Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Perry Michael Nicassio, PHD

Individual provider Clinical Psychologist · NPI 1215951868

Perry Michael Nicassio, PHD is a Clinical Psychologist in Los Angeles, California. Qualified in 1973, 53 years ago. Practices with Uc Regents, a 147-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
53
Licensed in
CA
In the registry since
2006
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

300 Medical Plz
Los Angeles, CA 90095-0001
Phone: (310) 825-9989
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY10381 (CA)

Record details

NPI number1215951868
Entity typeIndividual (Type 1)
GenderMale
Credentials PHD
Sole proprietorNo
NPI enumeratedJuly 27, 2006
Last updated in NPPESJuly 10, 2013

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1973 (53 years in practice)
Group practice Uc Regents — 147 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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