Please familiarize yourself with the policies if you are not already
Important Policies
- Deposit Required: A deposit will be fully refunded upon visit, applied to co-pay, or refunded with more than 48 hours notice.
- No-Show Policy: If the appointment is a no-show without prior cancellation notice, an additional $150 will be charged to the credit card on file.
- Same-Day Cancellation: If the appointment is cancelled on the same day, an additional $75 will be charged to the credit card on file.
- Canceling/Rescheduling: Save and use the link in your appointment confirmation email.
- We do not prescribe benzodiazepine medications.
- We may not prescribe stimulant medications for ADHD on the first visit, even if previously prescribed by another provider.
How to Schedule Your Appointment
Two Easy Options:
- Online Scheduling: Use the widget below.
- In-Office Booking: Visit us to book in person.
Note: We do not schedule appointments over the phone or over e-mail.
Can't find an appointment as soon as you'd like?
WAITLIST (Waitlist does not apply to New Patient intake appointments.)
Insurance Information
We only accept BCBS PPO (traditional) and Blue Choice PPO insurance plans.
- Not Accepted: HMO plans, Medicaid, Medicare.
- Primary Insurance: BCBS PPO must be your primary insurance.
Check Coverage:
- Review the list of accepted BCBS PPO prefixes below.
PLAN NAMES | COMMON PLAN PREFIXES | |
---|---|---|
PPO [Traditional] | BlueEdge Select HCA | XOF |
BlueEdge HCA | BlueEdge Select HSA | XOU |
BlueEdge HSA | Blue Choice Preferred PPO | QMG |
BluePrint | Blue Options | QMF |
PPO Value Choice | Blue Choice Options | QME |
Blue Security PPO | Blue Choice Select PPO | XOX |
Accepted Plan Prefixes |
---|
XOF |
QMG |
QMF |
QME |
XOX |
XOU |
A7G |
AAC |
ABA |
ACL |
ADE |
AHA |
AHM |
AHQ |
AIW |
AJK |
AJP |
AJS |
AKH |
ALK |
AMA |
AMR |
ANQ |
AOC |
AON |
AQT |
ASN |
ASY |
ATO |
ATS |
AXV |
AYC |
AZB |
AZN |
B2H |
B7N |
BCB |
BCS |
BCT |
BDG |
BMO |
BNC |
BNF |
BNM |
BQX |
BVM |
BXE |
BYC |
BZU |
BZZ |
C5N |
C9B |
CAF |
CBB |
CBY |
CBZ |
CCF |
CCL |
CDA |
CDU |
CEP |
CGG |
CGO |
CHO |
CIG |
CJB |
CKH |
CNV |
CPR |
CQP |
CQS |
CRW |
CTR |
CVE |
CXT |
CYL |
D8J |
DAQ |
DBG |
DBI |
DDZ |
DHD |
DJM |
DKH |
DLD |
DNW |
DPE |
DST |
DTU |
DUZ |
DWF |
DZV |
E3Y |
E7U |
E8S |
ECT |
EEC |
EEZ |
EGA |
EHN |
EIU |
EJD |
ELT |
EPA |
EQQ |
ERA |
EWM |
EXZ |
EYU |
F3S |
F6A |
F7U |
FAE |
FDP |
FGP |
FJB |
FLK |
FLZ |
FOO |
FRB |
FRS |
FSP |
FTQ |
FVI |
G2R |
G4B |
G4P |
G5J |
GBF |
GFD |
GGQ |
GGS |
GGZ |
GHX |
GJP |
GMB |
GRW |
GSA |
GTH |
GXC |
GZJ |
GZR |
H2C |
H2J |
H2P |
H6A |
HCB |
HEX |
HEY |
HFP |
HKL |
HPK |
HRH |
HUM |
HVA |
HYT |
HZK |
IAQ |
IIT |
ILT |
INE |
IUC |
IVW |
J2D |
J2R |
J4D |
JEH |
JMT |
JPU |
JPY |
JQU |
JWA |
JXA |
JXP |
JZH |
K8P |
KAE |
KAT |
KCG |
KCH |
KGO |
KHV |
KIH |
KJF |
KJH |
KLG |
KMK |
KMT |
KPM |
KRP |
KUB |
KUL |
KVS |
KVY |
KXE |
KZZ |
