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Harborside Psych

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(508) 876-3448

Private Pay and Out-of-Network

Harborside Psychiatrics is a private-pay practice offering medication management and therapy by video, for people across Massachusetts and other parts of New England. Our psychiatric nurse practitioners and licensed therapists work with adults managing anxiety, depression, mood conditions, eating disorders, and other mental health concerns. We do not bill insurance directly for appointments.

This page explains what that means, why the practice is built this way, and what to know about cost before you book.

Find a Clinician

Who We Work With

We work with patients across Massachusetts and, depending on the service, several other New England states. Two kinds of care are available:

  • Medication management, provided by our psychiatric nurse practitioners
  • Therapy, provided by our licensed therapy team, including specialized support for eating disorders

Which service is available in your state depends on licensing. The table further down spells this out.

Why We're Private Pay

Being private pay is a deliberate choice.

 

When a practice bills insurance directly, session length, frequency, and sometimes the type of treatment offered can be shaped by what a specific plan will cover. Diagnosis and treatment decisions can end up tied to what an insurer classifies as medically necessary, rather than what you and your clinician think is the right next step.

 

At Harborside, appointment length and frequency are set between you and your clinician, based on what you’re working on. Treatment decisions are made in the room.

Costs and Insurance Questions

Harborside is a private-pay practice and does not bill insurance directly for appointments. Current fees for an initial appointment and a follow-up appointment are listed on our pricing page, and any questions about cost can be answered before you book anything.

Our Clinicians

Medication management and functional psychiatry are performed by psychiatric nurse practitioners:

  • Rachel Egan RN PMHNP-BC,
clinical director and cofounder
  • Emily Pardue RN PMHNP-BC
  • Kirstin Ritchie RN PMHNP-BC

Each is qualified to evaluate, diagnose, and prescribe for mental health conditions.

Therapy, including eating disorder care, is delivered by our licensed therapy team:

  • Hannah Legesse LICSW
  • Tori Mahoney LMHC
  • Jacquelyn Duford LCMHC ATR
  • Lexie Carchedi LCSW

Full bios and credentials for each clinician are on our team page.

How to Start

  • Reach out through the website or call.
  • We confirm your state and match you with the right clinician for what you're looking for.
  • You book your first appointment online and complete intake paperwork ahead of time.
  • You meet with your clinician by video at the scheduled time.

How Care Is Delivered by Telehealth

Appointments happen through a secure, HIPAA-compliant video platform. You’ll receive a link by email before each session. No separate app download is required for most visits — you join from a browser on a computer, tablet, or phone.

What you need on your end:

  • A stable internet connection
  • A private space where you can talk openly
  • A camera and microphone, built into most laptops and phones
  • A government-issued photo ID for your first appointment

Your first appointment runs longer than a routine follow-up, to allow time for a full evaluation or intake. If medication is part of your care, your prescriber sends it electronically to the pharmacy of your choice, and follow-up appointments are where dosing and any adjustments get discussed.

If your clinician determines that you need a higher level of care than we provide, such as inpatient treatment, a partial hospitalization program, or intensive outpatient care, they will talk with you directly and help you understand your options for getting connected to that level of support.

Where Each Service Is Available

Licensure determines where each type of care can be delivered. Here’s the current breakdown:

Service MA CT RI NH VT ME
Therapy Available Available Available Available Available Available
Medication management Available Available Available Available Available Available
Controlled medication management Available Available Not available Not available Not available Not available

If you’re not sure what this means for your situation, ask before booking. We’re glad to walk through it with you.

Frequently Asked Questions

Do you accept insurance?

No. Harborside is private-pay. Current fees are listed on our pricing page.

Current fees for initial and follow-up appointments are on our pricing page.

Some insurance plans offer partial reimbursement for out-of-network care. Contact us before booking and we can answer questions about your specific situation.

Ask us before booking and we’ll walk you through what’s currently available.

Being private pay means appointment length, frequency, and treatment decisions are set between you and your clinician, rather than shaped by what a specific plan will cover.

If you need help right now

If you are in immediate danger, call 911. For mental health crisis support, call or text 988. Harborside does not provide emergency or after-hours care.

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