To get started, please complete our HIPAA-compliant Patient Inquiry Form. Once submitted, our team will review your information and contact you within 48 business hours to guide you through the next steps.

We typically review inquiries the same day they’re received, but please allow up to 48 hours for follow-up during busy periods. ➡️ Patient Inquiry Form

We offer comprehensive psychiatric care to support your mental health and overall well-being. Our services include:

• Psychiatric Evaluations – A detailed assessment to understand your history, symptoms, and goals. This visit typically lasts 60 minutes, though more complex cases may require up to 90 minutes for a thorough evaluation.

• Medication Management – Ongoing follow-up appointments to monitor your progress, adjust medications as needed, and ensure safe and effective treatment.

• Talk Therapy – Compassionate, one-on-one sessions designed to help you explore your feelings, develop coping strategies, and work toward lasting emotional wellness.

• Telehealth Services – Secure, HIPAA-compliant virtual appointments that allow you to conveniently receive care from home or work.

• In-Person Visits – Available at two locations for your convenience:
  

  • Amherst, New Hampshire – Located on Route 101A at the Mind and Body Wellness Center, near Walmart.

  • Chelmsford, Massachusetts – Visits by appointment at 3 Summer Street, in Chelmsford.

We specialize in treating a range of conditions, including:

• Anxiety Disorders

• Attention-Deficit/Hyperactivity Disorder (ADHD)

• Major Depressive Disorder

• Bipolar Disorder

• Binge Eating Disorder

• Post-Traumatic Stress Disorder (PTSD)

• Obsessive-Compulsive Disorder (OCD)

➡️ Patient Inquiry Form

No, we do not accept minors at this time.

We offer flexible morning and early afternoon appointments to make scheduling as convenient as possible.

Our current hours are:

• Monday: 8:00 a.m. – 6:00 p.m.

• Tuesday: 7:30 a.m. – 6:00 p.m.

• Wednesday: 8:00 a.m. – 6:00 p.m.

• Thursday: 7:30 a.m. – 6:00 p.m.

• Friday: 8:00 a.m. – 12:00 p.m.

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Telehealth and in-person visits are available during these times. If you reach out after hours, don’t worry — our team will get back to you on the next business day.

We accept most major commercial insurance plans, including Anthem Blue Cross Blue Shield, Carelon, Cigna, Compsych, EverNorth, Point 23 Health, United Healthcare, Optum, Tufts, Harvard Pilgrim, Health Plan, and UMR.

During a telehealth appointment using the Spruce Healthcare App, here's what you can expect: No Waiting Room: Your appointment will start at the scheduled time, so please be ready a few minutes early in a quiet, private space with your device charged and the Spruce app open. Appointment Reminder: About 30 minutes before your visit, you’ll receive a secure text message through the Spruce app to confirm your upcoming appointment. Video Session: Our office will initiate the video call at your scheduled appointment time. Start the process by accessing the HIPAA-compliant inquiry form: ➡️ Patient Inquiry Form If you have any questions about setting up or using Spruce, feel free to contact our office for assistance!

To verify whether we are in-network with your insurance plan, you can contact your insurance provider directly. Provide them with the following information:

Carissa Kajenski, APRN, PMHNP-BC NPI: 1700294139

Kristen Majchrzak, LICSW NPI: 1811375355

Your insurance company can confirm your coverage, in-network status, and any potential out-of-pocket costs.

Our office can also assist with confirming whether you are in-network and help clarify any coverage questions you may have. Please feel free to reach out — we’re happy to help.

Yes, you can pay for your appointments directly. Our rates are as follows: Initial evaluation: $300, Follow-up visits (15-30 minutes): $150. Payment is due at the time of service. If you have any questions about payment options, please feel free to reach out to our office. ➡️ Patient Inquiry Form

We accept MasterCard and Visa for payment. We also accept Health Savings Account (HSA) and Flexible Spending Account (FSA) cards.

No, we do not offer out-of-network benefits. We focus on in-network insurance to ensure patients have access to covered services with minimal out-of-pocket costs. If you would like to verify whether we are in-network with your insurance plan, you can contact your insurance provider and provide Carissa Kajenski's name and NPI number: 1700294139 or Kristen Majchrzak's NPI number: 1811375355. If you have any additional questions, feel free to reach out.

Yes, I provide superbills for self-pay patients who wish to seek reimbursement from their insurance provider. A superbill is an itemized receipt of services that you can submit to your insurance company for possible out-of-network reimbursement.

Reimbursement is not guaranteed and depends on your specific insurance plan. I recommend contacting your insurance provider to verify your out-of-network benefits and reimbursement policies.

If you need a superbill, please let me know, and I’ll be happy to provide one.

Yes, we offer both medication management and therapy services to provide a comprehensive approach to mental health care. Medication Management is provided by Carissa Kajenski, APRN, PMHNP-BC, and Therapy Services are provided by Kristen Majchrzak, LICSW. We work collaboratively to ensure that therapy and medication management are well-coordinated and aligned with your treatment goals, creating a seamless and supportive experience for you. If you would like to be added to our therapy waitlist, please contact our office and we’ll be happy to assist you with next steps. If you have any questions, feel free to reach out — we’re here to help!