Chisato Komatsu, BCBA-D, PH.D.
NPI 1073885034ActiveIndividual· Psychologist, Clinical· Culver City, CA
Psychologist, Clinical (BCBA-D, PH.D.) in Culver City, California, licensed in CA, with an NPI issued in February 2012. Enrolled in Medicare as practitioner - clinical psychologist.
Overview
| NPI | 1073885034 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | BCBA-D, PH.D. |
| Sole proprietor | No |
| NPI issued | Feb 6, 2012 |
| Last updated in NPPES | Mar 24, 2025 |
| Certified by provider | Mar 24, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | 28666 | CA |
| Behavior Analyst | 103K00000X | 1-08-4103 | — |
| Psychologist | 103T00000X | 28666 | CA |
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 (CA) |
|---|
Education and affiliations
| Graduation year | 2008 |
|---|---|
| Medicare specialty | Clinical Psychologist |
| Telehealth | Offers telehealth |
Other clinical psychologists in Culver City
- 1083754949
- 1154646271
- 1205126307
- 1255302436
- 1316708233
- 1528008430
- 1689684607
- 1720403512
- 1821223389
- 1851133425
- 1114118270
- 1144909821
All 53 clinical psychologists in Culver City · All clinical psychologists in California