OrganizationActive
Cjc LLC
NPI 1104643436 · Psychiatric/Mental Health Nurse Practitioner · Pawtucket, RI
Provider details
- NPI number
- 1104643436
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Chinwendu Chukwudike, Aprn(401) 992-5145
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
- Family Nurse Practitioner363LF0000X
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(56/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
11 George St Ste 1
Pawtucket, RI 02860-4097
Phone: (401) 992-5145
Street-level locationGet directions
Mailing address
11 George St Ste 1
Pawtucket, RI 02860-4097
Other names (DBA / former)
- Doing business as
- Wellness Health and Therapy Services
- Doing business as
- Wellness Health and Therapy Services
Registry dates
- Enumerated
- 2024-09-26
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.