Organization Active NPI

Demavie Behavioral and Mental Wellness Services, Inc.

  • Psychiatric/Mental Health Nurse Practitioner
  • Perris, CA
National Provider Identifier
1609667443
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DEMAVIE BEHAVIORAL AND MENTAL WELLNESS SERVICES, INC.
Practice address
3972 Barbury Palms Way
Perris, CA 92571-7473
Phone
(703) 896-6603
NPI assigned
May 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Authorized official

Name
Ekua Amokwanoa Baiden Sokoya, DNP, FNP, PMHNP-BCNPI 1740915891
Title
Provider
Phone
(703) 896-6603

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

3972 Barbury Palms Way
Perris, CA 92571-7473

Mailing address

3870 La Sierra Ave # 2033
Riverside, CA 92505-3528
Phone (833) 667-0006

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1747094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747094400000",
    "number": "1609667443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3870 LA SIERRA AVE # 2033",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925053528",
            "telephone_number": "833-667-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3972 BARBURY PALMS WAY",
            "city": "PERRIS",
            "state": "CA",
            "postal_code": "925717473",
            "telephone_number": "703-896-6603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEMAVIE BEHAVIORAL AND MENTAL WELLNESS SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-13",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A",
        "authorized_official_last_name": "BAIDEN SOKOYA",
        "authorized_official_first_name": "EKUA",
        "authorized_official_middle_name": "AMOKWANOA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "703-896-6603",
        "authorized_official_credential": "DNP, FNP, PMHNP-BC"
    },
    "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": []
}

Other providers in Perris, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.

Verify at the official NPI Registry.