Ivie Iyore Okunbor

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

13455 Issued in CT

Practice address

80 Harral Ave
Bridgeport, CT 06604-3001

Phone

(347) 833-9965

Fax

(472) 212-2656

NPI assigned

Jul 11, 2024

Last updated

Jun 20, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lifebridge Community Services, IncGroup PAC ID 4981595618, 6 clinicians

Town of North HavenGroup PAC ID 5799784922, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Lifebridge Community Services, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bridgeport, CT
  • NPI 1922006923
  Medicare reassignment Care Compare group NPD
• Town of North Haven Community Services

  dba North Haven Community Services

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • North Haven, CT
  • NPI 1164513388
  Medicare reassignment Care Compare group NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, Psychiatric/Mental Health

  Medicare reassignment NPD
• Careville Psychiatry

  • Psychiatric/Mental Health Nurse Practitioner
  • Bridgeport, CT
  • NPI 1518793785
  NPD Authorized official
• Lifebridge Community Services, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fairfield, CT
  • NPI 1750378667
  NPD

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

{
    "created_epoch": "1720656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750377600000",
    "number": "1871330332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HARRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043001",
            "telephone_number": "347-833-9965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HARRAL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066043001",
            "telephone_number": "347-833-9965",
            "fax_number": "472-212-2656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OKUNBOR",
        "first_name": "IVIE",
        "middle_name": "IYORE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-11",
        "last_updated": "2025-06-20",
        "certification_date": "2025-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "13455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexander Daniel Ohlson, PHYSICIAN ASSISTANT
• Oikos Home Care LLC
• Oyebusola Ojo
• Jennifer Godwin Okon, M.D
• Weruche Chinyere Okonkwo, DDS
• Olatunde Ola, MD, MPH
• Bukola Oladokun
• Nahum Oliva Zacarias
• Elaine C. Oliveira, MD
• Liam P Oliver, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Psychiatric/Mental Health Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.

Verify at the official NPI Registry.