Time, access and continuity.
A membership-based practice, deliberately small, in which your psychiatrist is reachable and your care is never rushed.
What the model changes
Most psychiatric care is shaped by constraints that have nothing to do with medicine: fifteen-minute visits, months between appointments, and a physician who cannot be reached between them. A concierge practice removes those constraints by limiting the number of people it serves and charging a membership fee rather than billing by the visit. What that buys is not luxury; it is the conditions under which careful psychiatry is actually possible.
What membership includes
- A comprehensive initial evaluation of [length].
- Follow-up visits of [length], scheduled [typical frequency, and whether visits are unlimited or capped].
- Direct access to Dr. Pellionisz by [phone / secure messaging / email], with replies [stated response window, e.g. the same business day].
- Coordination with your therapist, primary-care physician and other specialists.
- Prescription management and refills between visits.
- [Anything else included — e.g. family meetings, letters and forms, after-hours coverage arrangements]
Fees and insurance
[Membership fee and what it covers; whether an initial evaluation is billed separately; what TMS costs and whether it is included]
[Insurance position — e.g. the practice does not participate in insurance networks; superbills are provided for out-of-network reimbursement; Medicare opt-out status]
Under the federal No Surprises Act, self-pay patients receive a Good Faith Estimate of expected charges before care begins.
Joining the practice
The first step is a brief call — [length, whether there is a charge, and who conducts it] — to understand what you are looking for and confirm that the practice is the right fit. [State whether the practice is currently accepting new members and, if there is a waiting list, how it works]
Telehealth
[Whether visits are offered by video, in which states, and whether the initial evaluation must be in person]
Frequently asked.
Do I need a referral?
No. You may contact the practice directly. If you have a referring clinician, their records and observations are welcome and will be requested with your permission.
Do I need to know my diagnosis before I get in touch?
No. Many people come precisely because the diagnosis has never been clear, or because treatment has not worked and nobody has explained why. Working that out is what the evaluation is for.
Will you work with my current therapist?
Yes. When you already have a therapist you trust, the practice coordinates with them rather than replacing them.
Do you accept insurance?
[Insurance answer, consistent with the Fees section above]
What if I am in crisis?
The practice does not provide emergency services. If you are in crisis or thinking about harming yourself, call or text 988, call 911, or go to the nearest emergency department.
Begin with a conversation.
Requesting a consultation is confidential and carries no obligation. Tell us a little about what brings you here, and we will take it from there.