CK WELLNESS PLLC
NPI 1679363097
Nurse Practitioner - Psychiatric/Mental Health in Brockton, MA

Active since May 08, 2025
529 PEARL STREET, BROCKTON, MA 02301(339) 793-9080 Get Directions Write a Review

NPPES record last updated: August 21, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ck Wellness Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CK WELLNESS PLLC (NPI 1679363097) is a healthcare organization registered as a psychiatric/mental health in Brockton, Massachusetts and active in the NPI registry since May 2025. The organization lists Shirnett Khorran Gajaraj, Owner, as its authorized official.

NPPES Registry Identity

NPI1679363097
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameCK WELLNESS PLLC
Location Address529 PEARL STREETBrockton, MA 02301
Mailing Address729 Bridge St, Ste 1 Pmb 1046Weymouth, MA 02191-2135 · (339) 793-9080
Organization SubpartNo
Authorized OfficialShirnett Khorran GajarajOwner · (339) 793-9080
Enumeration DateMay 8, 2025
Last NPPES UpdateAugust 21, 2025
NPPES CertifiedAugust 21, 2025
NPI 1679363097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
529 PEARL STREET, Brockton, MA 02301

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)
529 PEARL STREET
BROCKTON, MA 02301

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ck Wellness PLLC's NPI number?

The NPI number for Ck Wellness PLLC is 1679363097. It was assigned to this organization in the NPPES registry on May 8, 2025.

Where is Ck Wellness PLLC located?

Ck Wellness PLLC is located at 529 Pearl Street, Brockton, MA 02301. The listed phone number is (339) 793-9080.

What is Ck Wellness PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Ck Wellness PLLC was last updated on August 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.