Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Shervin Shadianloo, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1053604694

Shervin Shadianloo, MD is a Child & Adolescent Psychiatry Physician in New York, New York. Licensed in California, New Jersey and New York. Registered with an NPI since 2011.

Licensed in
CA, NJ, NY
In the registry since
2011
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1123 Broadway Ste 1117
New York, NY 10010-2007
Phone: (212) 253-0030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Child & Adolescent Psychiatry Physician (primary) Taxonomy 2084P0804X · Licence 277220 (NY)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 141090 (CA)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 25MA11336700 (NJ)

Record details

NPI number1053604694
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 16, 2011
Last updated in NPPESMay 12, 2026
Certification dateMay 12, 2026

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