I am based in Oregon, and offer in-person appointments in my Beaverton office. I also offer virtual appointments to people located in Oregon and Hawaii. Psychologist licenses are regulated by each state, so if you are outside of Oregon or Hawaii at the time of our visit, I may not be able see you.

The availability of appointment times vary each week. Office hours are 8:00am-3:00pm PST, Mondays through Fridays.

We will first meet for a free 15-minute consultation. If we decide to proceed, we will aim to schedule appointments once per week until we make noticeable progress towards your goal. The initial appointment is about 75 minutes, and follow-up visits are about 55-minutes each.

The length of treatment varies greatly depending on the person and goal. Your time is valuable, and your comfort level with the treatment is essential, so I frequently check in about the impact of treatment and collaborate about what may be the best next steps. Most people work in therapy with me between three to nine months.

The fees may be covered in whole or part by your health insurance company. Please contact your insurance customer service department for personalized information about your particular plan. The phone number is usually listed on the back of your insurance card.

I am in-network with some plans in the following networks:

• PacificSource

• Regence

• Blue Cross Blue Shield

• Anthem

Some questions to ask your health insurance company about in-network benefits:

1. Is Emily Shiraishi, Psy.D. in-network with my plan?

2. What is my deductible amount? When does the deductible reset?

   Please note that often times, plans require members to pay a deductible amount before the plan begins paying part of the service costs. Patients are responsible for paying the full cost of services to providers until their deductible amounts are satisfied.

3. What are my copay and co-insurance amounts for outpatient mental health visits with Dr. Emily Shiraishi? Does this change after a certain number of visits?

   Health insurance plans may require members to pay providers a co-insurance (a percentage of the service cost) or a co-pay (a fixed dollar amount) per visit.

   The first visit is billed under CPT code 90791.

   The follow up visits are typically billed under CPT code 90837.

4. What is my out-of-pocket maximum amount? When does the plan year end?

   When you pay this amount, you may no longer be responsible for co-pays and co-insurance, and your plan may pay 100% of service costs for the remainder of the plan year.

Out-of-Network or Out-of-Pocket Fees

First Visit $300

Follow-up Visits $250

Fees are due in full at the time of service. Upon request, I can provide Superbills or receipts for those seeking reimbursement for out-of-network benefits. Typically, the companies reimburse you directly. They may reimburse only a portion of my full fee.

Some questions to ask your health insurance company about out-of-network benefits:

1. Please see questions 1-4 above under “Some questions to ask your health insurance company about in-network benefits”. Please note that often times, the deductible, co-pay, and co-insurance amounts for out-of-network benefits are different and a higher cost to you as compared to in-network benefits.

2. What is the “allowed amount” for CPT 90791 and CPT 90837 with Dr. Emily Shiraishi? Your plan likely has identified a dollar amount for the initial and follow up visits that they consider when they calculate co-insurance and accumulation of deductible amounts. This is typically lower than my full fee, so it is helpful to calculate what they may reimburse you based on their “allowed amount” rather than on my full fee.

I also accept payments from:

• Health Savings Plans

• Flexible Spending Accounts

• and all major credit cards