Individual provider Active NPI

Rey Jericoh Manalese, DNP, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1649835554
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
227249 Issued in AZ
Practice address
20440 N 27TH Ave
Phoenix, AZ 85027-3240
Phone
(480) 882-4545
Fax
(602) 409-0499
NPI assigned
May 6, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 227249 AZ Primary
Family Nurse Practitioner 363LF0000X 227249 AZ

Addresses

Primary practice location

20440 N 27TH Ave
Phoenix, AZ 85027-3240

Mailing address

7500 N Dreamy Draw Dr Ste 145
Phoenix, AZ 85020-4668
Phone (623) 624-7537

Other practice location 1

9627 W Potter Dr
Peoria, AZ 85382-5157
Phone (623) 624-7537

Other practice location 2

11851 N 51st Ave Ste B110
Glendale, AZ 85304-2823
Phone (480) 882-4545

Other identifiers 1

IdentifierTypeStateIssuer
529991MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190814003686 AZ Practitioner - Nurse Practitioner 4981931821 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Bridges IncGroup PAC ID 2062699721, 106 clinicians
Neighborhood Outreach Access to HealthGroup PAC ID 3577743764, 107 clinicians

Practice addresses (Care Compare)

110 E 2ND St
Winslow Outpatient Services Center
Winslow, AZ 86047-3704
Phone (928) 289-1222

11851 N 51St Ave
Suite B110
Glendale, AZ 85304-2823
Phone (480) 885-4545

250 S Toole Ave
Tucson, AZ 85701-1814
Phone (520) 323-1312

2770 E Van Buren St
Phoenix, AZ 85008-6088
Phone (602) 273-9999

2950 N Dodge Blvd
Tucson, AZ 85716-2012
Phone (520) 327-9863

3180 E 40TH St
Yuma, AZ 85365-7772
Phone (928) 373-6763

470 S Ocotillo Ave
Suite 2
Benson, AZ 85602-6403
Phone (520) 586-6171

803 W Main St
Payson, AZ 85541-4993
Phone (928) 468-0044

993 Hermosa Dr
Holbrook, AZ 86025-2036
Phone (928) 524-1151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
227249AZMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Bridges, Inc Current Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jul 1, 2023 Accepting new patients
Neighborhood Outreach Access to Health CurrentSince Jul 1, 2023 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Community Bridges, Inc. CurrentSince Jun 10, 2019 Accepting new patients
Community Bridges, Inc. Current Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients
Community Bridges, Inc. Past Accepting new patients

Locations

824 N 99th Ave
Ste 108
Avondale, AZ 85323
Phone (602) 907-6520

824 N 99th Ave
Ste 107108
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 109
Avondale, AZ 85323
Phone (623) 907-1457

824 N 99th Ave
Ste 105
Avondale, AZ 85323
Phone (602) 545-8247

11851 N 51st Ave
Ste B110
Glendale, AZ 85304

11851 N 51st Ave
Ste F140
Glendale, AZ 85304
Phone (623) 428-0001

993 Hermosa Dr
#B
Holbrook, AZ 86025
Phone (928) 524-1151

554 S Bellview
Rm B
Mesa, AZ 85204
Phone (480) 649-1141

1012 S Stapley Dr
Bldg 5
Mesa, AZ 85204
Phone (480) 768-6022

1855 W Baseline Rd
Ste 101
Mesa, AZ 85202

20440 N 27th Ave
Phoenix, AZ 85027

4131 N 24th St
Ste B102
Phoenix, AZ 85016
Phone (602) 955-6632

2770 E Van Buren St
Rm Abd
Phoenix, AZ 85008
Phone (602) 273-9999

16251 N Cave Creek Rd
Phoenix, AZ 85032

7500 N Dreamy Draw Dr
Ste 145
Phoenix, AZ 85020

9015 N 3rd St
Phoenix, AZ 85020

8705 E McDowell Rd
Scottsdale, AZ 85257

2950 N Dodge Blvd
Tucson, AZ 85716
Phone (520) 327-9863

250 S Toole Ave
Ste A
Tucson, AZ 85701
Phone (520) 323-1312

110 E Second St
Winslow, AZ 86047
Phone (928) 289-1122

3250 E 40th St
Ste C
Yuma, AZ 85365
Phone (928) 341-4220

3180 E 40th St
Yuma, AZ 85365
Phone (928) 341-0335

3250 E 40th St
Bldg B
Yuma, AZ 85365
Phone (928) 341-4220

Interoperability endpoints

  • Direct secure messaging: rey.manalesernbht.p1@direct.cbridges.nextgenshare.com
  • Direct secure messaging: rmanalese664109@direct.ochin.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1557100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1649835554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7500 N DREAMY DRAW DR STE 145",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204668",
            "telephone_number": "623-624-7537",
            "fax_number": "602-409-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20440 N 27TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850273240",
            "telephone_number": "480-882-4545",
            "fax_number": "602-409-0499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9627 W Potter Dr",
            "address_purpose": "LOCATION",
            "city": "Peoria",
            "state": "AZ",
            "postal_code": "853825157",
            "country_code": "US",
            "telephone_number": "623-624-7537",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11851 N 51st Ave Ste B110",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853042823",
            "country_code": "US",
            "telephone_number": "480-882-4545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANALESE",
        "first_name": "REY JERICOH",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-06",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "227249",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "227249",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529991",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.