Ellaine Manabat, MSN, APRN, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

811167 Issued in NV

Practice address

8945 W Russell Rd Ste 110
Las Vegas, NV 89148-1225

Phone

(702) 476-9294

NPI assigned

Jan 13, 2025

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner

Practice roles

Locations

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.

• 1St Clark County Medical Clinic LLC

  • General Practice Physician
  • Hawthorne, NV
  • NPI 1154022523
  Medicare reassignment NPD
• Brain Power Medical Center LLC

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1265109011
  Medicare reassignment NPD
• Care and Crisis Clinic LLC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1417750266
  Medicare reassignment NPD
• TLC Clinic LLC

  • Nurse Practitioner
  • Las Vegas, NV
  • NPI 1932909173
  Medicare reassignment NPD
• Brain Power Medical Center LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1578261509
  NPD
• Genesis New Beginnings LLC

  • Mental Health Counselor
  • Las Vegas, NV
  • NPI 1144850736
  NPD
• Genesis New Beginnings LLC

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1760213177
  NPD
• TLC Clinic LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
  • NPI 1649066861
  NPD

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

{
    "created_epoch": "1736726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745107200000",
    "number": "1689484412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3212 AZALEA RIDGE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524540",
            "telephone_number": "919-909-3780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8945 W RUSSELL RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891481225",
            "telephone_number": "702-476-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANABAT",
        "first_name": "ELLAINE",
        "name_prefix": "Ms.",
        "credential": "MSN, APRN, PMHNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-01-13",
        "last_updated": "2025-04-20",
        "certification_date": "2025-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "811167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gisella-Marie A Man
• Lee Deng Man, MD
• Mana Medical Shlifer
• Mana Therapeutics LLC
• Derick Ian Becios Manabat
• Irma Ocampo Manabat
• Matthew Lorenz Becios Manabat
• Paul Taggart Manabat, PHARMD
• Grace Manago
• Marissa Manago

• Psychiatric/Mental Health Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.