Active NPI
Rey Jericoh Manalese, DNP, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 227249
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 529991 | Medicaid | AZ |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 227249 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Bridges, Inc | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Neighborhood Outreach Access to Health | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | Accepting new patients | |
| Community Bridges, Inc. | Current | 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
- rey.manalesernbht.p1@direct.cbridges.nextgenshare.com
- 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.
-
- Adult Mental Health Clinic/Center
- Page, AZ
- NPI 1558095315
-
- Family Medicine Physician
- Scottsdale, AZ
- NPI 1942518550
-
- Mental Illness Community Based Residential Treatment Facility
- Yuma, AZ
- NPI 1861722175
-
- Mental Illness Community Based Residential Treatment Facility
- Avondale, AZ
- NPI 1184136400
-
- Community/Behavioral Health Agency
- Tucson, AZ
- NPI 1427596196
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1588348775
-
- Federally Qualified Health Center (FQHC)
- Glendale, AZ
- NPI 1326731555
-
- Substance Abuse Rehabilitation Facility
- Mesa, AZ
- NPI 1356461727
-
- Substance Abuse Rehabilitation Facility
- Yuma, AZ
- NPI 1487344735
-
- Community/Behavioral Health Agency
- Mesa, AZ
- NPI 1508124488
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.