About
Nishani Dayanthi Samaraweera is a Psychologist in Portage, Michigan. She graduated in 2010. She has over 16 years of experience. Nishani D. Samaraweera is a group member of Ascension Medical Group Promed. Contact Nishani Dayanthi Samaraweera to request her Medicare information, payment methods she accepts, or to book an appointment.
Basic Data
PECOS ID: 4789845892
Entity Type: Individual; Not Sole Proprietor
Accepts Med Assignment: She does accept the payment amount Medicare approves and not to bill you for more than the Medicare deductible and coinsurance.
Organization Name: Promed Healthcare
Gender
Female
Years in Practice
16 years
Healthcare Provider Taxonomy
- Code: 103T00000X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Code: 103TC0700X
- Grouping: Behavioral Health & Social Service Providers
- Classification: Psychologist
- Specialization: Clinical
Credentials
- Doctor of Philosophy (PHD)
Individual MIPS
Merit-Based Incentive Payment System (MIPS) final scores and performance category scores for therapists.
Quality Category Score
IA Category Score
Final MIPS Score
HCPCS Codes
Healthcare Common Procedure Coding System (HCPCS) codes commonly used by this therapist.
| Code | Code Description | Service Count | Beneficiary Count |
|---|---|---|---|
| 90791 | Psychiatric diagnostic evaluation | 20 | 20 |
| 90834 | Psychotherapy, 45 minutes | 207 | 33 |
Group Practices
Group practices this therapist belongs to includes:
| Ascension Medical Group Promed | |
|---|---|
| Address | 7895 Currier Dr |
| Portage, MI 49002-4314 | |
| Group PAC ID | 7315856077 |
| Group Members | 259 |
Group Performance Measures
Performance Measures of Ascension Medical Group Promed
| Measure Title | Y |
|---|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 4 |
| Patients Surveyed | 99 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 3 |
| Patients Surveyed | 88 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 2 |
| Patients Surveyed | 89 |
| Star Value |
|
| Measure Title | |
|---|---|
| Inverse Measure | No |
| Attestation Value | No |
| Measure Performance Rate | 4 |
| Patients Surveyed | 98 |
| Star Value |
|
Licenses
| Name | License Number | State |
|---|---|---|
| Psychologist | L2064731 Verify | MI |
| Psychologist | 6301014717 Verify | MI |
Education
| Year Graduated |
|---|
| 2010 |
Practice Locations
7895 Currier Dr
Portage, MI 49002-4314
Phone Number: (269) 321-7090
Therapists Near Portage, MI
Master of Arts (MA)
Certified Rehabilitation Counselor (CRC)
Limited License Professional Counselor (LLPC)