attention deficit hyperactivity disorder evaluations available through the Brain Clinic.
The Brain Clinic, James Lawrence Thomas, Ph.D., Director, 19 West 34th Street, Penthouse, NY, NY

FAQ

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1. What are your fees?
2. What are the procedure codes for getting reimbursed?
3. Do you take insurance? How can I get reimbursed?
4. What are your office hours?
5. How can I make an appointment?
6. How far in advance does one need to make an appointment?
7. What if I have to cancel an appointment?
8. Do you do extended time testing? What is entailed?
9. How do I get special accommodations?
10. I've never been diagnosed with ADD, but I feel I have symptoms. What can I do?
11. What alternatives to medication do you offer?
12. What types of tests do you give? What are they for?
13. How long does testing take?
14. Do you give a diagnosis after testing?
15. Do you test children?
16. Who does the testing?
17. What are your qualifications?
18. Can you tell me more about ADD and learning disabilities?

Fees vary based on the practitioner who renders the service and the specific services required.  If a case requires more time than usual (e.g., extra testing is required if patient is late, or if a more extensive report is required), extra hours are billed at the usual rate. Click here for a detailed list of assessments and their fees.  For more info about fees and insurance information, go to our Fees/Insurance page.

 

CPT codes (Current Procedural Terminology) are procedural codes for professional healthcare services, and they are needed to find out to what extent your insurance company will reimburse a particular procedure.

CPT codes for services offered by The Brain Clinic are as follows:

Service: CPT Code:
Initial consultation 90801
Neuropsychological Testing 96118
Psychotherapy 90806
Cognitive Remediation (billed in 15 minute units) 97532
Quantitative EEG 95816, 95957, 99090
Biofeedback (any kind) 90901

 

As mentioned on the Fees/Insurance page, we are often asked if we take insurance for the services we provide at The Brain Clinic. Dr. Thomas is not currently on any insurance panels, but his staff will work with you to try to get insurance reimbursement, and we will try to make your treatment as affordable as possible.  Patients are personally responsible for all fees, and payment is due at the time services are rendered. A receipt can be given so that you can file it with your insurance company to get reimbursed. Additionally, any insurance forms should be completely filled out so that only the doctor's signature is required.

 

The Brain Clinic's office hours are 10am-7pm on weekdays and 10am-5pm on most Saturdays. Please go to our contact page to learn more about making an appointment.

 

Information on scheduling a visit to the Brain Clinic can be found on our Contact page. 

 

Appointments are often available within a few weeks of contacting the Brain Clinic. Generally, if a detailed written report is required (e.g., for special accommodations or extended time requests), 2 weeks after testing is needed for the report to be completed.

 

The Brain Clinic requires 48 hours notice for cancellations. Patients are expected to pay for sessions that are cancelled with less than 24 hours notice.

 

We do a great deal of testing for applications for extended time in high stakes exams. The requirements of applying for extended time on standardized tests are demanding and vary from one testing organization to another. You must build a case for your request which includes extensive testing, a detailed report, as well as additional materials such as old school records, letters from doctors, tutors, family members and teachers. Please visit our extended time/high stakes testing requirements page to learn about extended time requirements, which are generally needed for any request for accommodations. Please note that the earlier you start, the better chance you have of building a strong case. Also note that although Dr. Thomas has a high rate of success with these cases, there is no guarantee that your request will be granted.

 

The procedure for requesting special accommodations is similar to that for requesting extended time, addressed in the question above. Depending on the institution receiving the request, requirements may be more or less demanding. Dr. Thomas can help determine exactly how much testing and supplemental material would be helpful for your case. However, it is your responsibility to find out what the specific requirements and expectations are. Usually, the information for extended time requirements can be found on the testing organization's web site.

 

Many adults with ADD have never been diagnosed, since the condition was not commonly recognized when they were children. Yet ADD is not something that one usually "grows out of," and it can continue to affect a person's life well beyond childhood. The specific elements used in diagnosing ADD are discussed in this article entitled "How is ADD Diagnosed?" If you believe this applies to you, you should schedule an appointment with Dr. Thomas for an initial consultation to ask questions and decide if testing is right for you. The best way to define the problem is testing. 

