May 22, 2023 Pracice Update
I have recently made important changes to my solo practice, leading to improvements in time management, stronger boundaries around screen time and increased energy. Although I am still working through paperwork and billing challenges, I am confident that I will resolve them in the next few months. Additionally, I am planning to simplify my non-practice responsibilities by stepping down from the Chair position at MAAPPN (Massachusetts Association for Advanced Practice Psychiatric Nurses).
Over the years, I have been dedicated to advocating for high-quality psychiatric care in Massachusetts and supporting the role of Advanced Practice Psychiatric nurses. I am proud to say that we have largely achieved our mission with the enactment of full independent practice legislation. However, it is important to secure these gains and continue supporting new Psych APRNs. As I transition, MAAPPN is exploring options, including partnering with similar organizations starting in 2024. This process will take most of 2023.
After that, I am excited to fully immerse myself in my solo practice and continue my advocacy activities through new alliances formed during this period!
March 19, 2023 Practice Update
Many of you (of my current patients) will be receiving notices to about my decision to cut back in my practice starting in June, 2023. I will attemptot refer to other providers (see below) and I do so with a confident heart. As you may or may not know, the environment for care has become onerous for solo practitioners. Paperwork, medication supply shortages, insurance demands, volume of patient communications and federal law changes in prescribing controlled substance medications (such as stimulants) have placed the usual care and quality that I aspire to give in jeopardy. I have tried to adjust my practice procedures to meet these demands, but sadly, these changes do not appear to be effective in this new environment.
To this end there are new providers entering the field that you should be able to find in any internet search. I can recommend two practices that may be able to help:
Goodpath: https://www.psychologytoday.com/us/psychiatrists/good-path-health-services-norwood-ma/1079783
Lighthouse Mental Wellness: https://www.lighthousementalwellness.com/
If there are interim gaps in retaining new providers, I am asking that patients reach out to their primary care providers for prescription assistance and make an appointment soon so that we may form an adequate medication transition plan.
I regret that I am losing many long-time patients and some newer ones too for whom I care a great deal about. But I feel that there are providers that can meet the care and treatment needs now and in the future and with whom I know my patients will be in good hands with!
January, 2023 Practice Update
Co-pays/Scheduling Link: For telemedicine or in-person the co-pay policies must be followed. You may use the button below to schedule your appointment and/or pay your co-pay in advance: https://appointmentsKANDOLINA.as.me/
In-Person Office Visits Available: Thursdays at 82 Marlborough St. Although I have moved properly out of Boston, I will still commute to the office at least 2 – 4 times a month and hope to see many of you in person this coming year (weather permitting). New regulations from the Centers for Medicare Services (CMS) re: frequency required for in person office visits may be forthcoming in 2023.
Winter Weather Cancellation Policy: For in-person appointments, if the Boston City Schools are closed so will my office be closed
COVID Precautions: Please stay up dated with your boosters and self-care. Office visits will have air filtration, chair distancing and masking available as needed.
November 3, 2022 Adderall Shortages