Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Nevada
Cash-pay telehealth psychiatry for adults in northern Nevada — medication management without a months-long wait.
Reno is where northern Nevada goes for specialty care. Carson City, Sparks, Fernley, Fallon and the rural counties beyond all funnel into the same providers. Mental Health America’s 2025 report ranked Nevada lowest in the nation overall, for the second consecutive year, across measures that include provider availability.
Rapid growth has made it worse rather than better: the population arrived faster than the prescribers did, and new-patient slots in the area are routinely booked months out.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Nevada. Appointments are by video — a full hour for $175, follow-ups at $65, usually available within the week.
Published prices, cash-pay, no insurance and no surprise bill afterwards.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Reno-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 Reno with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Reno pharmacy the same day. Follow-ups are $65 and always with the same provider.
Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep — started, adjusted, and honestly reassessed rather than refilled indefinitely.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines, no exceptions. Stating it plainly saves everyone a wasted appointment.
If you moved here from California already on a prescription and lost your provider in the process, picking that back up properly is exactly what a full-hour first visit is for.
Northern 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 Reno.
Book your first appointment