Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in North Las Vegas — including for schedules no daytime clinic fits.
North Las Vegas is one of the largest cities in Nevada and has among the thinnest concentrations of psychiatric providers in the metropolitan area. Mental Health America’s 2025 report ranked Nevada lowest in the nation overall, for the second consecutive year, across measures that include provider availability. Inside the valley, that shortage is not evenly distributed.
Warehousing, distribution, healthcare and hospitality run this part of the valley around the clock. A clinic offering weekday afternoons is not a real option for a swing-shift worker, and cost matters here in a way that a $400 first visit simply does not survive.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Video appointments with early, late and weekend slots — $175 for a full hour, $65 for follow-ups.
A published flat price, cash-pay, with no deductible to meet first.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical North 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 North Las Vegas with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your North Las Vegas pharmacy the same day. Follow-ups are $65 and always with the same provider.
If rotating shifts have destroyed your sleep, that is worth naming before another prescription goes on top of it. Sometimes medication is exactly right; sometimes the honest answer is that the schedule is the illness.
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 — managed properly over time.
The valley and the rest of Nevada:
See the full Nevada page for statewide pricing, licensing and FAQs.
Sixty minutes for $175, early, late or weekend.
Book your first appointment