Organization · Type 2 NPI

Brain Wave Psychiatry, PC

Psychiatric/Mental Health Nurse Practitioner · West Hollywood, CA

NPI number 1225924947 Active

Practice location

8605 Santa Monica Blvd, Pmb 326031
West Hollywood, CA 90069-4109

Mailing address

4403 Edam St
Lancaster, CA 93536-6875

Specialties and licenses

TaxonomyCodeLicense
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808XNone listed

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1225924947

Brain Wave Psychiatry, PC's National Provider Identifier is 1225924947, issued on Jun 17, 2025. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in West Hollywood, CA. The record was last updated on Oct 22, 2025.