No, I do not participate with any insurance plans. However, I provide a detailed bill (superbill) with all the necessary information for you to submit to your insurance for out-of-network reimbursement, if you choose to do so.

If you’d like to estimate your potential reimbursement, you can call your insurance company directly. For a typical 55-minute appointment, I usually bill codes 99214 and 90838; for a 25-minute medication management visit, I usually bill 99214 and 90833. (I bill based on the actual complexity and time of your appointment, so the specific codes may vary.) Your insurance company can tell you what portion, if any, will be reimbursed for an out-of-network provider using these codes. It’s also helpful to ask whether payments to me will count toward your deductible or out-of-pocket maximum, and whether there are separate rules for out-of-network vs. in-network providers. In general, it is usually less expensive to see a provider who is in-network with your insurance.

If you have Medicare Part B and want to see me, Medicare requires that we enter into a private contract stating that you will not submit claims to Medicare for appointments with me, as I have opted out of Medicare.

I may prescribe stimulants as part of your treatment plan, for example in managing ADHD or augmenting depression treatment.

I may prescribe benzodiazepines, typically for specific indications such as flight anxiety or acute panic attacks.

I do not prescribe opioids, though in rare cases I do help with tapering off of opioids.

Please note that due to policies, I only prescribe controlled substances during scheduled appointments.

It depends on your diagnosis and treatment plan.

If we are doing therapy together, we’ll typically meet weekly.

If you’re seeing me for medication management only, I usually recommend appointments every two weeks until we reach the desired effect with your medication. After that, we’ll typically follow up in one to three months.

Yes, though I prefer to provide both therapy and medication management when both are part of your treatment plan.

If you are already working with another therapist, I support you continuing with them. I will communicate with your therapist to better help you.

If you need FMLA or short-term disability paperwork, I'm glad to consider it when it's clinically warranted as part of your care. This requires a thorough initial evaluation, and I ask that you commit to weekly appointments throughout any period of leave; I generally approve leave one month at a time.

I work this way because leave tends to be most helpful when it's paired with active treatment.

If the primary goal is securing leave, please consider working with other providers. If you're invested in understanding and treating symptoms that are bothering you, I'd be glad to see you.

1. Late Cancellation and No-Show Fees:
You can cancel an appointment for any reason without charge as long as you let me know at least 24 hours in advance. If you cancel with less notice, you will be charged $125 as a late fee. There is an exception for sickness or unexpected issues if you let me know before your appointment start time.

2. Fees for Communication Outside of Appointments:
Simple requests such as scheduling changes, refills for existing prescriptions, or straightforward yes/no questions are not charged.

However, more involved communication (comprehensive clinical updates, questions requiring detailed judgment, lengthy information requests, or extended correspondence with family members) will be billed at $110 per 15 minute increment. I will confirm with you before spending time on these communications, so you can decide how you’d like to proceed.

To avoid extra costs, you are welcome to schedule an additional appointment to discuss your concerns in detail.

Please note: Health insurance usually covers appointments, but may not reimburse late fees or charges for communication outside of scheduled sessions.

Within the boundaries of the law, I do not answer inquiries or acknowledge any relationship with any patient—past, current, or prospective—unless you direct me to do so.

All health information and medical notes are kept in a HIPAA-compliant electronic medical record system.

For added privacy, I keep psychotherapy notes separately. These notes may include sensitive information that isn’t necessary for medical diagnosis or treatment, but is important for ongoing therapy. They are not part of your medical record and cannot be subpoenaed or requested by anyone.