Active NPI
Maverick Psychiatry
- Psychiatry Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- Legal business name
- MAVERICK PSYCHIATRY
- Practice address
- 6415 S Fort Apache Rd Ste 1851004
Las Vegas, NV 89148-6744 - Phone
- (702) 530-7069
- NPI assigned
- Jan 2, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Patrick Janik, DO
- Title
- Psychiatrist/Owner
- Phone
- (917) 244-6000
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | Primary |
Addresses
Primary practice location
6415 S Fort Apache Rd Ste 1851004
Las Vegas, NV 89148-6744
Mailing address
10555 Acacia Park PL
Las Vegas, NV 89135-1243
Phone (917) 244-0000
Other practice location 1
732 S 6th St Ste 8018
Las Vegas, NV 89101-6948
Phone (702) 530-7069
Other practice location 2
10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Phone (702) 530-7069
National Provider Directory
National Provider DirectoryLocations
6415 S Fort Apache Rd
Ste 1851004
Las Vegas, NV 89148
Phone (702) 530-7069
732 S 6th St
Ste 8018
Las Vegas, NV 89101
Phone (702) 530-7069
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1063078830
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1735776000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738540800000",
"number": "1033928262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10555 ACACIA PARK PL",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891351243",
"telephone_number": "917-244-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6415 S FORT APACHE RD STE 1851004",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891486744",
"telephone_number": "702-530-7069"
}
],
"practiceLocations": [
{
"address_1": "732 S 6th St Ste 8018",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891016948",
"country_code": "US",
"telephone_number": "702-530-7069",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "10655 Park Run Dr Ste 210",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891444590",
"country_code": "US",
"telephone_number": "702-530-7069",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "MAVERICK PSYCHIATRY",
"organizational_subpart": "NO",
"enumeration_date": "2025-01-02",
"last_updated": "2025-02-03",
"certification_date": "2025-02-03",
"status": "A",
"authorized_official_last_name": "JANIK",
"authorized_official_first_name": "PATRICK",
"authorized_official_title_or_position": "PSYCHIATRIST/OWNER",
"authorized_official_telephone_number": "917-244-6000",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.