Dunuwille Avinda Nuwan Jayawickreme, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

35SI00654100 Issued in NJ

Practice address

1910 Route 70 E Ste 7&5
Cherry Hill, NJ 08003-2123

Phone

(856) 220-9672

Fax

(856) 673-0630

NPI assigned

Apr 10, 2022

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Jul 31, 2025 through Jul 31, 2027

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

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.

• The Center for Emotional Health of Greater Philadelphia, LLC

  • Clinical Psychologist
  • Cherry Hill, NJ
  • NPI 1679807531
  NPD (past)

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

{
    "created_epoch": "1649548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649548800000",
    "number": "1063154136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PLUMLY WAY",
            "city": "HOLLAND",
            "state": "PA",
            "postal_code": "189665500",
            "telephone_number": "267-307-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 ROUTE 70 E STE 7&5",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032123",
            "telephone_number": "856-220-9672",
            "fax_number": "856-673-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYAWICKREME",
        "first_name": "DUNUWILLE",
        "middle_name": "AVINDA NUWAN",
        "name_prefix": "Dr.",
        "credential": "PHD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-10",
        "last_updated": "2022-04-10",
        "certification_date": "2022-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00654100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Janthor
• Andrew Stephen Jarema, MA, LPC
• Jason T Pecarsky MD PA
• Janine Elise Jastrzebski
• Kaivin Vinod Jayani, PHARMD
• Jce Hearing Centers LLC
• Molina Jean-Louis, P.T.
• Jasmine Jean-Mary, PT
• Marcely Jean-Pierre, LCSW
• Betsy Jean, LAMFT

• Clinical Psychologist in Cherry Hill, NJ
• Providers in Cherry Hill, NJ by specialty
• Clinical Psychologist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.