Patient Resources

NNPA does not “participate” in any commercial insurance panels. Doing so places your care in the hands of your insurer, rather than ours and your own.

We do provide “out of network” services and can assist you in filing claims by providing a “Super Bill” which you may submit to your insurer for reimbursement.

If you have questions concerning what may (or may not) be covered “out of network” or at what rates, please contact your insurance company.

NNPA’s providers’ fees vary widely based on their level of training and experience. We strive to offer options at different costs to enable access for all.

If you have a question about a particular provider’s fees, please contact our office at 629.203.6779 or email Anna Marie at annamarieherbold@drclarknnpa.com.

All of our NNPA Team Clinicians are accepting new patients with IMMEDIATE AVAILABILITY for all services offered. At NNPA, we work as a team. When you receive your care at NNPA, you and your family benefit from the collective experience of our professionals, with over 100 years of combined clinical experience!

Amy Powell Clark, Tim Caldwell, Anna Marie Herbold, Justin Malais, and Alyssa Mielock are all accepting new clients.

Dr. Clark serves as Chief Medical Officer for NNPA and actively consults with The NNPA Team twice weekly in a formalized setting to supervise and coordinate care. While he no longer assumes the direct, daily care of new patients, he is always available for consultation, including in-person consultation, with any of our clients.

NNPA is open Monday through Friday, 8 am to 6 pm, and on Saturdays from 8 am to 12 pm. Not all clinicians see patients on Saturdays. Please call our office for availability. Sunday hours for neuromodulation services may be offered on an individual basis.

Transcranial Magnetic Stimulation (TMS) is a painless, non-invasive outpatient procedure FDA-approved for ages 15 and beyond to address treatment-refractory depression, anxious depression, OCD, and assist in relief from smoking addiction. In the EU, it has been approved to treat stimulant addiction, implying its efficacy in addictions of all types, given the common neurobiology between these conditions.

We use Brainsway DEEP TMS, which has been demonstrated in clinical trials to produce more consistent relief from symptoms.

TMS protocols vary, and the service can be customized based on individual needs, but typically entails a course of approximately 36 sessions delivered over a period of 3 to 6 weeks (accelerated protocol vs. typical). Customarily, one (or two) sessions of TMS are administered daily.

While one of the most important aspects of TMS is the enduring benefits it provides, in our clinical experience, individuals participating in “maintenance” TMS on a regularly scheduled yet less frequent basis beyond the initial 36 sessions tend to capture the most robust and enduring benefits.

Dr. Clark can explain all of your options once the decision to treat has been made.

Although ideally, the initial course of TMS sessions would be applied contiguously, brief disruptions due to brief illness or short travel have not proven to consistently or meaningfully undermine the efficacy of the treatment. If travel is planned during the course of your TMS, we can expedite treatment by conducting more than one session per day or by applying more frequent sessions upon your return.

Yes. In our clinical experience, we often find the application of more than one TMS protocol tremendously beneficial for our patients. In fact, we believe there may be synergies between them. Depending upon the protocols used, it may be necessary to plan for short breaks between sequential TMS sessions conducted on the same visit. Please speak to our staff for more details.

Dr. Clark leads our neuromodulation team and is a seasoned clinician with more than 35 years of experience. He is a trained neuropsychiatrist and has 15 years of experience using TMS technology.

We are not a TMS-only clinic. Not every patient needs TMS. We work carefully with every patient to determine the best treatment plan.

Likewise, we work carefully to understand your full clinical picture when you begin treatment with TMS. Understanding your profile will help us determine the best protocols to use with TMS, as well as how best to choose complementary therapies to enhance the benefits of neuromodulation for you or your child.

Also, each and every technician conducting a TMS session is a licensed professional mental health counselor! This means you may choose to coordinate your therapy while undergoing TMS. Pairing psychotherapy interventions with TMS has proven to be more effective than TMS alone. Further, the benefits are much longer lasting.

Having a therapist who also conducts the TMS sessions provides the highest level of care and makes each person undergoing TMS feel seen and heard.

