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 provides Psychiatry Physician services 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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