Name, Degree and Contact Information (Required)

First Name (required)

Middle Name / initial(optional)

Last Name (required)

Degree (required)
PhDEd.D.M.D.Psy.D.LCSW

Other Degree if not listed (optional)

Email (required)

License # (required)

State Issued (required)
—Please choose an option—

Languages Spoken (required)
EnglishSpanishFrenchChineseArabicPortugueseRussianJapanese

Office #1 (required)

Office #1 Address (required)

Office #1 Neighborhood (required for New York City Locations)
—Please choose an option—ChelseaEast/West VillageMidtownUpper East SideUpper West Side

Office #1 Borough (required for New York City Locations)
—Please choose an option—BronxBrooklynManhattanQueensStaten Island

Office #1 City (required)

Office #1 State (required)
—Please choose an option—

Office #1 Telephone (required)

Office #1 Wheelchair Accessible? (required)
yesno

Office #2 (optional)

Office #2 Address

Office #2 Neighborhood (required for New York City Locations)
—Please choose an option—ChelseaEast/West VillageMidtownUpper East SideUpper West Side

Office #2 Borough (required for New York City Locations)
—Please choose an option—BronxBrooklynManhattanQueensStaten Island

Office #2 City

Office #2 State
—Please choose an option—

Office #2 Telephone

Office #2 Wheelchair Accessible?
yesno

Issues Treated (Required)

DepressionAnxietyStressRelationship IssuesPerformance AnxietyWork Related ConcernsFamily ProblemsLesbian, Gay, and Transgender IssuesMourning and LossEating DisordersDependence / Addiction

If You Treat Additional Issues, List Here (optional separate multiple with a comma ,)

Ages Treated (Required)

ChildrenAdolescentsAdultsSeniors

Therapies Offered (Required)

Psychodynamic PsychotherapyPsychoanalysisDialectical Behavior Therapy (DBT)Cognitive Behavior Therapy CBTIndividual TherapyGroup TherapyCouples TherapyFamily Therapy

List Other Therapies Offered (optional separate multiple with a comma ,)

Testing Offered (Required)

No TestingNeurologicalPsychologicalPsychoeducationalPersonality Testing

List Other Testing Offered (optional separate multiple with a comma ,)

Insurance Plans Accepted & Fees (Required)

Are You in Network For The Following Insurance Plans?
AetnaBlue Cross / Blue ShieldCignaEmpire BC/BSGHIGuardianMedicareOxfordUnited Health CareValue OptionsNo Insurance Accepted

List Other Insurance Accepted (optional separate multiple with a comma ,)

Out of Network Accepted? (Required)
YesNo

Fees

Average Fee Per Session (Required)

Range (Required)

Description of Self & Work (Required)

Short Description (600 Character Maximum) (Required)

Image Headshot (Required)