IndividualActive
Andrew Kociubuk, APNP
NPI 1386241867 · Psychiatric/Mental Health Nurse Practitioner · North Providence, RI
Provider details
- NPI number
- 1386241867
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- APNP
- Sex
- Male
- Sole proprietor
- Yes
- License
- 11039-33 (WI)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Nursing Service Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
200 High Service Ave
North Providence, RI 02904-5113
Phone: (401) 456-2000
Fax: (401) 456-2445
Street-level locationGet directions
Mailing address
200 High Service Ave
North Providence, RI 02904-5113
Additional practice locations (1)
- 825 Chalkstone AveProvidence, RI 02908-4728Phone: (401) 456-2000Fax: (401) 456-2445
Registry dates
- Enumerated
- 2020-10-07
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.