How do I know you are the right therapist for me? While there is no way to know if we will be a good fit, I encourage you to look through the rest of my website.  I have done my best to provide as much information about my philosophy, specialties and experience on this website.  If this website resonates with you, then we might be right therapist for you. 

Are you a participating provider in any health insurance plans? No. We do not accept insurance, but will provide you a monthly receipt which has all of the proper insurance codes to submit to your insurance company if you pursue out of network benefits. It is best to call your insurance company before making an appointment so that you can fully understand what the cost will be to you. A sample conversation you can have with your insurance company could be, “I am going to a clinical psychologist for an initial intake and likely follow up with weekly psychotherapy. She does not accept any insurance so I would like to know what my out of network benefits are. Dr. Sachs' NPI # is 1700229663, and the CPT codes that she will most likely use will be 90791, 90834, and 90847. Based on that, can you tell me what percentage/dollar amount I can expect to be reimbursed?"

Some follow up questions:

1. Is there a cap (maximum amount) you will pay for an office visit/given year? 2. Do I have a deductible I must first meet? If so, how much is that? 3. Do I need preauthorization? If so, can you grant me preauthorization to see this provider with the information I just gave you. 4. Is there a specific claim form I must use to submit claims and if so, where can I access that? 5. How much time after a doctor’s visit do I have to submit a claim?”

Are you a Medicare participating provider? No. We do not accept Medicare. If you are currently enrolled in Medicare and wish to be seen by us, we can enter into a private contract in which you will be charged regular fees. We can provide you with a copy of the Medicare opt-out affidavit upon request. 

What are your fees, what form of payment do you accept, and when is payment due? We try hard to meet the needs of all patients. While none of the doctors accept insurance or Medicare, we will provide any necessary paperwork to submit to your insurance company if you pursue out of network benefits. While insurance companies may provide reimbursement, as is the case with any out-of-network psychologist, there are no guarantees for reimbursement. If your insurance denies reimbursement and working with us becomes cost-prohibitive, please inquire about our sliding scale policy. 

Payment is expected at the time of service; payable by credit card, check or cash. If you are paying by cash or check, payment is due on the day you have a session with us.

As the intake coordinator, Dr. Alicino conducts the majority of intakes for CBT Spectrum. This is an initial meeting lasting 120 minutes ($400). Upon request, Dr. Sachs  can conduct an intake for you ($575).

Depending on a patient's need we see patients for 45 minute sessions, extended sessions of 60 minutes, and double sessions of 90 minutes. Most patients meet for 45 minutes. We can also schedule an intensive outpatient plan depending on your situation. We see a limited number of sliding scale patients at a time. For more information on sliding scale, email:

Follow-Up Rates:

  • Dr. Sachs:   45 minute sessions are $325; 60 minute sessions are $425; double sessions of 90 minutes are $650
  • Dr. Dugan:  45 minute sessions are $230; 60 minute sessions are $300; double sessions of 90 minutes are $460
  • Dr. Alicino:  45 minute sessions are $200; 60 minute sessions are $260; double sessions of 90 minutes are $400 

How can I be sure my therapy is confidential?
The law protects the privacy of all communications between a patient and a psychologist. In most situations, I can only release information about your treatment to others if you give me your written and signed authorization. There are  some limits to confidentiality which include, for example, a requirement for me to contact others without patient authorization if a patient threatens to harm himself/herself, I learn of a situation where a child is being abused or neglected or if a patient communicates an immediate threat of serious physical harm to an identifiable victim. Such situations are extremely rare in my practice, but if one arose during your treatment, I would make every effort to fully discuss it with you before taking any action and I would limit my disclosure to only necessary information.