Active NPI
Olga Komarov, PSYD
- Clinical Psychologist
- Albany, CA
National Provider Identifier
1508473828
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY35887
- Practice address
- 1035 San Pablo Avenue
Office 9-1
Albany, CA 94706 - Phone
- (510) 545-6637
- NPI assigned
- Sep 30, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Psychologist | 103T00000X | PSY35887 | CA | |
| Counseling Psychologist | 103TC1900X | PSY35887 | CA | |
| Clinical Psychologist | 103TC0700X | PSY35887 | CA | Primary |
Addresses
Primary practice location
1035 San Pablo Avenue
Office 9-1
Albany, CA 94706
Mailing address
1035 San Pablo Avenue
Office 9-1
Albany, CA 94706
Phone (510) 545-6637
Other names 1
- Ms. Olga Gerasimenko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY35887 | CA | MD | Counseling Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wright Institute | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Clinic/Center
- Berkeley, CA
- NPI 1174807507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750032000000",
"number": "1508473828",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 SAN PABLO AVENUE",
"address_2": "OFFICE 9-1",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-545-6637"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1035 SAN PABLO AVENUE",
"address_2": "OFFICE 9-1",
"city": "ALBANY",
"state": "CA",
"postal_code": "94706",
"telephone_number": "510-545-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOMAROV",
"first_name": "OLGA",
"name_prefix": "Dr.",
"credential": "PSYD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-30",
"last_updated": "2025-06-16",
"certification_date": "2020-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "CA",
"license": "PSY35887",
"primary": false
},
{
"code": "103TC1900X",
"taxonomy_group": "",
"desc": "Psychologist, Counseling",
"state": "CA",
"license": "PSY35887",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY35887",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "OLGA",
"last_name": "GERASIMENKO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Albany, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.