Healthcare Provider Details

I. General information

NPI: 1730009051
Provider Name (Legal Business Name): SKYLIGHT PSYCHIATRY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2026
Last Update Date: 07/17/2026
Certification Date: 07/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

732 S 6TH ST # 7039
LAS VEGAS NV
89101-6948
US

IV. Provider business mailing address

732 S 6TH ST # 7039
LAS VEGAS NV
89101-6948
US

V. Phone/Fax

Practice location:
  • Phone: 702-602-8305
  • Fax: 725-543-2643
Mailing address:
  • Phone: 702-602-8305
  • Fax: 725-543-2643

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: JOHANNA MAURER
Title or Position: OWNER
Credential: PMHNP
Phone: 702-602-8305