Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chinenye Ugonabo

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1518806900

Chinenye Ugonabo is a Nurse Practitioner in Stony Brook, New York. Qualified in 2025, 1 year ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
1
Licensed in
NY
In the registry since
2026

Practice location Address checks out

101 Nicholls Rd
Stony Brook, NY 11794-0001
Phone: (631) 371-4516
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 407885 (NY)

Record details

NPI number1518806900
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMarch 28, 2026
Last updated in NPPESMarch 28, 2026
Certification dateMarch 27, 2026
Mailing address101 Nicholls Rd, Stony Brook, NY 11794-0001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Stony Brook