NISHANI DAYANTHI SAMARAWEERA (PHD) – Clinical Psychologist, NPI 1841483567

NISHANI DAYANTHI SAMARAWEERA (PHD) is a healthcare provider. based in Portage, Michigan. specializing in CLINICAL PSYCHOLOGIST. They hold the professional credentials PHD. They hold a License No. L2064731 (MI). The NPI Number for NISHANI DAYANTHI SAMARAWEERA (PHD) is 1841483567

Main info

Female
12 Years Of Experience
Accepts Medicare Assignment
Name
NISHANI DAYANTHI SAMARAWEERA (PHD)
NPI
1841483567
Phone
(269) 321-7090
Address
7895 CURRIER DR
Enumeration Date
27 August 2007
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2693433010
Graduation Year
2014 (12 years ago)
PAC ID
4789845892
Group Practice PAC ID
4789737263
Professional Enrollment ID
I20140804000862
Address ID
MI490021573PO5148XLNXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:18State licenses:2Digital endpointsOther names

1,216 CLINICAL PSYCHOLOGIST in MI

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Provider Addresses for NISHANI DAYANTHI SAMARAWEERA (PHD)

  • 7895, Currier Drive, Portage, Kalamazoo County, Michigan, 49002, United States

    PORTAGE, MI 490024314

    Phone: (269) 321-7090

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2014-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140804000862IClinical PsychologistMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90834Psychotherapy, 45 minutes10915$0
View full utilization report →

Insurance plans in this area (ZIP 49002)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4789737263View full group profile
NameSpecialtyState
Clinical PsychologistMI
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is NISHANI DAYANTHI SAMARAWEERA (PHD)'s NPI number?
NISHANI DAYANTHI SAMARAWEERA (PHD)'s NPI is 1841483567 — the number used across U.S. healthcare to identify this provider.
Is there an active status for NISHANI DAYANTHI SAMARAWEERA (PHD)?
For scheduling context, NISHANI DAYANTHI SAMARAWEERA (PHD) is shown as active in the registry.
What area of care is associated with NISHANI DAYANTHI SAMARAWEERA (PHD)?
NISHANI DAYANTHI SAMARAWEERA (PHD)'s record emphasizes Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with NISHANI DAYANTHI SAMARAWEERA (PHD)?
Directory geography for NISHANI DAYANTHI SAMARAWEERA (PHD) centers on Portage, Michigan.
Can I trust this NPI listing for NISHANI DAYANTHI SAMARAWEERA (PHD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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