Is The Sheppe Group located in Tribeca or SoHo?

No. The practice is located at 122 East 42nd Street, 32nd Floor, near Grand Central in Midtown Manhattan. This page is for people who live, work, study, or receive care in Tribeca or SoHo and are considering treatment at the Midtown office or by telehealth when appropriate.

Can you help when the same relationship or emotional patterns keep recurring?

Yes. A consultation may examine identity, self-esteem, attachment, boundaries, emotional regulation, trauma, personality functioning, and the ways patterns repeat across intimate, family, professional, or treatment relationships. The recommended approach depends on the full formulation.

What if different clinicians have given me different diagnoses?

Changing or competing diagnoses can be important clinical information. The evaluation may review the course of symptoms, development, personality functioning, relationships, trauma, attention, sleep, medical factors, medication effects, and response to previous treatment to determine which distinctions matter for the next decision.

Can I request a consultation or second opinion without transferring all of my care?

Yes. Some patients seek a focused diagnostic consultation, medication review, personality assessment, or treatment-planning opinion while continuing with existing clinicians. Coordination may be considered with appropriate authorization when it would improve the clarity or safety of care.

Do you involve parents or families when appropriate?

Yes. Family participation may be useful for adolescents, emerging adults, or adults when it helps clarify development, risk, communication, boundaries, support, or treatment roles. The extent of involvement depends on age, consent, privacy, diagnosis, and clinical need.

Is telehealth available for Tribeca and SoHo patients?

Telehealth may be available when clinically appropriate and legally permitted for the patient’s location. Suitability depends on diagnosis, safety, privacy, complexity, family participation, and whether remote care provides an adequate treatment setting.

Use the contact page to request a consultation. The initial discussion helps clarify what is bringing you to care, whether the practice is an appropriate fit, which provider or service may be most relevant, and what information may be useful before an appointment.

For Uninsured or Self-Pay Patients

Good Faith Estimate

Effective date: July 22, 2026

Federal law gives uninsured and self-pay patients rights concerning expected charges for scheduled care. This page explains how to request an estimate and what to do if a qualifying bill is substantially higher.

Your Right to an Estimate

If you are uninsured or do not plan to submit a claim to a health plan for scheduled services, you generally have the right to receive a written Good Faith Estimate explaining the expected cost of those services.

You may ask for an estimate before scheduling, or when an appointment is scheduled. The timing and content of the estimate depend on how far in advance services are scheduled and the information reasonably available at that time.

What the Estimate May Include

A Good Faith Estimate may include reasonably expected charges for the primary service and other items or services that are reasonably expected to be provided as part of the scheduled course of care, based on information known when the estimate is prepared.

An estimate is not a contract and does not require you to receive services from The Sheppe Group. Actual services or charges may differ if your needs, treatment plan, frequency of care, or other circumstances change.

Changes in Care or Cost

Psychiatric and psychological treatment may evolve after evaluation. If the scope, frequency, duration, or type of service changes, the estimate may no longer reflect the expected course of care. You may request an updated estimate.

Keep a copy of any estimate so you can compare it with later bills.

When a Bill May Be Disputed

If a bill from a provider or facility is at least $400 more than the expected charge shown for that provider or facility on the Good Faith Estimate, you may be eligible to use the federal patient-provider dispute resolution process.

The federal process generally must be started within 120 calendar days of the date shown on the original bill. You may also contact the provider to ask questions, request correction, discuss payment arrangements, or attempt to resolve the difference directly.

How to Request an Estimate

Contact the practice and state that you are uninsured or plan to self-pay and would like a Good Faith Estimate. Provide enough information to identify the anticipated service and appointment.

The Sheppe Group (646) 859-8585 sheppemd@sheppegroup.com 122 East 42nd Street, 32nd Floor, New York, NY 10168

Additional Information

For information about Good Faith Estimates and the patient-provider dispute resolution process, visit the Centers for Medicare & Medicaid Services information page.

Visit CMS No Surprises consumer resources

This page is a general notice of rights and is not itself an individualized Good Faith Estimate.