Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NITHYA RAVINDRAN DO
NPI 1336536713
Psychiatry & Neurology - Child & Adolescent Psychiatry in Portland, OR

Q: What is Nithya Ravindran's NPI number?

The NPI number for Nithya Ravindran is 1336536713. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Q: What is Nithya Ravindran's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Q: When was this NPI record last updated?

The NPPES record for Nithya Ravindran was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since April 23, 2015PECOS Enrolled

2525 SW 1ST AVE, PORTLAND, OR 97201(503) 494-2707 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Jan 5, 2023 (2 updates tracked since 2023).

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About Nithya Ravindran Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NITHYA RAVINDRAN DO (NPI 1336536713) is an individual child & adolescent psychiatry provider in Portland, Oregon, licensed in California (19958) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1336536713

Entity TypeIndividualFemale

Primary Taxonomy2084P0804X

Provider Legal NameNITHYA RAVINDRANCredential: DO

Location Address2525 SW 1ST AVEPortland, OR 97201-4753

Mailing Address3181 Sw Sam Jackson Park RdPortland, OR 97239-3079 · (503) 494-2707 · Fax (503) 494-6868

Phone(503) 494-2707

Sole ProprietorYes

Enumeration DateApril 23, 2015

Last NPPES UpdateAugust 6, 20262 updates tracked since enumeration

NPPES CertifiedAugust 6, 2026

✔ NPI 1336536713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0804X

License✔ Licensed in CA · 19958

Definition

Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.

Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License 3900200000X (LA)

2525 SW 1ST AVE, Portland, OR 97201

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Secondary Practice Locations 2

Location 12594 Industry WayLynwood, CA 90262-4015 · Phone (310) 667-4070

Location 21440 Tulane Avenue #TB 53New Orleans, LA 70112 · Phone (504) 988-4272

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nithya Ravindran Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nithya Ravindran's NPI number?

The NPI number for Nithya Ravindran is 1336536713. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Nithya Ravindran located?

Nithya Ravindran practices at 2525 SW 1st Ave, Portland, OR 97201. The listed phone number is (503) 494-2707.

What is Nithya Ravindran's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Nithya Ravindran enrolled in Medicare?

Yes. Nithya Ravindran is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nithya Ravindran was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.