Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in Carson City — without driving up to Reno for every appointment.
Carson City is the seat of state government and still, in health-system terms, a small town. Specialty psychiatric care mostly means going to Reno — thirty miles north, over a busy corridor, during working hours.
It also serves as the practical hub for Douglas County, Dayton and the Carson Valley, so what local capacity exists is spread across far more people than the city’s own population.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Appointments are by video: $175 for a full first hour, $65 for follow-ups, usually available within the week.
Cash-pay and published, with no insurance in the middle deciding the number.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Carson City-area private psychiatrist, first visit, out of pocket | $250–$500 |
| Typical follow-up, out of pocket | $100–$250 |
Payment is collected after your appointment, not when you book. A valid card is kept securely on file and charged once the visit is complete. No insurance is billed, so there is no deductible to meet and no surprise bill weeks later.
Pick a time that works. No referral, no waitlist, no phone tag — most new patients are seen within a week.
A full 60 minutes with Tyler, from anywhere in Carson City with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Carson City pharmacy the same day. Follow-ups are $65 and always with the same provider.
Follow-ups are twenty minutes by video every one to three months — frequent enough to actually adjust a medication, easy enough that people keep them.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating it plainly saves everyone a wasted appointment.
Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep, with real attention to what could come off.
Western Nevada and the rest of the state:
See the full Nevada page for statewide pricing, licensing and FAQs.
A full hour for $175, from anywhere in Carson City.
Book your first appointment