Nicholas H. Skefos, DO

Biography

Dr. Skefos is a Harvard-trained, American Board of Psychiatry and Neurology – Board Certified Psychiatrist with nearly a decade of experience in the field of psychiatry. He has particular interest and skillset in the diagnosis and treatment of complex ADHD in both children and adults, but has extensive knowledge and experience treating other neurodevelopmental disorders, anxiety disorders, depression, bipolar disorder, obsessive compulsive disorder, and psychosis.

As Chief Fellow at Boston Children’s Hospital, Dr. Skefos worked with children as young as four years old. With his background as the Director of Student Counseling and Psychiatric Services at the University of Texas Health Science Center at Houston (UTHealth Houston), Dr. Skefos enjoys treating young adults who work in high stress and high-pressure environments, including college and graduate school students, healthcare professionals, executives, and athletes who are experiencing concerns related to stress, burnout, mood disorders, life transitions, relationship issues, grief/loss, and chronic health issues. 

To learn more, click here to view Dr. Skefos’ CV.

How We Help

  • Medication Management

    Medication management is a key component of mental health treatment that involves evaluating, prescribing, and monitoring medications to help manage symptoms and improve daily functioning. Through detailed assessments and regular follow-ups, we ensure your treatment is tailored to your needs, adjusting medications as necessary to optimize effectiveness and minimize side effects. It’s a collaborative process designed to support you in achieving your goals.

  • Pharmacogenomic Testing

    By looking at clinically important genetic variations in your DNA, pharmacogenetic testing analyzes how your genes may affect medication outcomes. Results can provide a better understanding about how you may break down or respond to certain medications commonly prescribed to treat depression, anxiety, and other psychiatric conditions. The test is a simple cheek swab taken either in our office or in the convenience of your home.

  • Therapy

    Therapy is a collaborative process where we explore your thoughts, feelings, and behaviors in a safe, supportive environment. Through evidence-based approaches, therapy can help you develop healthier coping strategies, improve relationships, and gain a deeper understanding of yourself. Whether you’re facing challenges like anxiety, depression, stress, or life transitions, therapy provides a pathway toward healing and growth.

  • Second Opinions

    Second opinion assessments provide a fresh perspective on your mental health diagnosis or treatment plan. Whether you’re seeking confirmation of a current diagnosis, evaluating alternative treatment options, or exploring unresolved symptoms, our thorough evaluations help you make informed decisions about your care. This collaborative process empowers you with the clarity and confidence needed to move forward in your mental health journey.

Schedule Appointment

FAQs

  • Yes, Dr. Skefos is currently accepting new patients and can be booked online. Dr. Skefos also offers a Free Introductory Call.

  • Yes, Dr. Skefos offers both in-person and telehealth appointments. You can request an appointment here.

  • Dr. Skefos is a child, adolescent, and adult psychiatrist. He specializes in the following areas: ADD/ADHD, Anxiety, Depression, Mood Disorders, Obsessive-Compulsive Disorder (OCD), Psychotic Disorders, PTSD, Schizophrenia, Sleep or Insomnia.

  • As part of the Center for Healthy Minds, PLLC, Dr. Skefos is considered an out-of-network provider and does not submit insurance claims on behalf of patients. While this means I do not bill insurance directly, it allows me to keep my practice small and focused—providing each patient with the time, attention, and care they deserve. 

    By not contracting with insurance companies, Dr. Skefos is able to offer longer, more thoughtful sessions without the pressure to see a high volume of patients each day. This means we have the space to go beyond medication management—discussing things like sleep, nutrition, exercise, and other aspects of wellness that impact mental health. It also allows time to answer your questions thoroughly and collaborate more deeply on your treatment plan. 

    This model supports the kind of personalized, comprehensive care that I believe leads to better outcomes and a more meaningful treatment experience. 

    If you plan to use insurance benefits, please check with your insurance company to confirm whether your plan offers out-of-network coverage.

    After each appointment, you'll receive a detailed receipt (also known as a "superbill") that includes all the information you’ll need to submit a claim directly to your insurance. Insurance plans with out-of-network benefits often reimburse between 20-90% of fees.

    In checking with your insurance provider, it may help to report the codes that will be billed. You will need to know if you have out-of-network benefits, telemedicine coverage, as well as any information on copayments, deductibles, and coinsurance amounts.  

    • Billing NPI (Type 2 NPI Number): 1134943384

    • Tax ID: 93-3191919

    You will want to know the dollar reimbursement amount for the following codes.  

    90792—Psychiatric Diagnostic Evaluation with Medical Services 

    99214 – Established Patient Office Visit, 30-39 minutes 

    99215 – Established Patient Office Visit, 40-54 minutes 

    90833 –Individual Psychotherapy with Medical Evaluation and Management, 16-37 minutes 

    90836—Individual Psychotherapy with Medical Evaluation and Management, 38-52 minutes

  • The Initial Comprehensive Evaluation is a flat fee of $600 for 90-minutes. For all other treatments and services, Dr. Skefos’ rate is $500/hour. If your treatment requires more than the allotted time or you choose more than the allotted time, you will be billed at the rate of $500/hour. Fees subject to change. 

    New Patients:

    90-minute comprehensive initial evaluation: $600 

    Established Patients:

    60-minute follow-up visit (medication management and/or therapy): $500 

    30-minute follow-up visit (medication management and/or therapy): $250 

    Total time includes face-to-face and non-face-to-face time spent on activities related to your care (i.e. charting, sending prescriptions, chart review, etc.).

    Before scheduling a New Intake Appointment, we invite you to schedule a Free Introductory Call with Dr. Skefos.