Neurofeedback training is an evidence-based, non-medication approach to treating a wide variety of psychiatric and developmental challenges, including ADHD, anxiety, PTSD, executive function deficits, slow processing speed, and traumatic brain injury.

Neurofeedback therapy is considered safe for individuals across the lifespan. We have treated children as young as 4 years and adults as old as 75 years.

The duration of NFB will vary widely depending on the severity of symptoms as well as client needs. While the absolute number of sessions necessary to produce maximum possible benefits from NFB training cannot be predicted with precision in advance, estimates are based on the results of the baseline quantitative EEG conducted prior to starting NFB. Beware of neurofeedback providers who offer “one size fits all” forecasts of the time to realize the best possible results from neurofeedback training. While trends do exist, they are usually not reliably applicable on an individual basis.

Please refer to the TEAM page/About page.

We treat patients across the lifespan, typically ages 5 to geriatrics.

At NNPA, we offer a full range of psychotherapeutic services, including individual, group, and family therapy.

For 32 years, we have offered group services for children and adolescents. Please be on the lookout for group services focused on young adults coming soon to our clinic. You can follow us on Instagram @drclarknnpa for real-time updates concerning all our services.

Specific therapeutic modalities offered include psychoanalytic, psychodynamic, behavioral modification, parent skills training, cognitive-behavioral therapy (CBT), dialectical behavioral therapy (DBT), humanistic, integrative, exposure and response prevention (ERP), attachment-based therapy, trauma therapy/somatic processing, and sports and performance psychology.

No.

Prescription refills are managed by Dr. Craig Clark and his capable psychiatric mental health nurse practitioner (PMH-NP) Justin Malais. Typical turnaround for medication is 24 hours. Prescriptions are sent electronically to the pharmacy of choice.

If you are out of state and prescribed a controlled substance, you may need someone locally to facilitate your prescriptions across state lines. Prescriptions that are not for controlled substances can be sent across state lines.

Stimulants and benzodiazepines require an in-person or virtual telehealth check-in every 3 months.

Per DEA requirements, it is mandatory to consult with your medical provider quarterly (every 3 months) if you are prescribed a controlled substance. If you are not prescribed a controlled substance, annual visits at a minimum are mandatory to ensure both the consistency and quality of your care. Your provider will work with you to determine the appropriate frequency of consultation based on your unique circumstances and needs. The aforementioned quarterly or annual visits are minimum requirements and not universal guidelines for care.

This varies widely and is dependent upon the level of need, which is clinically determined for each patient.

Your provider will discuss the appropriate frequency of contact with you as the course of your treatment unfolds.

Again, beware of a one size fits all or “templated” approach to your medical care. Frequency of intervention depends on an ongoing dynamic assessment of one’s mental status and progress in real-time.

Yes, NNPA offers comprehensive and secure, HIPAA-compliant telehealth services.

While telehealth services are available, in accordance with both state and federal guidelines, and to ensure adherence to the highest standard of care, the first visit must be conducted in person. Depending upon licensing and professional board requirements, subsequent telehealth services may also require periodic in-person visits. All telehealth services are provided at the discretion of the individual clinician and the NNPA team, who must make a professional judgment concerning the appropriate use of this technology, which may be influenced by the acuity of a patient’s presenting symptoms.

For clients who live in another state or may be traveling, you must maintain at least a part-time residence in Tennessee to be seen by our practitioners.

If it has been several years since you or your child have been seen at our clinic, you will need to have a new patient appointment. This is to ensure the best quality of care is provided. A lot can happen in five years, and when that amount of time has passed, it’s critical we thoroughly reassess your interim history and reestablish timely, current treatment goals.

Spravato is an FDA-approved esketamine nasal spray for adults aged 18 years and beyond. It is used for adults with treatment-resistant depression (TRD) and major depressive disorder, or other conditions complicated by acute suicidality.

