Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Conrad Daniel Spezzacatena, PSYD

Individual provider Clinical Neuropsychologist · NPI 1205382777

Dr. Conrad Daniel Spezzacatena, PSYD is a Clinical Psychologist in Los Angeles, California. Qualified in 2014, 12 years ago. Practices with Arizona Neurology Associates PLLC, a 5-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
12
Licensed in
AZ
In the registry since
2016
Specialties on file
2
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

11835 W Olympic Blvd Ste 1270E
Los Angeles, CA 90064-5053
Phone: (623) 377-7410
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 4763 (AZ)
Clinical Psychologist Taxonomy 103TC0700X · Licence 4763 (AZ)

Record details

NPI number1205382777
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedAugust 25, 2016
Last updated in NPPESMarch 31, 2026
Certification dateMarch 31, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Arizona Neurology Associates Pllc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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