Cory Komatsu

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Practice address

1500 S Beretania St
Honolulu, HI 96826-1932

Phone

(808) 945-3690

NPI assigned

Sep 21, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fields Psychiatric Consultants LLCGroup PAC ID 7911383211, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Fields Psychiatric Consultants LLC

  • Community/Behavioral Health Agency
  • Mililani, HI
  • NPI 1316667959
  Medicare reassignment Care Compare group

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1537488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1942784236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261932",
            "telephone_number": "808-945-3690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S BERETANIA ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968261932",
            "telephone_number": "808-945-3690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOMATSU",
        "first_name": "CORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-21",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalia Kolesnikova, MD
• Joshua Kolii
• Eric D. Kollai, M.D.
• Tamara Kollarova, M.D.
• Sailaja Kolli, M.D.
• Komd Hawaii LLC
• Royce Seiji Komesu, PT, DPT
• Kometani & Associates, a Professional Dental Corporation
• Franklin Shigeyasu Kometani, D.D.S.
• Kurtis Katsumi Kometani, DMD

• Mental Health Counselor in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Mental Health Counselor in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.