Individual provider Active NPI

Patrick Edward Janik, DO

  • Psychiatry Physician
  • Las Vegas, NV
National Provider Identifier
1063078830
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO3588 Issued in NV
Practice address
9402 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone
(702) 530-7069
NPI assigned
May 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3588 NV Primary

Addresses

Primary practice location

9402 W Lake Mead Blvd
Las Vegas, NV 89134-8312

Mailing address

9402 W Lake Mead Blvd
Las Vegas, NV 89134-8312
Phone (702) 530-7069

Other practice location 1

6415 S Fort Apache Rd Ste 1851004
Las Vegas, NV 89148-6744
Phone (702) 530-7069

Other practice location 2

10555 Acacia Park Pl
Las Vegas, NV 89135-1243
Phone (917) 244-6000

Other practice location 3

10655 Park Run Dr Ste 210
Las Vegas, NV 89144-4590
Phone (702) 530-7069

Other practice location 4

330 S Casino Center Blvd
Las Vegas, NV 89101-6102
Phone (702) 671-3900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 19, 2026 through Mar 19, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO3588NVMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maverick Psychiatry Psychiatry CurrentSince Jan 5, 2025 Accepting new patients

Locations

6415 S Fort Apache Rd
Ste 1851004
Las Vegas, NV 89148
Phone (702) 530-7069

10655 Park Run Dr
Ste 210
Las Vegas, NV 89144
Phone (702) 277-0602

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1557964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1063078830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9402 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-530-7069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9402 W LAKE MEAD BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891348312",
            "telephone_number": "702-530-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6415 S Fort Apache Rd Ste 1851004",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891486744",
            "country_code": "US",
            "telephone_number": "702-530-7069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10555 Acacia Park Pl",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891351243",
            "country_code": "US",
            "telephone_number": "917-244-6000",
            "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"
        },
        {
            "address_1": "330 S Casino Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891016102",
            "country_code": "US",
            "telephone_number": "702-671-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JANIK",
        "first_name": "PATRICK",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-16",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "DO3588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.