There are a range of treatment options available to those with ADD. Whether or not you have the disorder, getting diagnosed is the first step towards determining what treatments are going to be best for your particular problems.

 

The Brain Clinic does not prescribe medication at the present time, but uses various effective treatment methods to help patients cope with and overcome their particular problem. Please click on the links to learn more about each treatment option.

Cognitive remediation - For learning disabilities and other problems in brain dysfunction, cognitive remediation is often recommended. This consists of structured exercises designed to improve weak cognitive abilities. Cognitive remediation can also be used to improve a person’s score on standardized tests, such as the SAT, ACT, GRE, LSAT, MCAT and others.

Psychotherapy - Dr. Thomas is available for individual psychotherapy sessions during weekdays for those with ADD, LD, or most other psychological conditions.

EEG Biofeedback - This new treatment modality has been shown to be effective in treating ADD, stroke, mild head injury and other neurological and immunological conditions. It involves the patient learning to modify brain waves in ways that are known to be helpful for that particular person's electrophysiology.

Coaching - Coaching is a collaborative relationship designed to help people achieve their goals. Usually it is a relationship that lasts over time, with regular contacts on the phone or in person in which goals, plans and the client's progress are reviewed.

 

For the Brief ADD Battery, measures are given to assess verbal and visual memory, an estimate of overall IQ, abstract reasoning, attention, personality, and concentration, as well as typical ADD symptoms. For full evaluations, a full intelligence battery (Wechsler scale) is given, plus additional cognitive and achievement measures. For neuropsychological evaluations, visual and verbal memory tests are given as well as those having to do with executive functioning.

 

This depends on the type of evaluation being done. Please click on the links below to learn more about each type of evaluation. Note that these time estimates are based on an average evaluation. If a patient requires additional testing in order to further delineate a specific deficiency and/or tests very slowly, additional time might be necessary. The following estimates are for face-to-face testing time only. An additional 90 minutes in the office is needed to fill out personality inventories. Report writing takes about 7 additional hours (for a full report).

Type of Testing: Testing Time (hours):
Learning Disability 8 to 9
Full Attention Deficit Disorder 8 to 9
Brief Attention Deficit Disorder 4.5
Combined LD and ADD 9
Extended Time/High Stakes Testing 8 to 9

 

Upon completion of testing, the Brain Clinic gives a diagnosis in the report. However, it is important to note that as the testing becomes more extensive, more definition can be brought to the diagnosis. Therefore, it is recommended to test as much as you can afford. In the case of the Brief ADD Evaluation offered by the Brain Clinic, the diagnosis offered is usually sufficient for the purpose of a patient's personal information, but would not be sufficient in requesting special accommodations. In any case where the goal is receiving extended time, special accommodations, or a well-defined, differential diagnosis, full testing is required. Additionally, one cannot obtain an official diagnosis of learning disability without having a fill IQ, such as from the Wechsler scales.

 

The Brain Clinic has a well-qualified pediatric neuropsychologist who has extensive experience with testing children, Dr. Lalita Krishnamurthy. Dr. Krishnamurthy is available for testing individuals under the age of 16. Dr. Thomas does assessments for children, adolescents and adults.

 

Testing is performed by both senior staff, or qualified, senior level graduate students. Dr. Thomas can do all of the testing, but this increases the cost of the evaluation. Dr. Krishnamurthy ordinarily does testing of children. Graduates students are currently available to do both children and adults.

 

James Lawrence Thomas, PhD, Director of the Brain Clinic, is a clinical psychologist and neuropsychologist who has been in practice for more than 26 years. Please visit the About Us page for a detailed account of his qualifications. Graduate students are from the Doctoral Programs at CUNY and Albert Einstein College of Medicine.

 

Dr. Thomas has written several articles relating to ADD and LD. Reading these is a good starting point for learning more about these topics. Additionally, there is a wealth of literature relating to ADD and LD, including numerous books for lay people and affected individuals. You can also get his book "Do You Have Attention Deficit Disorder?" on Amazon.com.