General Policies FAQ

Most of the common questions we receive are answered in these FAQ, organized by general topic. We are happy to answer additional questions by phone or in writing – reach out by telephone, email, or complete our Contact Form here.

We schedule most appointments Monday through Thursday 9:00-5:00 and Friday 9:00-1:00, with some evening availability on a limited basis. Concierge services are provided on weekends as our schedule allows. Due to the nature of the services we provide, we do not provide routine on-call support or after hours monitoring of voice mail, email, or portal messaging. We do make every effort to respond to calls and Portal messages within 2 business days, excluding holidays. In case of emergency, call 911 or go to the nearest emergency room.
It depends on the nature of the services you're requesting. Concussion appointments are usually scheduled fairly promptly, and within a couple of business days for acute (very recent) injuries. More chronic concussion-related and sleep-related appointments can usually be scheduled within a few weeks. We aim to schedule intakes for more comprehensive evaluation appointments fairly quickly, and within a few weeks if possible, since some individuals may fare better with symptom-specific interventions before (or instead of) completing more lengthy evaluations. We also want to allow you sufficient time to collect the records we like to review as part of our comprehensive evaluations. Our goal is to schedule all testing within 2-3 months (presuming all records are provided promptly) with staff to be added as our waitlist grows or sacrificing quality or depth for expediency. Ultimately, our clients and community are not well- served by long wait lists. Know, too, that the more quickly clients can collect all requested records, the more quickly their testing appointment(s) can be scheduled.
Not for most clients. Due to poor reimbursement rates, high overhead costs, and significant limitations on the nature and depth of work most insurance companies will allow, we are largely a self-pay practice. Since we know that this can make quality care less accessible to some, we hope to add group interventions and sliding-scale services in the future as our Charlotte-based practice grows. We do provide superbills for self-pay clients to submit to insurance companies if eligible for out-of-network reimbursement. We accept payment via credit, debit, and HSA cards, and Zelle and ACH transfer. Dr. Shapiro will accept insurance only for Iowa and Nebraska residents with BCBS that she can process through Wellmark/Blue Cross Blue Shield of Iowa, but you will need to verify your eligibility for coverage.
Our consent forms provide detailed information about fees and we are happy to speak with you about them prior to scheduling appointments since fees vary across services. We will provide you with a written Good Faith Estimate of expected charges at the time the initial appointment is scheduled if you do not plan to submit to insurance for reimbursement. In general we charge a flat fee for “standard” comprehensive evaluations, with an hourly rate for all other services.

You will need to contact your insurance company to get answers specific to your plan and contract in
order to verify coverage or to determine out-of-network benefits.

We make every reasonable effort to safeguard your privacy with use of a HIPAA-compliant Electronic Health Record (EHR) system integrated with secure payment processing and telehealth platform. We use our EHR system (IntakeQ) and its Client Portal, rather than email, for routine communications. Our EHR can send appointment reminders by text or email at your request, but we do not respond to text messages sent to the office phone number. Links to standardized rating scales are emailed directly to the recipient from test publishers’ HIPAA-compliant websites. Our consent forms have more information about electronic security and privacy.

Yes! We also test for functional challenges associated with medical and neurological disorders.

Not necessarily. For example, the breadth of Dr. Shapiro’s target client population has expanded along with her clinical skills and areas of expertise over decades of clinical work. We provide routine (neuro)psychological testing to children, adolescents, and young adults. Adult ADHD evaluation referrals are accepted on case-by-case basis. Concussion management and sleep-related services are provided across the lifespan up to Medicare-eligible populations as medical and neurocognitive challenges associated with aging fall outside our scope of training and expertise.
In most cases yes, and especially for an initial appointment. Please discuss this with the Psychologist in advance. We typically want parents present for at least part of the initial appointment to help provide a context for the current concerns and/or to facilitate implementation of follow-up, but it also depends on the reasons for which you are seeking care. Note, too, that parents and their children can log in to the appointment from different locations.

Reach out to us by phone or email, or by completing the brief Contact form on the website. A member of our team will follow-up to schedule an appointment or brief consult and to answer any questions you may
have. We are happy to schedule a brief call with Dr. Shapiro or anyone else prior to scheduling if you are unsure of how best to proceed or if we can best meet your needs. If we can’t, we are happy to provide

Most states require licensure in the state in which the client is located at the time of services. Some states allow some limited practice by psychologists licensed in other states, while others require a full application for licensure in order to provide services to someone in that state. Dr. Shapiro has a full and unrestricted license to practice psychology in person and via telehealth in GA, IA, NC, and NE. She also holds APIT authorization to provide unlimited telehealth services and limited in-person services in 40+ states under PSYPACT, an interstate compact. For the most updated listing of participating states, click here.

It depends on the questions you’re asking, or the concerns prompting you to reach out to someone. Just as a nurse practitioner can provide good medical care for some medical disorders, some mental health professionals without doctoral-level training can provide good care, too. Psychiatrists are medical doctors with the same breadth and depth of training as a psychologist – also a doctor – but in the field of medicine. They explore medical / physiological bases of cognitive, emotional, or behavioral difficulties and
rely primarily on medical management of disorders (prescribing). Although some psychiatrists obtain additional training in psychotherapy, it is not typically of  comparable breadth and depth as compared to masters- or doctoral-level psychotherapists like counselors or psychologists.

Most doctoral-level (PhD or PsyD) psychologists have 2-3 times more years of coursework and supervised pre-degree clinical training than masters-level providers, with additional post-doctoral fellowship training as well. Even so, a counselor who has chosen to specialize in one particular skill or service could ultimately have more training and expertise in that skill or service than a more broadly trained doctoral-level psychologist! Thus, it is important to ask what kind of experience and training a given provider has for your referral concerns, since the nature and level of the degree doesn’t always
provide a complete picture. When it comes to psychological testing, you should look for someone who has had multiple classes in the science of testing (psychometrics) and assessment itself, in addition to months of dedicated, supervised test administration, interpretation, and report-writing.