Active NPI
Patrick Edward Janik, DO
- Psychiatry Physician
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- DO3588
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| DO3588 | NV | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maverick Psychiatry | Psychiatry | Current | 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.
-
- Psychiatry Physician
- Las Vegas, NV
- NPI 1033928262
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.