Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chisato Komatsu, BCBA-D, PHD

Individual provider Behavior Analyst · NPI 1073885034

Chisato Komatsu, BCBA-D, PHD is a Clinical Psychologist in Culver City, California. Qualified in 2008, 18 years ago. Accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
18
Licensed in
CA
In the registry since
2012
Specialties on file
3
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

10736 Jefferson Blvd # 1046
Culver City, CA 90230-4933
Phone: (323) 285-2221
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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 28666 (CA)
Behavior Analyst Taxonomy 103K00000X · Licence 1-08-4103
Psychologist Taxonomy 103T00000X · Licence 28666 (CA)

Record details

NPI number1073885034
Entity typeIndividual (Type 1)
GenderFemale
Credentials BCBA-D , PHD
Sole proprietorNo
NPI enumeratedFebruary 6, 2012
Last updated in NPPESMarch 24, 2025
Certification dateMarch 24, 2025

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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