Individual provider Active NPI

Matthew Gibbons Parra, MD

  • Child & Adolescent Psychiatry Physician
  • Reno, NV
National Provider Identifier
1407098288
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
14433 Issued in NV
Practice address
690 Edison Way
Reno, NV 89502-4100
Phone
(775) 858-3303
NPI assigned
Mar 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 14433 NV Primary
Psychiatry Physician 2084P0800X 14433 NV

Addresses

Primary practice location

690 Edison Way
Reno, NV 89502-4100

Mailing address

PO Box 18851
Reno, NV 89511-0167
Phone (775) 571-4766

Other practice location 1

6121 Lakeside Dr Ste 130
Reno, NV 89511-8536
Phone (775) 444-5112

Other identifiers 1

IdentifierTypeStateIssuer
1407098288MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170628001774 NV Practitioner - Psychiatry 8325317746 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14433NVMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Reno Tahoe Psychiatry - Matuszak and Parra, PLLC Psychiatry CurrentSince Feb 16, 2026 Accepting new patients
Willow Springs, LLC PastSince Jul 24, 2022 Accepting new patients
Willow Springs LLC PastSince Jul 24, 2022 Accepting new patients

Locations

6121 Lakeside Dr
Ste 130
Reno, NV 89511
Phone (775) 225-3304

Organizations & group practices 3

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": "1237939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764115200000",
    "number": "1407098288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18851",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895110167",
            "telephone_number": "775-571-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-858-3303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6121 Lakeside Dr Ste 130",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895118536",
            "country_code": "US",
            "telephone_number": "775-444-5112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PARRA",
        "first_name": "MATTHEW",
        "middle_name": "GIBBONS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-25",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "14433",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "14433",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407098288",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.