Nishani Dayanthi Samaraweera, PHD

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

6301014717 Issued in MI

Practice address

7895 Currier Dr
Portage, MI 49002-4314

Phone

(269) 321-7090

NPI assigned

Aug 27, 2007

Last updated

Dec 4, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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

Clinical Psychologist

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandra Bowker and Associates, PLCGroup PAC ID 4789737263, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Sandra Bowker and Associates, PLC

  • Clinical Neuropsychologist
  • Portage, MI
  • NPI 1609021369
  Medicare reassignment Care Compare group NPD
• Beacon Medical Group Michigan Inc

  • Family Medicine Physician
  • Portage, MI
  • NPI 1497709869
  Medicare reassignment NPD
• Beacon Medical Group Michigan Inc

  • Obstetrics & Gynecology Physician
  • Kalamazoo, MI
  • NPI 1437201811
  NPD
• Promed Healthcare

  dba Borgess Women's Health

  • Rural Health Clinic/Center
  • Plainwell, MI
  • NPI 1487708830
  NPD

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

{
    "created_epoch": "1188172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701648000000",
    "number": "1841483567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7895 CURRIER DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024314",
            "telephone_number": "269-321-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 CURRIER DR",
            "city": "PORTAGE",
            "state": "MI",
            "postal_code": "490024314",
            "telephone_number": "269-321-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMARAWEERA",
        "first_name": "NISHANI",
        "middle_name": "DAYANTHI",
        "credential": "PHD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-27",
        "last_updated": "2023-12-04",
        "certification_date": "2023-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "MI",
            "license": "L2064731",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301014717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Salazar Romero
• Anastasiia Salenko
• Satish B Salvi, MD
• Sam's Club Optical (Sam's Club Optical 30-6661)
• Subhransu Mohan Samanta, BPT
• Sams East Inc (Sams Pharmacy 10-6661)
• Jennifer Lynn Sandborn
• Pamela Joyce Sanders-Carter, RN
• Gabrielle E Sanders
• Lee Carlin Sanders, MA LLP LMSW

• Clinical Psychologist in Portage, MI
• Providers in Portage, MI by specialty
• Clinical Psychologist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2023; 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.