Provider Demographics
NPI:1528041431
Name:JAYASINGHE, NIMALI (PHD)
Entity type:Individual
Prefix:
First Name:NIMALI
Middle Name:
Last Name:JAYASINGHE
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1229
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10113-1229
Mailing Address - Country:US
Mailing Address - Phone:646-961-2996
Mailing Address - Fax:
Practice Address - Street 1:120 W 15TH ST APT 3H
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10011-6791
Practice Address - Country:US
Practice Address - Phone:646-961-2996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-23
Last Update Date:2024-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015553103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist