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DR. IMANIE S WIJAYARATNE PSY.D.,M.A.
NPI 1932358355
Psychologist - Clinical in San Diego, CA

Active since September 09, 2008PECOS Enrolled
1275 30TH ST, SAN DIEGO, CA 92154(619) 205-6345 Get Directions Write a Review

NPPES record last updated: November 8, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Imanie S Wijayaratne Psy.d.,m.a. NPPES

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

DR. IMANIE S WIJAYARATNE PSY.D.,M.A. (NPI 1932358355) is an individual clinical provider in San Diego, California, licensed in California (PSY25044) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932358355
Entity TypeIndividualFemale
Primary Taxonomy103TC0700X
Provider Legal NameDR. IMANIE S WIJAYARATNECredential: PSY.D.,M.A.
Location Address1275 30TH STSan Diego, CA 92154-3476
Mailing Address1275 30th StSan Diego, CA 92154-3476
Phone(619) 205-6345
Sole ProprietorNo
Enumeration DateSeptember 9, 2008
Last NPPES UpdateNovember 8, 2013
✔ NPI 1932358355 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 CA · PSY25044
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.
1275 30TH ST, San Diego, CA 92154
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Imanie S Wijayaratne Psy.d.,m.a. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Imanie Wijayaratne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Centro De Salud De La Comunidad De San Ysidro Inc
0.2 mi
Federally Qualified Health Center (FQHC)
3045 BEYER BLVD STE D-101
San Diego, CA 92154
  • Reassigned Medicare billing, California enrollment
  • 577 clinicians in this Medicare group
NPI 1568182046 (619) 662-4100

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92154 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$184.71 typical visit price
range $62.10 – $184.71
Typical copayment $46.17 (range $15.52 – $46.17)
Most-billed visit code 99205
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

JESSICA ADELEKE D.O.
Family Medicine
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (253) 330-2122
ALEJANDRA CRUZ BSW
Case Manager/Care Coordinator
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (616) 662-4100
KRISHNA AMIN DMD
Student in an Organized Health Care Education/Training Program
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (619) 662-4100
TRENT GOOKIN DDS
Student in an Organized Health Care Education/Training Program
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (619) 662-4100
MR. ROBERTO CERVANTES DEPRESSION COUNSELOR
Counselor (Mental Health)
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (619) 662-4124
RACHELE ANGELA MARIANO DDS
Dentist (Pediatric Dentistry)
1275 30TH ST
SAN DIEGO, CA 92154
San Diego County (619) 662-4100

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 Imanie Wijayaratne's NPI number?

The NPI number for Imanie Wijayaratne is 1932358355. It was assigned to this individual provider in the NPPES registry on September 9, 2008.

Where is Imanie Wijayaratne located?

Imanie Wijayaratne practices at 1275 30th St, San Diego, CA 92154. The listed phone number is (619) 205-6345.

What is Imanie Wijayaratne's specialty?

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

Is Imanie Wijayaratne enrolled in Medicare?

Yes. Imanie Wijayaratne is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Imanie Wijayaratne's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Imanie Wijayaratne reassigns Medicare benefits to Centro De Salud De La Comunidad De San Ysidro Inc (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Imanie Wijayaratne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Imanie Wijayaratne was last updated on November 8, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.