FAQs
     

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 of fees.

How often do I need to see a provider for medication management?

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 appointment?

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 (erin@cpeclinic.com) or Jennifer (jennifer@cpeclinic.com) to have them resent.

 

To access your patient portal account, please click on the link: www.valantmed.com/Portal/cpe

 

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 professionals.

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 refusal).

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 monthly.