Organization Active NPI

Maverick Psychiatry

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1033928262
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
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

Updated by the provider on Feb 3, 2025

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

Authorized official

Name
Dr. Patrick Janik, DONPI 1063078830
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.