Mark Allen Spezzano, PHD, LCSW-R

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

P55213 Issued in NY

Practice address

3 Episcopal Ave
Honeoye Falls, NY 14472-1001

Phone

(585) 624-1350

NPI assigned

Jul 19, 2006

Sex

Male

Sole proprietor

No

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 NY

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 1

Specialty

Clinical Psychologist

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

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 and National Provider Directory roles.

• New Horizons of the Genesee Valley, Inc.

  • Clinical Social Worker
  • Honeoye Falls, NY
  • NPI 1609835578
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1235159997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 EPISCOPAL AVE",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721001",
            "telephone_number": "585-624-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 EPISCOPAL AVE",
            "city": "HONEOYE FALLS",
            "state": "NY",
            "postal_code": "144721001",
            "telephone_number": "585-624-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPEZZANO",
        "first_name": "MARK",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW-R",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "P55213",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "055977-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthony Curtis Shideler, D.D.S.
• Shoe Store, LLC
• Sarah P Smith, DPT
• Spencer Pharmaceutical Group LLC
• Erica Marin Spencer, PHARM D
• Marianne Springstead-Rose, SPECIAL EDUCATOR
• Edmond S Sun, RPH
• Tamara Leigh Taylor, OT
• Karin Lee Theurer-Kaufman, PH.D.
• Richard Peter Tomaselli, M.A., M.S.

• Clinical Psychologist in Honeoye Falls, NY
• Providers in Honeoye Falls, NY by specialty
• Clinical Psychologist in New York

• 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.
• 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.