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Praveen Fernandopulle, MD
NPI 1396309324 · Psychiatry Physician · Johnson City, TN
Praveen Fernandopulle, MD is a Psychiatry Physician provider in Johnson City, TN (NPI 1396309324).
Provider details
- NPI number
- 1396309324
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 67452 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mountain Home Va Medical Center
69 Dogwood Ln
Johnson City, TN 37604
Phone: (646) 250-4442
Approximate (ZIP-level) locationGet directions
Mailing address
1721 Skyline Dr Apt 200
Johnson City, TN 37604-3786
Registry dates
- Enumerated
- 2019-04-25
- Last updated
- 2023-08-23
- Certified
- 2023-08-21
Frequently asked questions
- What is Praveen Fernandopulle's NPI number?
- Praveen Fernandopulle's National Provider Identifier (NPI) is 1396309324, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Praveen Fernandopulle's specialty?
- Praveen Fernandopulle is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Praveen Fernandopulle located?
- Praveen Fernandopulle's practice location on file with NPPES is Mountain Home Va Medical Center, Johnson City, TN 37604.
- What is Praveen Fernandopulle's phone number?
- The practice phone number listed in the NPPES registry for Praveen Fernandopulle is (646) 250-4442.
- Is Praveen Fernandopulle's NPI active?
- Yes — Praveen Fernandopulle's NPI (1396309324) is active in the NPPES registry as of the last update on 2023-08-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.