CJC LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CJC LLC

Practice address

11 George St Ste 1
Pawtucket, RI 02860-4097

Phone

(401) 992-5145

NPI assigned

Sep 26, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Chinwendu Jennifer Chukwudike, DNPNPI 1982176020

Title

Aprn

Phone

(401) 992-5145

Specialties & licenses 2

Addresses

Other names 1

• Wellness health and therapy services Doing business as

Medicare fee-for-service enrollment

Enrolled in RI, MA, CT3 enrollments

Enrollment records 3

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Chinwendu Jennifer Chukwudike, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • New London, CT
  • NPI 1982176020

  CT, MA, RI

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768953600000",
    "number": "1104643436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 GEORGE ST STE 1",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604097",
            "telephone_number": "401-992-5145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 GEORGE ST STE 1",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028604097",
            "telephone_number": "401-992-5145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CJC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-26",
        "last_updated": "2026-01-21",
        "certification_date": "2026-01-21",
        "status": "A",
        "authorized_official_last_name": "CHUKWUDIKE",
        "authorized_official_first_name": "CHINWENDU",
        "authorized_official_middle_name": "JENNIFER",
        "authorized_official_title_or_position": "APRN",
        "authorized_official_telephone_number": "401-992-5145",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wellness health and therapy services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Wellness health and therapy services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marisa Ciccone, LCDP
• Ronald G Ciccone
• Peter James Ciorlano, LICSW
• Michael Ronald Cipriano, PHARMD
• City of Pawtucket Rhode Island
• Wayne Clairborne, MD
• Catherine M Clark, RN
• Rebecca Lynn Clark
• Bonnie Marie Clarke, LCDP
• Jennifer Grace Clarke, MD

• All providers in Pawtucket, RI
• Psychiatric/Mental Health Nurse Practitioner in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.