Section 01Why this exists
Most psychiatric care is shaped by insurance contracts: panel sizes built for billing, intake waits measured in months, sessions cut to the time a billing code allows. That structure works for a lot of people, and the practice's insurance-based work runs alongside it.
Concierge is a different structure. A small number of patients, paying privately, in exchange for sustained access, longer sessions, continuity, and the kind of relationship that takes time to build. It is not faster medication. It is not insurance bypass for routine care. It is not a status tier. It is a different rhythm of care, for patients who need that rhythm and are prepared to pay for it directly.
"I can only do this work well at a small panel. The work itself sets the limit." A.V., on the panel size
Section 02Who concierge is for
Not framed by job title. Framed by the actual reasons people come to a private psychiatric panel. If one of these is your reason, this is for you. If none of them are, the standard insurance-based track is the better path.
Physician, nurse, therapist, attorney, accountant, pilot, financial advisor, security-cleared employee. Insurance-billed mental health treatment can appear in credentialing review, licensing renewal, or background screening. Concierge keeps that record off your file.
Custody review, partnership agreement, executive vetting, future insurability concerns, family-court exposure, or an industry where mental-health disclosure carries professional weight. The cost of being on a claim is higher than the cost of paying privately.
Insurance reimbursement is built around 15 to 20 minute med checks. Your situation needs longer evaluation, more conversation, and one prescriber who knows your full picture rather than rotating coverage.
When something comes up between appointments, you can reach Angela directly. Not a portal queue. Not a 48-hour callback window. The kind of access that requires a small panel to be possible.
Sessions are cash-pay, $300 each, with HSA and FSA accepted. If your reason is privacy, continuity, or access, paying privately is the structural cost of the model. If your reason is something insurance handles well, the insurance track is more sensible.
Some patients in addiction recovery, on parole, or with regulatory or employer-monitored situations need a psychiatric prescriber whose notes do not move through a payer system. Concierge is built for that case.
Concierge is not a fit if
You need crisis or emergency care (use 988 or 911), you prefer the lower cost of insurance and do not have the privacy or access reasons above, you are looking for a one-time evaluation rather than ongoing care, or you want shorter, faster appointments. None of those make you a worse patient. They make the standard insurance-based track the better answer.
Section 03Operating Principles
Six things to understand before you apply. Reading them carefully is part of the work of choosing. If any of these is not the relationship you are looking for, the standard insurance-based track or a different concierge model is the better answer.
Twelve patients. Always. The cap is the maximum at which Angela can hold extended sessions, return between-session messages personally, and keep continuity for everyone in the panel. As patients move on or graduate, slots open. The number does not move.
Insurance reimburses 15 to 20. The longer session is not a luxury. It is the structural condition for the kind of evaluation and follow-up the model exists to do. If you want shorter, faster sessions, the standard track is built for that.
No monthly retainer, no enrollment fee, no contract length. HSA and FSA accepted. You pay for what you receive. Cash-pay is the structural cost of keeping your care off insurance records, not an upcharge for premium service.
Text or call Angela's practice line for things that need attention before your next session. Same-day or next-day responses during business hours. It is not 24/7 availability. It is not unlimited contact. The access is bounded by what keeps the work sustainable.
If you are in active suicidal crisis, active overdose risk, or any situation where minutes matter, the right call is 988 or 911. Concierge enrollment is not for those moments. The practice will say so honestly if you reach out for the wrong reason.
If concierge is not working for you, step back to standard insurance-based care or transfer; Angela will help with the handoff. If she determines she cannot serve you well, she will say so directly and refer you to a provider who can. The exit is open in both directions.
If these six match the relationship you are looking for, the application is below.
Continue to the Application →Section 04The Panel
The panel is intentionally capped at twelve. That number is not a marketing limit. It is the maximum at which Angela can do the work well -- the longer sessions, the direct access, the continuity. Each season she considers a small number of new applications.
Current review window
Open through August 31, 2026
Next window
September 2026
Applications are reviewed in quarterly windows so each one gets careful reading. Submitted applications during a window receive a response within two weeks of window close.
Founding cohort enrolling. Capacity 12. Numbers update as the panel fills.
How to apply
Five questions. About ten minutes if you take them seriously, which is the point. The answers tell Angela whether the conversation is a good use of both your time and hers. Not every application is invited to a call, and that is part of how the panel stays small enough to do the work well.
Privacy and what to share here
This is a high-level application. Keep answers conversational, not clinical. Specific medication names, doses, SSN, dates of birth, diagnostic codes, and detailed health history belong in the protected intake after enrollment, not here. The form will gently flag those if you include them so you can decide whether to keep or edit. If you are in crisis right now, the application is not the right channel -- call or text 988.
Prefer not to write
If putting your reasons in writing is not how you want to start, you can call or text Angela's practice line directly. Either path works. The application is not the bar; the thoughtfulness is.
Volume OneEnd of annex
If one of the reasons above is your reason, take ten minutes with the application. If writing is not how you want to start, the phone works too. Either way, the next step is yours.
For crisis or emergency care, call 988 or 911. Concierge enrollment is not for urgent situations.
