Active NPI
Charles Joseph Spezzano, PH.D.
- Psychoanalyst
- San Francisco, CA
National Provider Identifier
1184834913
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychoanalyst
- Practice address
- 2252 Fillmore St
San Francisco, CA 94115-2222 - Phone
- (415) 469-2090
- Fax
- (415) 922-4161
- NPI assigned
- May 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychoanalyst | 102L00000X | Primary | ||
| Clinical Psychologist | 103TC0700X | PSY12449 | CA |
Addresses
Primary practice location
2252 Fillmore St
San Francisco, CA 94115-2222
Mailing address
2252 Fillmore St
San Francisco, CA 94115-2222
Phone (415) 469-2090
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Oct 1, 2015 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12449 | CA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1184834913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2252 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152222",
"telephone_number": "415-469-2090",
"fax_number": "415-922-4161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2252 FILLMORE ST",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941152222",
"telephone_number": "415-469-2090",
"fax_number": "415-922-4161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPEZZANO",
"first_name": "CHARLES",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-23",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "102L00000X",
"taxonomy_group": "",
"desc": "Psychoanalyst",
"state": null,
"license": null,
"primary": true
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY12449",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.