Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults across the valley — including for schedules that don’t fit inside a nine-to-five clinic.
Mental Health America’s 2025 State of Mental Health in America report ranked Nevada lowest in the nation overall, for the second consecutive year, across seventeen measures that include provider availability. In a valley of more than two million people that isn’t an abstraction — it’s a months-long wait for a first appointment, assuming you find an opening at all.
Las Vegas also runs on a clock most clinics ignore. Hospitality, gaming, healthcare and warehouse work don’t stop at five, and a lot of people here genuinely cannot make a two o’clock appointment across town. Telehealth removes the drive, and a practice run by one provider can put appointments where they actually fit — early, late, or on a weekend.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. A first visit is a full 60 minutes for $175, follow-ups are $65, and nothing is billed to insurance.
Cash-pay has a reputation for meaning expensive. Without insurance overhead and without an office to keep the lights on, it means the opposite here.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Las Vegas-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 Las Vegas with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Las Vegas pharmacy the same day. Follow-ups are $65 and always with the same provider.
Starting, adjusting, combining and reassessing psychiatric medication is the substance of this practice: antidepressants, mood stabilizers, non-stimulant ADHD medications, and options for anxiety and sleep that don’t create a dependency.
I do not prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating that plainly saves everyone a wasted appointment.
And I take reassessment seriously. If shift work has wrecked your sleep and the answer so far has been another prescription, the more useful conversation is usually about what’s driving it — and about what could come off rather than what could be added.
From the Las Vegas valley to the ranching towns along Highway 50, every Nevada patient gets the same appointment:
See the full Nevada page for statewide pricing, licensing and FAQs.
Sixty minutes with a board-certified psychiatric provider, $175, no insurance involved.
Book your first appointment