Mana Psychiatry LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

MANA PSYCHIATRY LLC

Doing business as

Mana Psychiatry

Practice address

18001 N 79TH Ave Ste C61
Glendale, AZ 85308-6038

Phone

(623) 224-2403

Fax

(623) 267-0591

NPI assigned

Sep 5, 2024

Last updated

Mar 11, 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

Dr. Rey Jericoh Manalese, DNP

Title

Pmhnp FNP

Phone

(623) 313-6573

Specialties & licenses 2

Addresses

Other names 1

• Mana Psychiatry Doing business as

Locations

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

{
    "created_epoch": "1725494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741651200000",
    "number": "1558196824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9627 W POTTER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853825157",
            "telephone_number": "623-313-6573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18001 N 79TH AVE STE C61",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853086038",
            "telephone_number": "623-224-2403",
            "fax_number": "623-267-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANA PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-05",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A",
        "authorized_official_last_name": "MANALESE",
        "authorized_official_first_name": "REY JERICOH",
        "authorized_official_title_or_position": "PMHNP FNP",
        "authorized_official_telephone_number": "623-313-6573",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mana Psychiatry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Demetrio Bernabe Mamani, M.D.
• Mammography Partners LLC
• Mammography Partners LLC
• Musa Mammy
• Mams Transportation LLC
• Mana Vascular Clinic, PLLC
• Mana Vein, LLC
• Venite Manace
• Chelsea Elizabeth Manalese, FNP
• Manasir LLC

• Psychiatric/Mental Health Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.