Provider Demographics
NPI:1033081351
Name:RENO TAHOE PSYCHIATRY - MATUSZAK AND PARRA, PLLC
Entity type:Organization
Organization Name:RENO TAHOE PSYCHIATRY - MATUSZAK AND PARRA, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:MATUSZAK
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:775-225-3304
Mailing Address - Street 1:6121 LAKESIDE DR STE 130
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89511-8536
Mailing Address - Country:US
Mailing Address - Phone:775-444-5112
Mailing Address - Fax:281-833-3323
Practice Address - Street 1:6121 LAKESIDE DR STE 130
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89511-8536
Practice Address - Country:US
Practice Address - Phone:775-444-5112
Practice Address - Fax:281-833-3323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-18
Last Update Date:2025-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent PsychiatryGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty