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

Dr. Kotomi Ito, PHD

Individual provider Clinical Psychologist · NPI 1427127851

Dr. Kotomi Ito, PHD is a Clinical Psychologist in Oakland, California. Qualified in 2003, 23 years ago. Practices with Asian Health Services, a 91-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
23
Licensed in
CA, TX
In the registry since
2006
Specialties on file
2
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

See every abbreviation used in this directory →

Practice location Address checks out

310 8th St Ste 210
Oakland, CA 94607-6527
Phone: (510) 735-3900
Fax: (510) 474-1715
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1939 Divisadero St, San Francisco, CA 94115-2507 — (415) 926-1511

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence PSY 20297 (CA)
Clinical Psychologist Taxonomy 103TC0700X · Licence 32732 (TX)

Record details

NPI number1427127851
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedNovember 7, 2006
Last updated in NPPESApril 22, 2019

Medicare enrollment

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

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Asian Health Services — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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