MEDICARE: NEWLEAF BEHAVIORAL HEALTH PARTNERS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1154286623
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEWLEAF BEHAVIORAL HEALTH PARTNERS

Provider Business Mailing Address
First Line	:	64 PARKVIEW DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3453
Country	:	US
Telephone Number	:	203-214-5586
Fax Number	:

Provider Business Practice Location Address
First Line	:	64 PARKVIEW DR
Second Line	:
City	:	AVON
State	:	CT
Zip	:	06001-3453
Country	:	US
Telephone Number	:	203-214-5586
Fax Number	:

Authorized Official
Title or Position	:	MEMBER
Name	:	CHINEDU IBEMADU
Credential	:	APRN
Telephone Number	:	203-214-5586

Provider Enumeration Date	:	12/17/2025
Last Update Date	:	12/17/2025

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