Do any of the providers
at CPE Clinic accept my health insurance?
All of the providers at CPE Clinic, LLC are
out-of-network providers for all health insurance companies. Because
everyone’s health insurance is a little different, we recommend
that you call your provider about out-of-network benefits and
reimbursement rates, which can vary. You will receive an emailed
receipt after at each visit with applicable diagnosis codes (ICD-9)
and service codes (CPT) as required by insurance companies for
reimbursement. If your insurance company also requires an initial
uniform treatment plan (UTP), please inform us prior to the appointment
so it can be filled out for you in a timely fashion. Your doctor
will then need your insurance plan number and the address (or
fax) of the insurance company’s mental health claims department
in order to send the UTP.
What are fees for each provider?
Please see the provider bio for a schedule
How often do I need to see a provider for medication
Most new patients meet with the psychiatrist
6-10 times over the first year. Most patients who are doing well
and require ongoing medication monitoring will meet with the psychiatrist
or psychiatric nurse practitioner about 4 times per year for medication
management. However, appointments may be weekly (with phone contact
between appointments) during crisis management, and appointments
may be once or twice a month when changing certain medications.
Are Dr. Labellarte and Dr. Fuertes-Ramirez accepting
new patients? How quickly can I get a new patient appointment?
Both psychiatrists are accepting new patients
and can sometimes see new patients in acute crisis the next day
after contacting the office, pending availability. Usually, new
patients are seen within 3-10 days of contacting the office. During
the school year, we ask that new patients set up the initial evaluation
in a time slot prior to 2:00 PM, so that afternoons remain open
for follow up appointments, which cuts down on missed school time.
Are Dr. Frazier or Ms. Cordero accepting new
patients? How quickly can I get in to see Dr. Frazier or Ms. Cordero?
Dr. Frazier and Ms. Cordero are accepting new
patients in all locations. Both Dr. Frazier and Ms. Cordero can
sometimes see new patients in acute crisis the next day after
contacting the office, pending availability. Usually, new patients
are seen within 3-10 days of contacting the office.
Is Dr. Shank accepting new patients? How quickly
can I get in to see Dr. Shank?
Dr. Shank is limiting her new patients to certain
criteria associated with OCD. She is referring all other patients
to Dr. Frazier, who is well qualified and with whom she consults
with on several cases. Dr. Shank has full confidence in her ability
to handle cases referred to her that she cannot accommodate.
How often do I need to see Dr. Shank, Dr. Frazier
or Ms. Cordero?
Most new patients meet with the therapist frequently
over the first year, but each person is different. After the first
two appointments, we will review a treatment plan and potential
ways to measure progress in therapy.
What do I need to bring with me to the first
For new patient visits, we request that you
bring hard copy of any previous psychiatric, psychological, or
neurological evaluations as well as any medications currently
prescribed or previously prescribed. You will be sent out practice
forms to sign electronically. If you do not receive them, please
email Erin (email@example.com)
or Jennifer (firstname.lastname@example.org)
to have them resent.
Will the providers consult
with my pediatrician or other mental health care provider?
With written permission (e.g. consent) from
the patient or patient’s guardian, all of our providers
will correspond with appropriate health care providers, school
personnel, agencies, etc. While pediatricians and other primary
care providers refer patients to us for specialized treatment,
therapists and other mental health providers ask for consultations
from our psychiatrists for concomitant treatment. Correspondence
is obviously more frequent and more detailed with co-treating
Will the providers work with the school/school
district to proactively manage my child’s challenges?
All of our providers are experienced and well
known in many school districts, and will correspond with schools
on a variety of topics. If necessary, formal recommendations about
classroom interventions related to 504 plans and individualized
education plans will be made as well as suggestions about managing
students with emotional difficulty (e.g. depression, anxiety,
anger management) as well as behavioral difficulty (e.g. school
If my child has psycho educational testing,
will Dr. Frazier work with the school/school district to proactively
manage my child’s challenges?
Dr. Frazier is experienced and well known in
many school districts. Our reputation for testing children and
writing evaluations for learning disorders, attention deficit
disorders and other developmental disabilities is well known across
the state of Maryland. We will correspond with schools on a variety
of topics. If necessary, we will make formal recommendations about
classroom interventions related to 504 plans and individualized
education plans, and we may make suggestions about managing students
to overcome disabilities in a variety of settings.
We have seen other psychiatrists and therapists,
with little success and satisfaction. How will these providers
be different? How will therapy be different?
Dr. Labellarte is an expert in pediatric psychopharmacology,
with extensive research experience in diagnosis and treatment
of medication-responsive disorders, and monitoring for potential
adverse effects (or “side effects”) of medication.
He has been providing “second opinions” on difficult
cases since he completed training 16 years ago. He endorses evidence-based
treatments, which may include cognitive behavioral treatment (CBT)
along with medication management. His approach involves detailed
assessment, clearly delineated treatment goals, and measuring
treatment outcomes. His approach also involves parents directly
in all phases of assessment, treatment, and monitoring. Dr. Labellarte
is associated with many of the leading experts in child and adolescent
psychiatry, and he will ask for consultation from and referral
to other experts with specific skill sets if a patient is not
making progress. Dr. Labellarte is available via phone, the secure
patient portal for rapid correspondence; but he will reserve substantial
correspondence for office appointments and via secure teleconference
for patients away at college.
Dr. Fuertes-Ramirez is well versed in treating
adults and children with a variety of mental health challenges.
Her ability to listen, gather data, and develop a treatment plan
that fits the patients’ needs has been a strength in her
psychiatric practice. Dr. Fuertes-Ramirez has experience with
managing all types of medication and is well versed in the challenges
of difficult mental health conditions. Dr. Fuertes-Ramirez is
available via phone, and the patient portal for rapid correspondence.
Dr. Shank is an expert in anxiety disorders
in children, adolescents, and adults. She specializes in obsessive
compulsive disorder and her techniques have been adapted from
her 20 years of experience. Her techniques and her practice approach
have been successful in the most challenging of cases. Providing
developmentally appropriate education for the patient is integral
to her practice approach as is providing substantial training
for parents in supporting their child’s return to health.
Utilizing an integrative approach of cognitive-behavioral
and interpersonal therapy, Dr. Frazier works with a variety of
concerns, such as depression, anxiety, behavior difficulties,
eating disorders, relationship issues, substance abuse, and trauma.
Dr. Frazier also conducts psychological evaluations for ADHD and
mood/personality issues. With ten years of experience, she was
recruited by Dr. Shank and is supported by both Dr. Labellarte
and Dr. Shank.
Ms. Cordero has experience dealing with challenging
cases. Ms. Cordero often works with adolescents and adults struggling
with anxiety and depression, personality challenges, and transitional
issues and review her patient’s progress with Dr. Labellarte