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 will consider prescribing benzodiazepines, but only in limited quantities and typically for specific indications such as flight anxiety or acute panic attacks.

I do not prescribe opioids. There is not enough evidence to support their benefit in psychiatric treatment, and substantial evidence that they can cause harm.

Please note that I do not prescribe controlled substances outside of 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. For the best care, I prefer to provide both therapy and medication management when both are part of your treatment plan. However, if you are already working with another therapist, I support you continuing with them. In that case, I will need to communicate with your therapist as part of your mental health team. Please provide me with their contact information if this applies to you.

If you need FMLA or short-term disability paperwork, I’m happy to consider it when it’s genuinely needed for 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.

If your primary goal is to obtain medical leave paperwork, rather than to engage in real treatment, I am not the right clinician for you. I find these situations frustrating and unfulfilling, so I do not follow up with requests that appear primarily about obtaining leave.

1. Late Cancellation and No-Show Fees:
Update 08/25/25: 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 $100 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:
To keep my practice sustainable, any communication outside of scheduled appointments (emails, texts, phone calls) that requires more than 5 minutes of my time will be billed at $100 per 15-minute increment.

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 incur charges as described above. I will always 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.