Active NPI
Shivana Devi Naidoo, M.D.
- Child & Adolescent Psychiatry Physician
- Riverside, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD18812
- Practice address
- 1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099 - Phone
- (401) 444-6779
- NPI assigned
- Apr 20, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 271265 | NY | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD18812 | RI | Primary |
Addresses
Primary practice location
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Mailing address
1011 Veterans Memorial Pkwy
Riverside, RI 02915-5099
Phone (401) 444-6779
Other practice location 1
2190 N Grace Blvd
Chandler, AZ 85225-3416
Phone (623) 308-2472
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578768867 | Medicaid | RI | |
| 1548506793 | Medicaid | RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 271265 | NY | MD | Child & Adolescent Psychiatry Physician |
| MD18812 | RI | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| District Medical Group, Inc | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Current | Accepting new patients | |
| Emma Pendleton Bradley Hospital | Psychiatry | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Lifespan Physician Group, Inc. | Psychiatry | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Psychiatry | Current | Accepting new patients |
Locations
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
25 Hackett Blvd
Albany, NY 12208
Phone (518) 262-1200
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1275 Broadway
Menands, NY 12204
Phone (518) 262-9705
117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318
593 Eddy St
Providence, RI 02903
1011 Veterans Memorial Pkwy
Riverside, RI 02915
Phone (401) 432-1000
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Riverside, RI
- NPI 1073705943
-
- Psychiatric Hospital
- Riverside, RI
- NPI 1578768867
-
- Psychiatry Physician
- Providence, RI
- NPI 1548506793
-
- Emergency Medicine Physician
- Providence, RI
- NPI 1568325678
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Psychiatry Physician
- Albany, NY
- NPI 1447284328
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1629301734
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786579200000",
"number": "1366769093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029155099",
"telephone_number": "401-444-6779"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1011 VETERANS MEMORIAL PKWY",
"city": "RIVERSIDE",
"state": "RI",
"postal_code": "029155099",
"telephone_number": "401-444-6779"
}
],
"practiceLocations": [
{
"address_1": "2190 N Grace Blvd",
"address_purpose": "LOCATION",
"city": "Chandler",
"state": "AZ",
"postal_code": "852253416",
"country_code": "US",
"telephone_number": "623-308-2472",
"fax_number": "623-218-9061",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NAIDOO",
"first_name": "SHIVANA",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-20",
"last_updated": "2026-08-13",
"certification_date": "2026-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NY",
"license": "271265",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "RI",
"license": "MD18812",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578768867",
"state": "RI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1548506793",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.