Individual provider Active NPI

Induruwa Mihiri Williams

  • Clinical Psychologist
  • New York, NY
National Provider Identifier
1427678820
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
35SI00675100 Issued in NJ
Practice address
205 Lexington Ave FL 10
New York, NY 10016-6020
Phone
(212) 335-0034
NPI assigned
Apr 26, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 024642 NY
Clinical Psychologist 103TC0700X 35SI00675100 NJ Primary

Addresses

Primary practice location

205 Lexington Ave FL 10
New York, NY 10016-6020

Mailing address

205 Lexington Ave FL 10
New York, NY 10016-6020

Other names 1

  • Induruwa Mihiri Pathirana Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220307000363 NY Practitioner - Clinical Psychologist 5890189930 Reassigns benefits to 1 organization
I20221116001903 NJ Practitioner - Clinical Psychologist 5890189930 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
35SI00675100NJMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Jan 14, 2022 Accepting new patients
Montefiore Medical Center CurrentSince Jan 14, 2022 Accepting new patients
Rutgers Health - Behavioral Health CurrentSince Oct 25, 2022 Accepting new patients
Rutgers Health - Behavioral Health Current Accepting new patients
TMC Psychiatry, P.C. Clinical Past Accepting new patients

Locations

183 S Orange Ave
Newark, NJ 07103
Phone (973) 972-0004

671 Hoes Ln W
Rm D3381
Piscataway, NJ 08854
Phone (732) 235-3289

671 Hoes Ln W
Piscataway, NJ 08854
Phone (732) 235-3289

111 E 210th St
Bronx, NY 10467

100 Corporate Dr
#100
Yonkers, NY 10701

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1587859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1427678820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 LEXINGTON AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 LEXINGTON AVE FL 10",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100166020",
            "telephone_number": "212-335-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "INDURUWA",
        "middle_name": "MIHIRI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-26",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NY",
            "license": "024642",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "NJ",
            "license": "35SI00675100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "INDURUWA",
            "last_name": "PATHIRANA",
            "middle_name": "MIHIRI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.