I am currently available for telemental health sessions (telephone, video)
Free 15 minute phone consultation
Individual psychotherapy (45 minute sessions, 1-2 times per week)
Intensive treatment (90 minute sessions, multiple times per week)
OCD treatment in Russian
Frequently Asked Questions (FAQs):
What is your availability?
I have flexibility in scheduling and offer appointments Monday-Friday and currently on weekends, during morning, afternoon, and evening hours.
What are your fees?
Please reach out for more information on rates. Payment is due at the time of the appointment.
Do you accept insurance?
My services are private pay and I am considered an out-of-network provider. Many people with out-of-network coverage can receive full or partial reimbursement for the cost of sessions through their health insurance. The amount covered will depend on the insurance plan. After each session, I can provide you with a document, called a "superbill" that has all of the necessary information required to submit to your insurance company for reimbursement.
How do I know if I have out-of-network coverage and if so, how does it works?
You can call your insurance company to inquire about your specific coverage and reimbursement. Here are some helpful questions to ask:
Do I have out-of-network coverage?
If so, is there an annual deductible? Have I met it? If no, how much has been met?
What percentage do you cover for out-of-network mental health providers?
Is there a maximum amount you reimburse per visit or per year?
Is there a claim form that I must use to submit for reimbursement?
How much time do I have to submit a claim after my session?
Do I need a pre-authorization? If so, how do I obtain it?
What if my insurance company asks for more specific information about services provided?
If they ask for CPT codes (Current Procedural Terminology), the most common used in my practice are: 90791 (in-person initial consultation), 90834 (45 minute in-person session), 90791-95 (virtual initial consultation), 90834-95 45 minute virtual session) 90847 (family therapy with patient present).
If they ask for provider information:
Tatyana Mestechkina, Ph.D.
License Number: 021204-1
I have called my insurance company and have confirmed that I have out-of-network coverage. What do I do to obtain reimbursement?
After your first session, ask me to send you a superbill (document with all the information that they require). You can submit the superbill to see how much reimbursement you will receive. You can also read the enclosed E.O.B (Explanation of Benefits). If you do not hear from them within 30 days, you can call to follow up on the status of the claim.
Some examples of services that are not covered by insurance are: telephone consultations, documentation requests, traveling for appointments out of office, etc.
What do I do if I don't have out-of-network coverage but cannot afford services?
If you do not have out-of-network coverage as a standard part of your plan and you meet the criteria for a diagnosis of OCD or a BFRB (body-focused repetitive behaviors) such as trichotillomania (hair-pulling) or excoriation/dermatillomania (skin-picking), you may be able to advocate for yourself to your insurance company to get reimbursement. Here are some resources written by Dr. Allison Solomon for how to go about doing so:
Training, workshops and grand rounds
Clinical supervision and consultation for other therapists or therapists in training (including psychologists, social workers and mental health counselors)