 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.
When was this NPI record last updated?
The NPPES record for Perry Nicassio was last updated on July 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Perry Michael Nicassio, PHD · NPI 1215951868
Clinical provider in Los Angeles, California. Individual provider, active in the CMS NPPES registry since July 27, 2006.
## Identity
- **NPI:** 1215951868 (Entity type: Individual)
- **Enumerated:** July 27, 2006
- **Primary specialty:** Psychologist - Clinical · taxonomy 103TC0700X
- **State license:** PSY10381 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 300 MEDICAL PLZ, Los Angeles, CA 90095-0001
- **Phone:** (310) 825-9989
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Other, class of 1973
## Record status
- **NPPES last updated:** July 10, 2013
- **Other identifiers:** Medicare ID-Type Unspecified WCP10381A (CA); Other PSY103810 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1215951868) · Data from the CMS NPPES public registry.