Practice Info

Who do we serve?

We strive to support clients of all ages become experts in themselves.  Our work together will include gaining a clear understanding of strengths, challenges, behavioral patterns, helpful skills to learn, and supportive accommodations to self advocate for.

Youth

We provide compassionate, evidence-based care to support youth in overcoming challenges and achieving their full potential.

Families

We offer integrated services to support and strengthen families, fostering healthy relationships and effective communication.

Adults

We help adults navigate life's challenges, providing personalized care to learn and practice skills in order to  improve mental health and well-being.

Parents

We equip parents with strategies and support to address their children's needs and promote a positive family environment.

What Services Do We offer?

We offer comprehensive psychological services including assessments, therapy, and personalized support for children, teens, and adults. Our practice specializes in neuro-affirming care, anxiety, depression, OCD, and school refusal, providing culturally responsive and evidence-based treatments tailored to your unique needs.

Service List

    • Description:
      We provide comprehensive evaluations across the lifespan to diagnose and understand various mental health conditions, as well as learning and neurodevelopmental conditions, including adult autism assessments.

    •  Outcome:
      We provide a comprehensive feedback session to help you understand the assessment’s findings with an action plan. For psychoeducational/neuropsychological assessments you will receive a detailed report with diagnoses, strengths, and areas for growth, along with practical recommendations. For briefer assessments you will receive a concise letter outlining what we did and the conclusions we reached.

    • Description:
      Our therapy services for youth address challenges associated with ADHD,  autism, executive functioning difficulties, and the treatment of emotional disorders (like anxiety, depression, OCD, school refusal behaviors).  Active parent participation in therapy s is typical when we work with youth, though may be less frequent when we work with your teen. 

    • Outcome:
      Your child or teen will develop coping strategies, improve emotional regulation, and build resilience to navigate life's challenges.

    • Description:
      We offer individual therapy for adults dealing with stress, anxiety, depression, life transitions, and other mental health concerns.

    • Outcome:
      You will gain tools and strategies to manage your mental health, enhance your well-being, and achieve personal growth.

    • Description:
      Our family therapy services aim to improve communication, resolve conflicts, and strengthen family bonds.

    • Outcome:
      Your family will experience better understanding, cooperation, and a more harmonious home environment.

    • Description:
      We provide parents with guidance and strategies to effectively support their children's emotional and behavioral development.

    • Outcome:
      You will feel more confident in your parenting abilities, better equipped to handle challenges, and able to foster a positive environment for your child.

    • Description:
      We conduct in-depth neuropsychological assessments to identify learning disabilities, ADHD, and other cognitive and developmental issues.

    • Outcome:
      You will receive a comprehensive understanding of cognitive functioning and personalized recommendations to support academic and personal success.

    • Description:
      For clients needing more focused care, we offer intensive support programs tailored to individual needs, including crisis intervention and intensive outpatient therapy.

    • Outcome:
      You will receive immediate, high-level care aimed at stabilizing your situation and setting a foundation for long-term improvement.

    • Description:
      We offer consultations to address specific concerns, provide second opinions, and develop action plans for complex cases.

    • Outcome:
      You will gain clarity on your mental health needs and actionable steps to move forward effectively.

FAQ

Rates and Insurance

  • No. We do not accept insurance. We also do not participate in single case agreements with insurance companies. Please note that if you are working with a therapist with a limited permit under the supervision of Dr. Rebecca Sachs and her license, they are not licensed, and insurance may not provide out of network reimbursement for their services.  It is best to call your insurance company before making an appointment so that you can fully understand what the cost will be to you.

    A sample conversation you can have with your insurance company could be:

    • “I am going to a clinical psychologist for an initial intake and likely follow up with weekly psychotherapy. She does not accept any insurance so I would like to know what my out of network benefits are. The CPT codes that she will most likely use will be 90791, 90834, and 90847. Based on that, can you tell me what percentage/dollar amount I can expect to be reimbursed?"

    Some follow up questions:

    1. Is there a cap (maximum amount) you will pay for an office visit/given year?

    2. Do I have a deductible I must first meet? If so, how much is that?

    3. Do I need preauthorization? If so, can you grant me preauthorization to see this provider with the information I just gave you?

