Active NPI
Chidinma Ifechukwu Gubor, DNP,APRN,PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Newport, RI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- APRN04440
- 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
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 |
|---|---|---|---|---|
| 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, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rhode Island Counseling Associates LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Step Up Care PC LLC | Current | Accepting new patients | |
| Vatas Integrative Psychiatry & Wellness, LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Lswhb LLC | Current | 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.
-
- Mental Health Counselor
- Cranston, RI
- NPI 1336638303
Psychiatric/Mental Health
-
- Counselor
- Danielson, CT
- NPI 1154884740
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- East Hartford, CT
- NPI 1821969619
Psychiatric/Mental Health
-
- Addiction (Substance Use Disorder) Counselor
- Cranston, RI
- NPI 1033868930
-
- Family Medicine Physician
- Farmington, CT
- NPI 1720194053
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.