CK Wellness PLLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

CK WELLNESS PLLC

Practice address

529 Pearl Street
Brockton, MA 02301

Phone

(339) 793-9080

NPI assigned

May 8, 2025

Last updated

Aug 21, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shirnett Khorran Gajaraj, NP-PMH

Title

Owner

Phone

(339) 793-9080

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Krishnaswamy Gajaraj, M.D.

  • Psychiatry Physician
  • Randolph, MA
  • NPI 1962488395
  Medicare reassignment Care Compare group NPD
• Shirnett Khorran-Gajaraj

  • Psychiatric/Mental Health Nurse Practitioner
  • Brockton, MA
  • NPI 1538919147
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1746662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1679363097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "729 BRIDGE ST",
            "address_2": "STE 1 PMB 1046",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021912135",
            "telephone_number": "339-793-9080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "529 PEARL STREET",
            "city": "BROCKTON",
            "state": "MA",
            "postal_code": "02301",
            "telephone_number": "339-793-9080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CK WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-08",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "GAJARAJ",
        "authorized_official_first_name": "SHIRNETT",
        "authorized_official_middle_name": "KHORRAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "339-793-9080",
        "authorized_official_credential": "NP-PMH"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miancy Cime
• Circle of Love Health Foundation Inc
• Jeff Citro, M.A., M.DIV.
• City of Brockton
• City of Brockton Health Department
• Patricia Ann Clabough
• Kevin C. Clancy, PH.D.
• Nyshi Clark Ford
• Keely Clark-Mills, RN
• Douglas James Clark, LICSW

• Psychiatric/Mental Health Nurse Practitioner in Brockton, MA
• Providers in Brockton, MA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.