Getting Started

Book a Free 15 Minute Phone Consultation (for potential/new clients)
This 15 minute phone consultation is designed to help determine if we would be a good fit to work together. Please review my practice details including fees and policies (see below) prior to scheduling the phone consultation.

Find out more about me and request a consultation here!

Meeting Format

I normally conduct an initial evaluation that will last approximately one or two 50-minute sessions. If your case is complex, the initial evaluation may take longer. The initial evaluation will include a diagnostic assessment and goal setting. At the end of the evaluation, we will discuss my assessment, treatment recommendations, and how I expect to help you reach your goals. During this time, we can both decide if I am the best person to provide the services you need. If not, I will refer you to another provider.

Traditional weekly 50-minute appointments are available and recommended if in your best interest. With many people, however, I recommend a model of therapy that involves longer blocks of therapy (110 minutes) so that we can reach your goals as quickly as possible. We will discuss the frequency and timing of sessions that best suits your needs. For more information about “intensives” at FGI, click here. Throughout therapy, we will continue to assess and revise your treatment goals and the focus of our work together so that you continue to make progress on the issues that are most important to you. I am available for appointments Mondays through Thursdays, 10am-4pm. I may be available on Fridays, weekends, or in the evening by special arrangement.

Phone or Video Appointments

In some instances, it may be clinically indicated to provide services via telephone or via a video phone service (such as Ring Central). A potential benefit of this format is that sessions can be provided when patients are not able to attend in-person sessions due to various reasons including physical limitations, physical distance, or lack of transportation. You are encouraged to read my “Outpatient Services Agreement” document to understand the risks and benefits of this type of service. Note that license restrictions require that clients receiving phone or video services must be located within the state of California.

Professional Fees

My current rates are as follows:

$500/50 minutes and $300/20 minutes. On occasion, I may be able to offer a weekend session. The rate for weekend sessions is $600/50 minutes. In addition to appointments, I charge for more than 5 minutes of additional services such as extended session time, refills, prior authorizations, additional treatment planning, telephone conversations, multiple email exchanges, participation in meetings with other professionals you have authorized, review or preparation of documents (records, reports, treatment summaries, letters, etc.), and the time spent performing any other service you may request of me or that I partake in to best manage your care. If you become involved in legal proceedings that require my participation, you will be expected to pay for my professional time even if I am called to testify by another party. Additional charges will be simplified so that anything taking 5 to 20 mins will be $300, and anything up to 50 mins will be $500. Time beyond that will be billed in those increments. I will do my best to list extra services under billing codes that may be reimbursable by insurance, but as an out-of-network provider, I cannot ensure that my services will be covered by insurance in any way.

Insurance Reimbursement

If you have a health insurance policy, it will usually provide some coverage for mental health treatment. I am considered an “out-of-network” provider, which means that your insurance company may reimburse you directly for some portion of the fees you have paid to me. You (not your insurance company) are responsible for full payment of fees. Upon request, I can provide you with an invoice reflecting your payments. If you intend to use your insurance, I recommend that you contact your plan prior to our first session to ask about your "out-of-network" psychotherapy benefits. If you choose to contact your insurance company to inquire about reimbursement, you can provide them the codes listed below which are used most frequently in my practice. Please contact me personally if your insurance requires my specific provider information (NPI, EIN, etc).

CPT Billing Code for First Appointment, typically 1-2 hours:

  • 90792 (Psychiatric Diagnostic Interview)

CPT Billing Codes for Each Subsequent Appointment:

If 20-25 minutes and medications are involved or being considered:
  • 99213 (E&M low) OR 99214 (E&M moderate) AND 90833 (individual therapy – 16-37 minutes)

If 50-60 minutes:
  • If medications are involved or being considered: 99213 (E&M low) OR 99214 (E&M moderate) AND 90836 (individual therapy – 38-52 minutes)
  • If no medications are involved: 90834 (individual therapy – 38-52 minutes) OR 90837 (individual therapy 53+ minutes)
    • Note: Some insurance companies DO reimburse for 90834 but DO NOT reimburse for 90837

Note: Coding may vary based on services rendered


In order to complete a comprehensive evaluation in a relatively short amount of time, it is helpful for you to complete some paperwork prior to your first visit.

For your first appointment

Please print, complete, and bring the following forms to the first appointment:

  1. Outpatient Services Agreement Form
  2. Release of Information Form for current therapist(s) and other people you would like me to be able to communicate with (please fill out as many as needed)
  3. Consent Form to Participate in Anonymous Quality Control Research
  4. Patient Information Form (please bring relevant medical records)
  5. Credit Card Information Form

You might also need

Additional copywritten forms (not available on this website to download) will be sent to you prior to your first appointment, or you can come an hour early and fill them out in the waiting room:

  1. EASY Diagnostic Survey (takes an average of 45 minutes)
  2. The Concept of Self-Help Memo
  3. How To Make Therapy Rewarding and Successful

For your own records

Forms to review and keep for your own records:

  1. New Patient Orientation Letter
  2. HIPAA Notice For Your Records (informational only)

Once You Are At the Office

We do not have a receptionist, so you do not need to “check-in.” Please arrive 5 minutes early to all appointments. Once you arrive, have a seat in the waiting room and fill out the “before session” part of the Brief Mood Survey (BMS). The form is available online at or on a clipboard on a table in the waiting room. I will come out to greet you at our appointment time. If you are running late, please call or text me at (650) 603 0604 or email me at to let me know. Fill out your BMS, come on back to my office (Room 5), and knock on the door if the “in session” sign is not posted. That will allow us to get started as soon as you are ready. Please plan to stay 5 minutes after all appointments as well in order to complete the “after session” part of the Brief Mood Survey and Evaluation of Therapy Session.