DR. DUNUWILLE AVINDA NUWAN JAYAWICKREME PHD
NPI 1063154136
Psychologist - Clinical in Cherry Hill, NJ

Q: What is Dunuwille Jayawickreme's NPI number?

The NPI number for Dunuwille Jayawickreme is 1063154136. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Q: What is Dunuwille Jayawickreme's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Q: Is Dunuwille Jayawickreme enrolled in Medicare?

No. Dunuwille Jayawickreme has opted out of Medicare through July 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Active since April 10, 2022Opted out of Medicare · through Jul 31, 2027

1910 ROUTE 70 E STE 7&5, CHERRY HILL, NJ 08003(856) 220-9672(856) 673-0630 Get Directions Write a Review

NPPES record last updated: April 10, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Dunuwille Avinda Nuwan Jayawickreme Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DUNUWILLE AVINDA NUWAN JAYAWICKREME PHD (NPI 1063154136) is an individual clinical provider in Cherry Hill, New Jersey, licensed in New Jersey (35SI00654100) and active in the NPI registry since April 2022. He has opted out of Medicare through July 31, 2027.

NPPES Registry Identity

NPI1063154136

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. DUNUWILLE AVINDA NUWAN JAYAWICKREMECredential: PHD

Location Address1910 ROUTE 70 E STE 7&5Cherry Hill, NJ 08003-2123

Mailing Address26 Plumly WayHolland, PA 18966-5500 · (267) 307-4612

Phone(856) 220-9672

Fax(856) 673-0630

Sole ProprietorYes

Enumeration DateApril 10, 2022

NPPES CertifiedApril 10, 2022

✔ NPI 1063154136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NJ · 35SI00654100

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

1910 ROUTE 70 E STE 7&5, Cherry Hill, NJ 08003

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Dunuwille Avinda Nuwan Jayawickreme Phd has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 31, 2025 through July 31, 2027.

Opt-Out Effective DateJuly 31, 2025

Opt-Out In Effect ThroughJuly 31, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ASHLEY PALLATHRA PHD

Psychologist (Clinical)

1910 ROUTE 70 E STE 7&5
CHERRY HILL, NJ 08003

Camden County (856) 220-9672

EMMA BALKIN APRN, PMHNP-BC

Nurse Practitioner (Psychiatric/Mental Health)

1910 ROUTE 70 E STE 7&5
CHERRY HILL, NJ 08003

Camden County (443) 889-5963

SAMANTHA DEANA PSYD

Psychologist (Clinical)

1910 ROUTE 70 E STE 7&5
CHERRY HILL, NJ 08003

Camden County (856) 220-9672

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dunuwille Jayawickreme's NPI number?

The NPI number for Dunuwille Jayawickreme is 1063154136. It was assigned to this individual provider in the NPPES registry on April 10, 2022.

Where is Dunuwille Jayawickreme located?

Dunuwille Jayawickreme practices at 1910 Route 70 E Ste 7&5, Cherry Hill, NJ 08003. The listed phone number is (856) 220-9672.

What is Dunuwille Jayawickreme's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Dunuwille Jayawickreme enrolled in Medicare?

No. Dunuwille Jayawickreme has opted out of Medicare through July 31, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Dunuwille Jayawickreme was last updated on April 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.