Spravato is administered twice weekly for the first month of treatment and weekly for the second. After the first two months (8 weeks) of therapy, you and the clinical team at NNPA will discuss and determine if treatment should be continued. An abundance of clinical evidence suggests maintenance treatment is indicated for most patients. It may also be necessary to make adjustments in the dosing and frequency of Spravato therapy depending upon the course of your clinical progress. Again, there is no one-size-fits-all approach to the use of this revolutionary medication.

Clients should expect to be in the office for at least two hours after Spravato is administered. During this time, you will be relaxing in a recliner in a spacious and peaceful setting where our clinical staff will monitor you very closely. You will NOT be allowed to drive after receiving treatment. It will therefore be necessary for you to arrange for appropriate transportation (family member, friend, Uber, Lyft, etc.) at the conclusion of your session.

Prior to its administration, our patients will have discussed in great detail (informed consent process) with Dr. Clark or Mr. Malais, PMH-NP, what to expect experientially once Spravato is administered, and over the course of treatment.

We have already witnessed both robust and immediate relief from often VERY long-standing suffering in our patients! This is a very exciting addition to our practice.

At NNPA, we treat a wide range of conditions, including but not limited to:

• Major Depressive Disorder (MDD) including Treatment-Resistant Depression (TRD)
• Bipolar Disorders
• Obsessive Compulsive Disorder (OCD)
• Addiction
• Anxiety Disorders such as panic disorder, social anxiety, generalized anxiety disorder, etc.
• Attention-Deficit/Hyperactivity Disorder (ADHD)
• Deficits in Executive Function (EFD)
• Trauma and Posttraumatic Stress Disorder (PTSD)
• Eating Disorders
• Attachment Issues
• Neurodevelopmental Disorders
• Stress and Adjustment Disorders
• Grief and Loss
• Failure to Launch
• And many more!

Spravato is administered twice weekly for the first month of treatment and weekly for the second. After the first two months (8 weeks) of therapy, you and the clinical team at NNPA will discuss and determine if treatment should be continued. An abundance of clinical evidence suggests maintenance treatment is indicated for most patients. It may also be necessary to make adjustments in the dosing and frequency of Spravato therapy depending upon the course of your clinical progress. Again, there is no one-size-fits-all approach to the use of this revolutionary medication.

Clients should expect to be in the office for at least two hours after Spravato is administered. During this time, you will be relaxing in a recliner in a spacious and peaceful setting where our clinical staff will monitor you very closely. You will NOT be allowed to drive after receiving treatment. It will therefore be necessary for you to arrange for appropriate transportation (family member, friend, Uber, Lyft, etc.) at the conclusion of your session.

Prior to its administration, our patients will have discussed in great detail (informed consent process) with Dr. Clark or Mr. Malais, PMH-NP, what to expect experientially once Spravato is administered, and over the course of treatment.

We have already witnessed both robust and immediate relief from often VERY long-standing suffering in our patients! This is a very exciting addition to our practice.

Our psychoeducational testing includes, but is not limited to, the following:

• Intelligence testing (WISC/WAIS)
• Academic/Achievement testing (WJ-IV and ACH)
• Emotional Dysfunction (KSADS/SCID)
• Executive Functioning Testing (DKEFS)
• Visual-Motor Integration (VMI)

Dr. Clark is a medical doctor who has completed medical school, residency in adult psychiatry, and further specialized training during a fellowship in child and adolescent psychiatry. Dr. Clark is board-certified and licensed to practice all aspects of clinical psychiatry independently.

Mr. Malais is a Psychiatric Mental Health Nurse Practitioner. Nurse practitioners are advanced practice registered nurses who have completed MSN degrees with specialization in a particular area of medicine, in this case, psychiatric medicine. Both psychiatrists and PNPs assess, diagnose, and treat clients with behavioral and mental health issues, including prescribing and monitoring medications. Both may provide therapy and make appropriate referrals for any additional medical assessments deemed necessary.

Because of their more limited training, NPs are required to work under the supervision of a licensed psychiatrist. In our clinical setting, Dr. Clark and Mr. Malais meet twice weekly in a formalized setting to provide this supervision and ensure coordination of care for all of our patients.