Individual provider Active NPI

Chidinma Ifechukwu Gubor, DNP,APRN,PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Newport, RI
National Provider Identifier
1497364459
Registry record updated Sep 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN04440 Issued in RI
Practice address
270 Bellevue Ave
Newport, RI 02840-3516
Phone
(203) 843-2264
NPI assigned
Jul 27, 2020
Reactivated
May 18, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 9369 CT
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN04440 RI Primary

Addresses

Primary practice location

270 Bellevue Ave
Newport, RI 02840-3516

Mailing address

55 Leverich Dr
East Hartford, CT 06108-1432
Phone (203) 843-2264

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, RI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210928001671 CT Practitioner - Nurse Practitioner 4981001369 Reassigns benefits to 3 organizations
I20250404002600 RI Practitioner - Nurse Practitioner 4981001369 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lswhb, LLCGroup PAC ID 9638414204, 21 clinicians

Practice addresses (Care Compare)

290 Western Blvd
Glastonbury, CT 06033-1236
Phone (860) 652-3325

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Rhode Island Counseling Associates LLC Psychiatric/Mental Health CurrentSince Feb 7, 2025 Accepting new patients
Step Up Care PC LLC CurrentSince Feb 1, 2023 Accepting new patients
Vatas Integrative Psychiatry & Wellness, LLC Psychiatric/Mental Health CurrentSince Sep 21, 2025 Accepting new patients
Lswhb LLC CurrentSince Oct 15, 2025 Accepting new patients
Prohealth Physicians PC Family Past Accepting new patients

Locations

290 Western Blvd
Glastonbury, CT 06033
Phone (860) 652-3325

141 Willard Ave
Newington, CT 06111
Phone (860) 666-5601

21 Maefair Ct
Trumbull, CT 06611
Phone (203) 459-5152

27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951

27 Randolph Rd
#A
Howell, NJ 07731
Phone (732) 797-9290

1150 Reservoir Ave
Ste 203
Cranston, RI 02920
Phone (401) 259-0340

Organizations & group practices 7

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1595808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756684800000",
    "number": "1497364459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 LEVERICH DR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061081432",
            "telephone_number": "203-843-2264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 BELLEVUE AVE",
            "city": "NEWPORT",
            "state": "RI",
            "postal_code": "028403516",
            "telephone_number": "203-843-2264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUBOR",
        "first_name": "CHIDINMA",
        "middle_name": "IFECHUKWU",
        "credential": "DNP,APRN,PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-27",
        "last_updated": "2025-09-01",
        "certification_date": "2025-09-01",
        "deactivation_date": "2021-04-04",
        "reactivation_date": "2021-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "9369",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN04440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, RI

Sources for this page

Verify at the official NPI Registry.