Clarity through careful assessment.

If something feels off — for you, your child, or someone you care about — an evaluation can move you from uncertainty to clarity. The deliverable is straightforward: a clear, readable report that lays out cognitive strengths, areas of difficulty, practical recommendations you can use at home, school, or work, and a formal diagnosis where one is appropriate.

Not sure if testing is the right fit? Start with a complimentary 20-minute phone consultation. If we're not the best match for what you're looking for, we'll say so and help connect you with someone who is.

• Testing is what we do. Assessment and coaching are the practice's core focus, not a sideline.
• You'll work directly with the clinician. Intake, every testing session, and your feedback meeting are conducted by the licensed psychologist — not handed off to a technician.
• The whole picture, not just the referral question. When testing reveals something unexpected, we follow it. The evaluation adapts in real time rather than locking you into a narrow scope.
• Realistic timelines. The schedule is intentionally kept light so each client receives focused attention and reports come back on time.
• Telehealth that actually works. Secure video sessions across Pennsylvania and Massachusetts, designed around school, work, and family commitments.

The fastest way is to reach out by phone or email. We're a small practice, so messages are answered personally — typically within two to four business days. If you haven't heard back in that window, please try us again, as occasionally a message gets caught in a spam filter.

Phone (Call or Text): 978-226-4020
Email: info@sigcog.com

Online self-booking isn't offered because each evaluation is matched carefully to the client's needs before scheduling. The first call is short and informal — a chance to talk through what's going on and figure out next steps together.

Insurance is not accepted at this time. The practice operates on a private-pay basis.

Many testing practices choose this model for a few reasons. Insurance companies frequently restrict what can be tested, dictate which assessments are "medically necessary," and require a diagnosis to be added permanently to your medical record before they'll pay anything. That model often serves the insurer better than it serves the client.

The good news: many private-pay clients recover a portion of their costs through their plan's out-of-network benefits. After your evaluation is complete, we provide a superbill that you can submit to your insurer for possible reimbursement.

Yes. A superbill is provided automatically at the end of every evaluation, at no additional charge. It includes the procedure codes (CPT), diagnosis codes (ICD-10), date of service, fee paid, and clinician credentials — everything an insurance company needs to process an out-of-network reimbursement claim.

One thing to know: a diagnosis must be assigned for a superbill to be valid. If you'd prefer not to have a diagnostic code on record, you can still receive your full evaluation report — you just won't be eligible for insurance reimbursement.

Cost varies. Pricing depends on the type of evaluation, the scope of testing required, and how the referral question evolves during the process. A brief targeted evaluation costs less than a comprehensive neuropsychological battery, and we don't charge for tests we don't actually need to use.

Every prospective client receives a written cost estimate before any commitment is made. The 20-minute consultation is the right place to ask cost questions — and it's free.

Yes. The total cost is split across three payments rather than collected up front:

• 20% deposit — paid when scheduling, secures your intake and testing dates
• Half of the remaining balance — paid on intake day
• Final balance — paid on feedback day

If you need additional flexibility around timing between intake and feedback, that's a conversation we're happy to have. Just ask.

Before testing begins, it's worth a phone call to your insurer to understand what reimbursement might look like. Call the member services number on the back of your insurance card and ask about:

• Out-of-network benefits for behavioral health testing
• Your deductible — how much remains, and whether evaluation costs apply toward it
• Maximum reimbursement for CPT codes 90791, 96116, 96132, 96133, 96136, and 96137
• Whether they accept superbills, and how you submit one (online portal, mail, etc.)

If your insurer needs provider details, here they are:

• NPI: 1023556677
• EIN: 41-5059232

Likely diagnostic codes (such as F90.2 for ADHD or F41.1 for Anxiety) can be discussed during your consultation if it helps your conversation with the insurance company.

One caveat: insurers usually only reimburse evaluations they consider "medically necessary." Coverage for academic, occupational, or general clarity testing tends to be more limited than for diagnostically-driven assessments.

Records stay with the practice and are protected under standard professional confidentiality. They aren't shared with anyone — insurers, schools, employers, family members — without explicit written authorization.

The exception: if you choose to submit a superbill to your insurance for reimbursement, a diagnosis code travels with that submission, and insurance companies aren't held to the same confidentiality standards a clinician is. For some clients, that's a meaningful reason to stay private-pay rather than seek reimbursement.

Most services are available for children, adolescents, and adults. A few are scoped to specific age ranges:

• All ages — Neuropsychological evaluation, ADHD evaluation, personality assessment, wellness coaching
• Adults only — Autism diagnostic assessment, bariatric surgery clearance, spine surgery clearance

If you're unsure whether your situation fits, the consultation call is the best place to start. We'll talk through what's going on and confirm whether it's something we can help with.

Telehealth sessions take place on a secure, HIPAA-compliant video platform. You'll need a quiet, private space without interruptions, a stable internet connection, and a computer or tablet with a working webcam. A phone alone usually isn't enough for the visual portions of testing. Setup details and a link are sent in advance of the first session.

For evaluations involving children, a parent or caregiver typically helps with setup and may join part of the intake interview. The actual testing is conducted directly with the child, with check-ins between sessions as needed. Some testing instruments are administered verbally, others use on-screen visual material, and a few involve completing rating forms between sessions.

The full evaluation usually spans two to three testing sessions plus a separate feedback meeting. Total time varies based on what's being assessed.

Psychology licensure is regulated state by state. Services can only be provided to clients physically located in PA or MA at the time of each session. This means brief travel out-of-state during your evaluation can complicate scheduling.

If you live elsewhere, please reach out anyway — we're glad to suggest qualified colleagues in your area who do similar work.

Reach out by phone or text at 978-226-4020 or email info@sigcog.com. Most messages are returned within two to four business days. If you'd rather start with a quick conversation, just say so when you reach out — the 20-minute consultation is complimentary and the easiest way to get your questions answered.