Conrad Daniel Spezzacatena, PSY.D.
NPI 1205382777ActiveIndividual· Clinical Neuropsychologist· Los Angeles, CA
Clinical Neuropsychologist (PSY.D.) with Executive Mental Health, Inc and 1 other group, practicing in Los Angeles, California. Medicare paid $69,401 for services to 140 patients in 2024.
Overview
| NPI | 1205382777 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Aug 25, 2016 |
| Last updated in NPPES | Mar 31, 2026 |
| Certified by provider | Mar 31, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinical Neuropsychologist Primary | 103G00000X | 4763 | AZ |
| Psychologist, Clinical | 103TC0700X | 4763 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Psychologist (AZ); Practitioner - Clinical Psychologist (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 140 |
|---|---|
| Services billed | 1,360 across 11 procedure codes |
| Paid by Medicare | $69,401 |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Clinical Psychologist |
Medical groups
- Executive Mental Health, IncLos Angeles, CA · 47 clinicians
- Arizona Neurology Associates PLLCSun City, AZ · 5 clinicians
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