L2R |
L4F |
LAR |
LBM |
LEG |
LFM |
LJE |
LJX |
LMB |
LNC |
LSB |
LSD |
LSE |
LVA |
LVX |
LXV |
LZC |
M2S |
M4M |
M4R |
M6U |
MBM |
MBR |
MBV |
MCO |
MCQ |
MDC |
MIG |
MJE |
MKG |
MLE |
MMJ |
MMQ |
MOE |
MSJ |
MTA |
MUM |
MXH |
MYY |
N5S |
NGO |
NIW |
NJX |
NKB |
NLM |
NOU |
NRG |
NSJ |
NTM |
NUN |
NUQ |
NUU |
NVI |
NVP |
NXQ |
OBI |
OER |
OEV |
OGS |
OHP |
OSM |
OTX |
OUU |
OYL |
P2B |
P3R |
P7X |
P8R |
P9G |
PAH |
PAS |
PEL |
PGI |
PGR |
PLU |
POL |
PPA |
PPX |
PSC |
QNG |
QSY |
R13 |
R50 |
R57 |
R58 |
R59 |
R5C |
R60 |
R61 |
R7P |
RAH |
RBG |
RBP |
RBT |
RDM |
RDP |
RDU |
RFH |
RGE |
RGF |
RLN |
RNF |
RNT |
RRX |
RSR |
RVP |
RXE |
RYC |
S2V |
S4Y |
S6B |
S6Q |
SAB |
SBU |
SCE |
SDO |
SEN |
SFZ |
SHN |
SHO |
SIA |
SIU |
SMW |
SNL |
SQM |
SSI |
SVU |
SWU |
SZE |
SZF |
SZJ |
SZQ |
SZY |
T |
T4T |
TBK |
TBQ |
TEA |
TEC |
TGO |
TGX |
TIY |
TJV |
TLO |
TMD |
TMX |
TRV |
TUX |
TWA |
TYG |
U5F |
U62 |
U83 |
UAL |
UDW |
UEZ |
UJQ |
UKU |
ULF |
UOC |
UOM |
UTO |
UXQ |
V7M |
VGJ |
VIV |
VJA |
VKW |
VMT |
VNJ |
VNU |
VUE |
VXV |
W22 |
W23 |
W25 |
W27 |
WAG |
WAM |
WAU |
WCC |
WCE |
WFQ |
WFW |
WHS |
WLM |
WLU |
WMO |
WMW |
WQW |
WSV |
WSW |
WTA |
WTE |
WTR |
WTZ |
WYM |
WZR |
X8B |
XBP |
XEA |
XED |
XGS |
XHR |
XIL |
XIQ |
XOG |
XOH |
XOS |
XPA |
XQH |
XUP |
XXP |
XYE |
XYH |
XYN |
XYQ |
XZU |
YDS |
YEC |
YND |
YPS |
YRQ |
YSQ |
YUP |
YWP |
YYM |
YZD |
Z4Z |
Z5A |
Z5B |
Z6D |
ZCK |
ZES |
ZGA |
ZGP |
ZIR |
ZKC |
ZKR |
ZLF |
ZPK |
ZSV |
ZUP |
ZVF |
If your prefix isn't listed, you can pay out of pocket and we'll provide a Superbill for possible reimbursement.
Note: Some BCBS PPO plans use third-party companies (like Optum) for mental health services, and we don't contract with them.
Insurance Tips:
- Insurance might not cover the full visit cost.
- Check your benefits by calling the member services number on your insurance card.
Updating Your Information
- Established Patients: Notify us immediately of any changes in insurance coverage or personal legal info (like a new name or address).
- Reminder: Failure to update us before your appointment may result in out-of-pocket charges.
Billing and Payment
- Questions? Email us at [email protected].
- No BCBS PPO Coverage? Check our out-of-pocket prices below. If you are not using BCBS PPO insurance, these need to be paid on the date of service.
Self Pay Pricing | ||
---|---|---|
Provider | New Appointments | Follow Up Appointments |
Dr. Sallaj | $435 | $235 |
Dr. Yan | $400 | $215 |
Valentina Djordjevic, PA-C | $325 | $185 |
Jenna Spaeth, PA-C | $325 | $185 |
Emilie Emberton, PA-C | $325 | $185 |
Dani Nguyen, PA-C | $270 | $160 |
Megan Lindley, PA-C | $270 | $160 |
Caelin Kopicko | $270 | $160 |
Dr. Ratajczak | $435 | $235 |
Dr. Hu | $435 | $235 |
Nancy Powers-Kirsch | $270 | $160 |
Psychotherapy Only | ||
Ashley Jacobson, LPC | $155 | $155 |
For patient financing options through CareCredit, please click HERE.