Active NPI
Brain Wave Psychiatry, PC
- Psychiatric/Mental Health Nurse Practitioner
- West Hollywood, CA
National Provider Identifier
1225924947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- Legal business name
- BRAIN WAVE PSYCHIATRY, PC
- Practice address
- 8605 Santa Monica Blvd
PMB 326031
West Hollywood, CA 90069-4109 - Phone
- (661) 571-9838
- NPI assigned
- Jun 17, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gregory Desir, PMHNP-BC
- Title
- Owner
- Phone
- (661) 571-9838
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | Primary |
Addresses
Primary practice location
8605 Santa Monica Blvd
PMB 326031
West Hollywood, CA 90069-4109
Mailing address
4403 Edam St
Lancaster, CA 93536-6875
Phone (661) 571-9838
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatric/Mental Health Nurse Practitioner
- West Hollywood, CA
- NPI 1205638236
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1750118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1761091200000",
"number": "1225924947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4403 EDAM ST",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935366875",
"telephone_number": "661-571-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8605 SANTA MONICA BLVD",
"address_2": "PMB 326031",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900694109",
"telephone_number": "661-571-9838"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BRAIN WAVE PSYCHIATRY, PC",
"organizational_subpart": "NO",
"enumeration_date": "2025-06-17",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A",
"authorized_official_last_name": "DESIR",
"authorized_official_first_name": "GREGORY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "661-571-9838",
"authorized_official_credential": "PMHNP-BC"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.