| Reno Tahoe Psychiatry | |
|
6121 Lakeside Dr Ste 130 Reno NV 89511-8536 | |
| (775) 444-5112 | |
| (281) 833-3323 |
| Full Name | Reno Tahoe Psychiatry |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 6121 Lakeside Dr Ste 130, Reno, Nevada |
| Authorized Official Name and Position | Jeremy Michael Matuszak (OWNER, PARTNER) |
| Authorized Official Contact | 7752253304 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Reno Tahoe Psychiatry 6121 Lakeside Dr Ste 130 Reno NV 89511-8536 Ph: (775) 444-5112 | Reno Tahoe Psychiatry 6121 Lakeside Dr Ste 130 Reno NV 89511-8536 Ph: (775) 444-5112 |
| NPI Number | 1033081351 |
|---|---|
| Provider Enumeration Date | 09/18/2025 |
| Last Update Date | 11/18/2025 |
| Certification Date | 11/18/2025 |
| Medicare PECOS PAC ID | 6800378225 |
|---|---|
| Medicare Enrollment ID | O20260305000106 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033081351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | () | Secondary |
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | () | Primary |
| Provider Name | Jeremy Matuszak |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891819033 PECOS PAC ID: 7618020900 Enrollment ID: I20090804000599 |
| Provider Name | Matthew G Parra |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1407098288 PECOS PAC ID: 8325317746 Enrollment ID: I20170628001774 |
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