We Have Three Office Locations.
Dr. Pagnani – 1528 Walnut St, Suite 2005
Philadelphia, PA, 19102
Ms. Plocher, Ms. Milburn, Ms. Rodier, Ms. Reis, Ms. Mendelovich – 1601 Walnut Street, Suite 401
Philadelphia, PA 19102
Dr. Yi (Child and Adolescent Psychiatry) & Rich D’Amato – 20 Mystic Lane, Malvern, PA 19355
Please use the “Intake Form” link (located on the staff directory), to download these policies and also print off material for your initial visit.
Adult Patients: 18 Years +
Nurse Practitioners: $125 Med Management / $200 45-Min Therapy / $275 60-Min Initial
Drs. Pagnani & Yi: $210 Med Management / $340 45-Min Therapy / $400 60-Min Initial
Sonya Mendelovich: $200 Initial 60-Min Consultation / $125 45-Min Therapy
* 90 Minute Initial adult visits (all providers) are 1.5 x hourly Initial Rate
Children & Adolescents: Under 18 Years
James Yi, MD PhD
$250 Med Management / $400 45-Min Therapy & Family Meetings
Initial Evaluations (over 2 sessions)
$600 90-Min with Child and Parents / $400 45-Min Follow-up with Recommendations
Richard D’Amato, CRNP
$200 Med Management / $300 45-Min Therapy & Family Meetings
Initial Evaluations (over 2 sessions)
$450 90-Min with Child and Parents / $300 45-Min Follow-up with Recommendations
Administrative Requests, Letters & Family Conferences – $100 / hour
Includes any letter or form to a third party, summaries of care, medical record requests, assistance with placement and discussion about care with individuals besides the patient (with patient permission). The patient’s card on file is automatically used as prepayment.
Please allow 14 days for such requests.
Initial consultations are scheduled following a brief conversation by phone. A credit card is used to reserve your time. Evaluations are 60 or 90-Minutes in length (for adult patients) and consist of an extensive medical and psychiatric history. Laboratory studies and a brief neurological examination may be part of your workup. With permission, your provider may request collateral information from medical providers, family or significant others, to aid in case formulation and diagnosis. The initial evaluation is considered a consultation, as it is an opportunity for both the patient and provider to decide whether they are a good fit for ongoing care (individuals are responsible for the consultation fee regardless). Should both agree to work together after this consultation, follow-up appointments are either “Medication Checks” (20-minutes in length) or 45-minute therapy appointments. We will collaborate to develop a treatment plan that fits your individual needs, which may include therapy, medication management or both. If you have a therapist that you would like to continue working with, we will be happy to collaborate with that individual, provided that we can have open communication. At a minimum, on-going patients are seen every three months.
Payment of Fees
All fees are due at the time of service and payable by cash, check or credit card (Visa, MasterCard or Discover). Your credit card statement will read “Doctor’s Appointment.” Checks should be made payable to “Philadelphia Health Services.” Accounts that are delinquent may be sent to collections. All patients are required to keep an active credit card on file (used for missed appointments, phone appointments, late cancellations, administrative work, letters & family conferences). If a patient misses two appointments they will be required to prepay via credit card when scheduling. There are no changes to these policies, when someone other than the patient is paying for visits. Additionally, paying for visits does not change confidentiality; a patient’s progress, medical record and any privileged information can still only be given with direct consent from the patient.
Philadelphia Health Services providers are out-of-network for all medical insurance companies. If you have out-of-network mental health benefits, we will be happy to assist you by supplying bills, diagnosis and other information that is requested by your carrier for reimbursement. Patients are responsible for submitting their own claims if they choose to do so. Reimbursement is not guaranteed. Philadelphia Health Services and its employees do not accept Medicare. Therefore, individuals with Medicare must sign an agreement that states that they will not submit claims to Medicare.
Our providers do not release patient evaluations, progress notes or therapy notes. A summary of care will be provided to patients and/or third parties when medical records are requested. The above administrative rates apply to such requests and the card on file will be used for this service.
