Healthcare Provider Details
I. General information
NPI: 1356255756
Provider Name (Legal Business Name): REYES PSYCHIATRY PLLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7373 PEAK DR STE 230
LAS VEGAS NV
89128-9012
US
IV. Provider business mailing address
11035 LAVENDER HILL DR STE 160-154
LAS VEGAS NV
89135-2955
US
V. Phone/Fax
- Phone: 775-406-8998
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2084P0800X |
| Taxonomy | Psychiatry Physician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
KEVIN
REYES
Title or Position: PSYCHIATRIST
Credential: DO
Phone: 818-642-3968