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DR. PRAVEEN SHILPA FERNANDOPULLE MD
NPI 1396309324
Psychiatry & Neurology - Psychiatry in Johnson City, TN

Active since April 25, 2019
MOUNTAIN HOME VA MEDICAL CENTER, 69 DOGWOOD LN, JOHNSON CITY, TN 37604(646) 250-4442 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 23, 2023, Apr 25, 2019 (2 updates tracked since 2019).

About Dr. Praveen Shilpa Fernandopulle Md NPPES

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

DR. PRAVEEN SHILPA FERNANDOPULLE MD (NPI 1396309324) is an individual psychiatry provider in Johnson City, Tennessee, licensed in Tennessee (67452) and active in the NPI registry since April 2019.

NPPES Registry Identity

NPI1396309324
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PRAVEEN SHILPA FERNANDOPULLECredential: MD
Location AddressMOUNTAIN HOME VA MEDICAL CENTER, 69 DOGWOOD LNJohnson City, TN 37604
Mailing Address1721 Skyline Dr Apt 200Johnson City, TN 37604-3786 · (646) 250-4442
Phone(646) 250-4442
Sole ProprietorYes
Enumeration DateApril 25, 2019
Last NPPES UpdateAugust 23, 20232 updates tracked since enumeration
NPPES CertifiedAugust 21, 2023
✔ NPI 1396309324 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in TN · 67452
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
MOUNTAIN HOME VA MEDICAL CENTER, Johnson City, TN 37604
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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 Praveen Fernandopulle's NPI number?

The NPI number for Praveen Fernandopulle is 1396309324. It was assigned to this individual provider in the NPPES registry on April 25, 2019.

Where is Praveen Fernandopulle located?

Praveen Fernandopulle practices at Mountain Home VA Medical Center 69 Dogwood Ln, Johnson City, TN 37604. The listed phone number is (646) 250-4442.

What is Praveen Fernandopulle's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

When was this NPI record last updated?

The NPPES record for Praveen Fernandopulle was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.