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. Some conditions require special treatment.
If you want to pursue out of network benefits with your insurance
company, please read our page on Seeking
Out of Network Benefits from your Insurance Provider.
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.
I want to see a therapist. How quickly can I get a therapy appointment?
All of our providers attempt to 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 patients to certain criteria associated with Anxiety and OCD. She is referring all patients over 15 years of age to Dr. Rodriguez, who is also an expert in Anxiety and OCD and patients 14 or younger to Dr. Senefeld, who is well qualified and with whom she consults with on several cases. Dr. Shank has full confidence in Dr. Rodriguez and Dr. Senefeld to handle cases referred to her. She connects with most families she cannot accommodate to make sure their needs are suited to each provider.
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. Senefeld work with the school/school district to proactively
manage my child’s challenges?
Dr. Senefeld is experienced and well known in
many school districts. Our reputation for testing childders and other developmental disabilities is well known across
the state of Maryland. We will correspond with schools on a variety
of topics. If necessary, weren and
writing evaluations for learning disorders, attention deficit
disor 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?
All of our providers have expertise in evidence
based treatments. 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. 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. 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. Dr. Rodriguez
has expertise in treating anxiety, OCD, and using DBT in to help
people live better lives. Her training and experience is unparalleled
in the area. Dr. Senefeld is a sought after provider for children and her psychological evaluations and for effectively treating children and families.