Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mana Psychiatry LLC

Organization Family Nurse Practitioner · NPI 1558196824

Mana Psychiatry LLC is a Family Nurse Practitioner in Glendale, Arizona. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

18001 N 79th Ave Ste C61
Glendale, AZ 85308-6038
Phone: (623) 224-2403
Fax: (623) 267-0591
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X
Family Nurse Practitioner Taxonomy 363LF0000X

Record details

NPI number1558196824
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Rey Jericoh Manalese — Pmhnp Fnp · (623) 313-6573
Other names Mana Psychiatry
NPI enumeratedSeptember 5, 2024
Last updated in NPPESMarch 11, 2025
Certification dateMarch 11, 2025
Mailing address9627 W Potter Dr, Peoria, AZ 85382-5157

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