    4. Is there a specific claim form I must use to submit claims and if so, where can I access that?

    5. How much time after a doctor’s visit do I have to submit a claim?

    6. Are there certain CPT Codes (Current Procedural Terminology Codes) that you do or do not reimburse for? Any that require preauthorization (for example, 90837)?

    7. Do you currently reimburse for telehealth? Should those visits be coded in any specific way?

    • CPT 90791: Initial Intake

    • CPT 96136: Psychological test administration/scoring by qualified health professional first 30 minutes” + 96137  each additional 30 minutes 

    • CPT 96130,  + 96131 each additional 1 hour 

    • 90847: Family Therapy with Patient Present

    • 90846: Family Therapy without Patient  Present

    • 90832: Individual Therapy 30 minutes

    • 90834: Individual Therapy 45 minutes

    • 90837: Individual Therapy 60 minutes

    • Note that there will be the added codes (95-2) for telehealth.

  • We try hard to meet the needs of all patients. While none of the doctors accept insurance or Medicare, you can download a Superbill from our Patient Portal to submit to your insurance company if you pursue out-of -network benefits. While insurance companies may provide reimbursement, as is the case with any out-of-network provider, there are no guarantees for reimbursement. If your insurance denies reimbursement and working with us becomes cost-prohibitive, please inquire about our sliding scale policy. If you are seeing a therapist with a limited permit, insurance may not reimburse for the services they provide. A Superbill will be provided for you with the therapist’s permit information and that they are supervised by Dr. Rebecca Sachs and her license information.

  • No. We do not accept Medicare. If you are currently enrolled in Medicare and wish to be seen by us, we can enter into a private contract in which you will be charged regular fees. We can provide you with a copy of the Medicare opt-out affidavit upon request.

    • Dr. Miller and Dr. Sachs: Intake Session (120 minutes): $1300 | 45 minute sessions: $435 | 60 minute sessions: $580 | 90 minute sessions: $870

    • Dr. Nora Abend-Tepper:  Intake Session (120 minutes): $1000 | 45 minute sessions: $360 | 60 minute sessions: $480 | 90 minute sessions: $720

    • Dr. Kangas-Dick: Intake Session (120 minutes): $900 | 45 minute sessions: $325 | 60 minute sessions: $433 | 90 minute sessions: $650

    • Jill Ceder, LCSW and Dr. Alyssa Goodman (Post-doctoral fellow under supervision, with limited permit):  Intake Session (120 minutes): $875 | 45 minute sessions: $300 | 60 minute sessions: $400 | 90 minute sessions: $600

    • Joel Dresnick, LMSW: Intake Session ($120): $775 | 45 minute sessions: $285 | 60 minute sessions: $380 | 90 minute sessions: $570

  • Payment is expected at the time of service; payable by credit card, Zelle, or cash. If you are paying by cash or Zelle, payment is due on the day you have a session with us. We retain a credit or debit card on file to automatically charge for your appointments on a weekly basis.

General Questions

  • You can schedule an appointment by calling our office or using the contact form on our website.

  • During a therapy intake you will be asked specific questions in a semi-structured way to best understand why you are seeking therapy, your current needs, assess psychiatric symptoms and review psychiatric, educational, occupational, and social histories. At the end of the intake, the therapist will provide you with clinical impressions and propose next steps and a treatment plan. If you are inquiring as a parent, depending on the age and cognitive profile of your child you will be asked to join all or part of the intake.

  • Depending on a patient's need we see patients for 45 minute sessions, extended sessions of 60 minutes, and double sessions of 90 minutes. Most patients meet for 45 minutes. We can also schedule an intensive outpatient plan depending on your situation.

  • Yes, your privacy is our priority. All sessions and communications are confidential, and we follow strict ethical and legal guidelines to protect your information.

  • Currently we are only working with families located in New York State.

    • E & R Psychology, PC (referred to on website as Successful School Transitions) EIN: 86-1846117

    • Dr. Erica Miller: NY Licence 020588; NPI 1477962579

    • Dr. Rebecca Sachs: NY Licence 020065; NPI 1700229663