Chinwendu Jennifer Chukwudike, APRN

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

APRN03930 Issued in RI

Practice address

41 Faire Harbour PL
New London, CT 06320-4710

Phone

(860) 437-6914

Fax

(860) 437-6920

NPI assigned

Dec 31, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT, RI, DC, MA4 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 4

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Supportive Care I of Rhode Island PCGroup PAC ID 1951793546, 53 clinicians

Fellowship Health Resources IncGroup PAC ID 8224022546, 14 clinicians

Connecticut Behavioral Health Assoc PCGroup PAC ID 4385532373, 38 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chinwendu.chukwudike.1@32885.direct.athenahealth.com

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.

• Connecticut Behavioral Health Assoc, P.C.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • New London, CT
  • NPI 1629158126

  Psychiatric/Mental Health

  Medicare reassignment Care Compare group NPD
• Fellowship Health Resources, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lincoln, RI
  • NPI 1245239680
  Medicare reassignment Care Compare group NPD
• CJC LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pawtucket, RI
  • NPI 1104643436

  CT, MA

  Medicare reassignment Authorized official
• Supportive Care I of Rhode Island PC

  • Clinical Psychologist
  • Providence, RI
  • NPI 1912666454
  Medicare reassignment Care Compare group
• Goldline Health and Wellness LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Pawtucket, RI
  • NPI 1174149686
  Medicare reassignment NPD
• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  CT, DC, MA, Psychiatric/Mental Health, RI

  Medicare reassignment NPD
• Wagner Medical PC

  • Clinical Social Worker
  • Toms River, NJ
  • NPI 1235951187

  MA, Psychiatric/Mental Health

  Medicare reassignment NPD

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

{
    "created_epoch": "1546214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1982176020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 SOCKANOSSET CROSS RD",
            "city": "CRANSTON",
            "state": "RI",
            "postal_code": "029205529",
            "telephone_number": "401-680-5833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 FAIRE HARBOUR PL",
            "city": "NEW LONDON",
            "state": "CT",
            "postal_code": "063204710",
            "telephone_number": "860-437-6914",
            "fax_number": "860-437-6920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "398 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028406955",
            "country_code": "US",
            "telephone_number": "718-506-1115 x215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "616 Gold Star Hwy",
            "address_purpose": "LOCATION",
            "city": "Groton",
            "state": "CT",
            "postal_code": "063406221",
            "country_code": "US",
            "telephone_number": "860-449-0200 x111",
            "fax_number": "860-449-1954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 Adelphi Ave",
            "address_purpose": "LOCATION",
            "city": "Providence",
            "state": "RI",
            "postal_code": "029064119",
            "country_code": "US",
            "telephone_number": "718-506-1115 x215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHUKWUDIKE",
        "first_name": "CHINWENDU",
        "middle_name": "JENNIFER",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-31",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "RI",
            "license": "APRN03579",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "APRN8112",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "8112",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "RI",
            "license": "APRN03930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANCC",
            "identifier": "2023129435",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Child and Family Agency of Southeastern Connecticut, Inc.
• Child and Family Agency of Southeastern Connecticut, Inc.
• Brock Chimileski
• Sung Woo Cho, DDS
• Kyley Chornoby
• Melissa Marie Chuongvan-Roy, MD
• Katherine Cichon, LPC
• Kenneth Peter Cikatz, RPH
• Kellie S Cirillo, MSW, LCSW
• Brett V Citarella, MD

• Psychiatric/Mental Health Nurse Practitioner in New London, CT
• Providers in New London, 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 May 11, 2026; 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.