Active NPI
Chinedu Ibemadu, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Darien, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 11594
- Practice address
- 30 Old Kings Hwy S FL 1
Darien, CT 06820-4526 - Phone
- (800) 465-3203
- NPI assigned
- Feb 8, 2023
- Last updated
- Oct 28, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 11594 | CT | Primary |
Addresses
Primary practice location
30 Old Kings Hwy S FL 1
Darien, CT 06820-4526
Mailing address
64 Parkview Dr
Avon, CT 06001-3453
Phone (203) 214-5586
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
331 Wethersfield Ave
Hartford, CT 06114-1420
Phone (860) 236-4511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11594 | CT | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Newleaf Behavioral Health Partners LLC | Psychiatric/Mental Health | Current | Accepting new patients |
| Harvest Healthcare LLC | Current | Accepting new patients | |
| The Village for Families & Children, Inc. | Current | Accepting new patients |
Locations
21 Waterville Rd
Avon, CT 06001
Phone (860) 284-0182
1680 Albany Ave
Hartford, CT 06105
Phone (860) 236-4511
331 Wethersfield Ave
Hartford, CT 06114
Phone (860) 236-4511
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Adolescent and Children Mental Health Clinic/Center
- Hartford, CT
- NPI 1841362795
-
- Clinical Social Worker
- Avon, CT
- NPI 1477712917
-
- Psychiatric/Mental Health Nurse Practitioner
- Avon, CT
- NPI 1154286623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761609600000",
"number": "1679270979",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "64 PARKVIEW DR",
"city": "AVON",
"state": "CT",
"postal_code": "060013453",
"telephone_number": "203-214-5586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 OLD KINGS HWY S FL 1",
"city": "DARIEN",
"state": "CT",
"postal_code": "068204526",
"telephone_number": "800-465-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IBEMADU",
"first_name": "CHINEDU",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-02-08",
"last_updated": "2025-10-28",
"certification_date": "2025-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CT",
"license": "11594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 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.