Jeremy Michael Matuszak, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

12353 Issued in NV

Practice address

6121 Lakeside Dr Ste 130
Reno, NV 89511-8536

Phone

(775) 225-3304

NPI assigned

Mar 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NV, CA2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Reno Tahoe Psychiatry - Matuszak and Parra, PLLC

  dba Reno Tahoe Psychiatry

  • Child & Adolescent Psychiatry Physician
  • Reno, NV
  • NPI 1033081351
  Medicare reassignment NPD Authorized official
• State of Nevada

  dba Ely Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Ely, NV
  • NPI 1760572010
  Medicare reassignment NPD
• Comprehensive Psychiatric Solutions, P.C.

  • Psychiatry Physician
  • Santa Rosa, CA
  • NPI 1740758754
  Medicare reassignment NPD
• State of Nevada

  • Skilled Nursing Facility
  • Boulder City, NV
  • NPI 1083612741
  NPD
• State of Nevada

  dba Elko Mental Health Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Elko, NV
  • NPI 1306936653
  NPD
• Reno Behavioral Healthcare Hospital, LLC

  • Psychiatric Hospital
  • Reno, NV
  • NPI 1619488525
  NPD (past)
• Willow Springs LLC

  dba Willow Springs Center

  • Psychiatric Residential Treatment Facility
  • Reno, NV
  • NPI 1790883205
  NPD (past)

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1891819033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 EDISON WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895024100",
            "telephone_number": "775-858-3303",
            "fax_number": "775-284-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 LAKESIDE DR STE 130",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895118536",
            "telephone_number": "775-225-3304"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Freedom Ln",
            "address_purpose": "LOCATION",
            "city": "Aliso Viejo",
            "state": "CA",
            "postal_code": "926565876",
            "country_code": "US",
            "telephone_number": "949-900-8600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "690 Edison Way",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895024100",
            "country_code": "US",
            "telephone_number": "775-858-3303",
            "fax_number": "775-284-4595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "801 Seneca St",
            "address_purpose": "LOCATION",
            "city": "Ventura",
            "state": "CA",
            "postal_code": "930011411",
            "country_code": "US",
            "telephone_number": "805-653-6434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MATUSZAK",
        "first_name": "JEREMY",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-16",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12353",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "C144360",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NV",
            "license": "12353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Michelle Mattioli, M.S., CCC-SLP
• Anthony Mattioli, D.D.S.
• Sharon R. Mattioli, APRN
• Steven Antone Mattos, MA, CRC
• Jennifer Maria Matus, DNP, APRN, FNP-C
• Gregory Nicholas Matwiyoff, M.D.
• Corey Matzkanin, AG-ACNP
• Camden Mauer
• Matthew Paul Mauer, DO MPH
• Mary Margaret Maul, M.D.

• Child & Adolescent Psychiatry Physician in Reno, NV
• Providers in Reno, NV by specialty
• Child & Adolescent Psychiatry Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.