Transparent Care, Clear Answers

hp | np Health offers integrative psychiatry and medication management for anxiety disorders, OCD, mood disorders, ADHD in women, PTSD, complex PTSD, PMDD, and psychiatric symptoms associated with perimenopause and menopause. Hormone therapy may be considered when clinically appropriate as one component of care. All services are delivered within a private, independent practice model.

Begin with the new client questions on this website. Depending on your answers, you can book a Comprehensive Intake online right away, at least one week in advance, or a follow-up will be sent to learn more about your needs and confirm that the practice can appropriately support your care. You can also start with the inquiry form. Once your first appointment is scheduled, new patient paperwork will arrive in your patient portal.

hp | np Health is intentionally small to ensure each patient receives the time and attention they deserve. Please reach out to inquire about current availability. If the practice is at capacity, you will be notified and offered the option to join a waitlist.

In-person care is available at the office in Elma, NY, serving Buffalo and Western New York. Secure telehealth services are also available for patients located in New York. Many patients choose a combination of both depending on their preference and schedule.

Established patients communicate through secure messaging in the patient portal, which is HIPAA compliant. Portal access is set up when you become a patient. Between-session communication is intended for non-urgent matters only. If you are experiencing a psychiatric emergency, call 911 or go to your nearest emergency room.

Yes. hp | np Health is in-network with Highmark Blue Cross Blue Shield of Western New York, Highmark Blue Shield of Northeastern New York, Excellus BlueCross BlueShield, Univera Healthcare, and UnitedHealthcare (Optum Behavioral Health). Add your insurance card when you register in the patient portal, and your coverage is checked before your first visit.

If your plan is not listed, including Aetna and Independent Health, you are seen as a self-pay client. Detailed superbills (itemized receipts with diagnosis and procedure codes) are provided upon request for submission to your insurer. HSA and FSA cards are accepted.

hp | np Health is unable to see patients with Medicare or Medicaid, including community or state plans such as Fidelis, MVP Medicaid, or any Medicaid managed care plan, even as self-pay.

All major credit and debit cards, HSA/FSA cards, and cash are accepted. Payment is due at the time of service. Checks are not accepted.

Prescription refills requested between scheduled appointments may incur a small administrative fee. Prior authorization requests and letters of medical necessity submitted to insurance companies are handled on a case-by-case basis. Any associated fees will always be discussed in advance.

Your appointment time is reserved and protected. hp | np Health does not double-book appointments, so patients have the benefit of full care and attention. Time is also spent preparing for each session to maximize its value. As such, hp | np Health requires appointments to be cancelled with 48 hours’ notice. Missed appointments and late cancellations will be billed a fee; these are outlined in your new intake paperwork.

Integrative psychiatry means looking beyond symptoms to understand the whole person, including biological, hormonal, lifestyle, and environmental factors that contribute to mental health. In practice, this may include exploring sleep quality, hormonal status, stress patterns, and supplement options alongside traditional medication management.

Controlled substances such as stimulants or benzodiazepines are not offered via telehealth. Patients in New York who are able to be seen in person are eligible for clinically appropriate controlled substance prescriptions, subject to thorough evaluation and ongoing monitoring.

At this time, hp | np Health focuses on adult patients (18 and older). Children and adolescents are not currently seen.

Women experiencing clinically significant symptoms during perimenopause or menopause may be candidates for menopausal hormone therapy. Assessment includes the symptom pattern, reproductive stage, medical and psychiatric history, current medications, contraindications, and relevant risk factors. Prior records or targeted testing may be reviewed when clinically indicated. Hormone therapy is not appropriate for everyone; potential benefits, risks, and alternatives are discussed before treatment.

When clinically indicated, hp | np Health may prescribe FDA-approved estradiol formulations and oral micronized progesterone. Testosterone may be considered selectively after assessment and informed consent; no testosterone formulation is FDA-approved specifically for women in the United States. Compounded hormones are not used as a first-line approach, and pellet therapy is not offered.