Conrad Daniel Spezzacatena, PSY.D.

Primary specialty

Clinical NeuropsychologistTaxonomy code 103G00000X

License

4763 Issued in AZ

Practice address

11835 W Olympic Blvd Ste 1270E
Los Angeles, CA 90064-5053

Phone

(623) 377-7410

NPI assigned

Aug 25, 2016

Last updated

Mar 31, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Arizona Neurology Associates PLLCGroup PAC ID 7214226455, 5 clinicians

Executive Mental Health, IncGroup PAC ID 0345209102, 47 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Executive Mental Health, Inc.

  • Mental Health Counselor
  • Los Angeles, CA
  • NPI 1275670036
  Medicare reassignment Care Compare group NPD
• Arizona Neurology Associates PLLC

  • Neurology Physician
  • Sun City, AZ
  • NPI 1932569324
  Medicare reassignment Care Compare group NPD
• Arizona Neuropsychological Services, PLLC

  • Clinical Neuropsychologist
  • Chandler, AZ
  • NPI 1639494883
  Medicare reassignment NPD
• Brian Wu MD PHD Inc

  • Psychiatry Physician
  • San Gabriel, CA
  • NPI 1528639481
  NPD
• Carling Physical Therapy

  • Physical Therapist
  • Gilbert, AZ
  • NPI 1396882999
  NPD
• Advanced Neurologic Rehabilitation

  • Rehabilitation Clinic/Center
  • Gilbert, AZ
  • NPI 1518688746
  NPD (past)
• Catherine S. O'Connell, PC

  • Clinical Neuropsychologist
  • Phoenix, AZ
  • NPI 1912048422
  NPD (past)

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774915200000",
    "number": "1205382777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1270E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645053",
            "telephone_number": "623-377-7410",
            "fax_number": "866-798-8023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 W OLYMPIC BLVD STE 1270E",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900645053",
            "telephone_number": "623-377-7410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZZACATENA",
        "first_name": "CONRAD",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "PSY.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-25",
        "last_updated": "2026-03-31",
        "certification_date": "2026-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "AZ",
            "license": "4763",
            "primary": true
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "AZ",
            "license": "4763",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlene B Spero
• Racquel L Sperrazzo, R.P.H.
• Paul Sperry-Fromm
• Margaret Sperry, PSY.D., MFT
• Cameron Boucher Speyer, MD
• Sviatlana Spiasiutsava
• Darcy V. Spicer, M.D.
• Vanessa Hope Carrillo Spicer, M.S CCC SLP
• Brennan Mason Ross Spiegel, MD
• Heather Allen Spiegel, MA

• Clinical Neuropsychologist in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Clinical Neuropsychologist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.