Missed Appointments/Weather Policy/Cancelations
If you are unable to keep an appointment, please give 48 business hours advanced notice (excluding weekends and holidays), otherwise you will be charged in full for the time that was reserved for you (for example, if your appointment is on a Tuesday at noon, you must cancel by the previous Friday at noon or you will be responsible for the full appointment fee). Insurance companies do not reimburse for missed appointment charges. You may cancel your appointment by calling the office and leaving a message. If you are late for an appointment, you will be seen for the remainder of your reserved time. You will be responsible for the full session fee (this includes initial visits). We do not close due to weather, unless it is a State of Emergency. If you miss a visit and we are unable to reach you by phone, your provider will run your credit card on file. Signing this form gives permission to do so.
Medication Requests and Prescription Refills
Patients may call the office and leave a message for prescription refills. Refills are called in Monday through Friday only, during normal business hours. Please allow 48 business hours for all requests. If you have not had an appointment within the last 3 months, there will be an associated 25-dollar fee (charged to your card on file). If you are prescribed a controlled substance, an appointment will be required for refills. Controlled substances are prescribed at in-person appointments only. Lost or stolen controlled substance prescriptions will not be replaced under any circumstances, and a face-to-face appointment will be required for refills.
Contacting Your Provider
Patients have access to their provider’s business phone and e-mail address. E-mail is used for scheduling and cancelling appointments, prescription requests and administrative requests only. E-mails are added to the official medical record at our discretion. We can typically return calls and e-mails within 48 business hours Monday through Friday. When patients call with questions that can be answered quickly, a fee will not be charged. If questions require a lengthy discussion (for example, any medication change), they will be asked if they would like to schedule an office or phone appointment (above rates apply). You will never be charged for a phone call, without your provider discussing it first. If a patient is abusing access to phone or e-mail addresses, this may result in termination of care, at the provider’s discretion. Social media is not an acceptable form of communication for current or former patients (no exceptions). Texting is never an appropriate form of communication and business lines may not accept texts. Furthermore, your provider is not responsible for responding to any information sent via text.
If your provider is out of the office, they will leave the covering provider’s information on their answering machine and in an automatic e-mail reply. For non-emergent issues, you may call the covering provider or leave a message for your provider’s return. Prescription refills will be called in Monday through Friday 9AM-5PM. He/she will be able to respond to calls within 48 business hours. Covering providers do not refill controlled substances. Patients are responsible for keeping their appointments and re-scheduling (if they cancel or miss an appointment) several weeks prior to running out of controlled substances. We are not responsible for adverse events due to failure to do so.
If you have an emergency (such as an allergic reaction to medicine, suicidal thoughts with plan to act or a suicide attempt) you must call 911 or go to your nearest emergency room. This is a requirement, as we are not able to be available at all times and emergencies require immediate attention. After doing so, call your provider’s emergency number listed below & share it with any providers assisting you (in the ER or Crisis Center etc.).
Emergency Lines: These lines do not accept texts.
Jessica Plocher CRNP: 267-358-6157 Elizabeth Milburn CRNP: 267-737-8039 Chris Pagnani, MD: 267-275- 4381
Nicole Rodier CRNP: 267-225-0173 Rachel Reis, CRNP: 609-722-6787 Sonya Mendelovich, BSW: 484- 533- 7167
James Yi, MD PhD: 215-347-0417 Richard D’Amato, CRNP: 610- 719 – 3114
We are not always available even when calling these numbers (this is why it is vital that you call 911 or go to your nearest emergency room first). If you have any concerns about this policy, you are required to discuss with your provider (at the initial evaluation or if you develop concerns during your course of treatment). If you require an inpatient psychiatric admission (or have a suicide attempt or what is perceived as an attempt of self-harm), you will be responsible for finding a new provider to take over your care (as we do not have a dedicated emergency line or admitting privileges at Philadelphia local hospitals and individuals needing high levels of care would likely benefit from a provider with these additional services from a safety perspective). We will be available to provide you with resources for finding a new provider (and with a signed consent, be happy to discuss your case with any new providers), but we are not responsible for a patient’s failure to make an appointment or follow-up with an appropriate provider.
Policies are subject to change