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

St Rose Psychiatry, PLLC

Organization Psychiatry Physician · NPI 1043186463

St Rose Psychiatry, PLLC is a Psychiatry Physician in Las Vegas, Nevada. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

8475 S Eastern Ave Ste 202
Las Vegas, NV 89123-2863
Phone: (775) 900-8475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X

Record details

NPI number1043186463
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jacob Manjooran — Owner · (775) 900-8475
NPI enumeratedOctober 13, 2025
Last updated in NPPESJuly 3, 2026
Certification dateJuly 3, 2026
Mailing address8475 S Eastern Ave Ste 202, Las Vegas, NV 89123-2863

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