Now Accepting New Patients. Request a Consultation Today!

It’s about time to feel well.

We offer breakthrough mental health treatment in the New York City area.
The view of the New York City skyline from our Midtown office
Training and Professional Societies
New York University logoBrain Futures logoMcLean Hospital logoAmerican Academy of Child & Adolescent Psychiatry logoUniversity of Rochester logoSpringer Nature logoClinical TMS Society logoAnna Freud National Centre for Children and Families logoHarvard Medical School logoNorthwell Health logo
About Us

Innovative Approach to Psychiatry

Fermata is the name of a musical notation that indicates a rest should be paused beyond its natural duration. We believe in stopping help that has not been helpful, pausing, and approaching individuals with mental illness from new perspectives with innovative approaches. Accelerated Transcranial Magnetic Stimulation, where remissions from lifelong suffering can happen in the span of a week instead of months, is one such approach. Mentalization Based Treatment, a therapeutic approach that works for individuals with complex and life-threatening problems when nothing else has, is another. We encourage you to reflect on what embracing a fermata could look like for you and make space for one in your life. 
A room at the Fermata clinic
The Fermata clinic with TMS machine
Technology Partners
Spruce Health logoBrains Way logoFirst tracks logoOsmind logo
Owen Scott Muir, M.D.
Our Founders

Owen Scott Muir, M.D.

Owen Scott Muir, MD is a dual board-certified child, adolescent and adult psychiatrist, and co-author of Adolescent Suicide and Self-Injury: Mentalizing Theory and Treatment. He has held academic appointments at Hofstra-Northwell, NYU and Baylor, and is the Chief Medical Officer for iRxReminder, which is the recent recipient of an SBIR Grant from the NIMH for their work in AI identification of tardive dyskinesia. He is also the Senior VP for strategy at Acacia Clinics and an advisor to

Our Founders

Carlene MacMillan, M.D.

Carlene MacMillan, M.D., is a Harvard-trained board-certified adult, adolescent and child psychiatrist and the Chief Medical Officer at Osmind, a platform that enables clinicians to deliver breakthrough mental health treatments. She is on the Board of Directors of the Clinical TMS Society and the Co-Chair of the CTMSS Insurance Committee. She is the Co-Chair of the American Academy of Child and Adolescent Psychiatry Consumer Issues Committee. Dr.MacMillan is on the board of the Ketamine Taskforce for Access to Safe Care and Insurance Coverage. She participates in real world evidence and post-marketing studies of transcranial magnetic stimulation and esketamine. She is extensively trained in Mentalization Based Treatment and applies it in individual, group therapy, family and team/systems settings.

Carlene MacMillan, M.D.

Our Practice Areas


Accelerated Deep Transcranial Magnetic Stimulation

Expertly crafted neuromodulation protocols to fit a wide range of diagnoses, schedules and ages.

Medication Management

Psychopharmacology that is collaborative and strategic, involving evidence-based prescribing and rational de-prescribing when appropriate

Second Opinion Consultation

Comprehensive diagnostic assessment and treatment recommendations for individuals and families seeking a path forward amidst uncertainty

Mentalization Based Therapy

A transdiagnostic therapeutic approach for individuals, partners, families and systems

Clinical Supervision & Education

Ongoing consultation or didactics around therapeutic and interventional psychiatric approaches and business and technology of healthcare concerns

Monarch eTNS System

FDA-approved non-invasive neuromodulation for children with ADHD

Spravato (esketamine)

For treatment resistant depression and suicidal ideation, typically covered by insurance

Kind words from other clinicians

John Samuels, MPH
"Drs. Muir and MacMillan have been colleagues for several years. Both are extremely responsive and accessible to their patients and wonderful colleagues to work with. They work in conjunction with the medical team and work hard to go "above and beyond" to tirelessly support their patients. They are well trained and experienced in many modalities of mental health and use cutting edge treatment to support their patients."
John Samuels, MPH,
Founder and CEO of Better Health Advisors
Kari Groff, MD
"For the highest level of expertise in TMS, New York City clinicians look to the guidance of Dr. MacMillan and Dr. Muir for their leadership in this innovative and important FDA-approved treatment. It is an excellent treatment option for those who need rapid, effective results without the ongoing use of medication. The duo has been instrumental in helping patients gain access to an extremely effective treatment for depression and OCD, and it's clinical indications continue to expand."
Kari Groff, MD,
Private Practice Psychiatrist in NYC
David Carreon MD
"Owen is one of the smartest and most innovative doctors in practice today. His understanding of mental health challenges and how to care for them exceeds every other psychiatrist I know in private practice."
David Carreon, MD,
Medical Director of Acacia Mental Health 

Frequently Asked Questions

Are all sessions in-person or is telehealth available?

While TMS sessions are in person, the vast majority of appointments are conducted over telehealth. There are clinical circumstances and regulations around controlled substance prescribing where an in-person appointment is more appropriate. We work with patients and families around these situations. Please note that we are only able to conduct telehealth sessions in states where we are licensed.

How does communication work in between sessions?

At Fermata, we recognize that most of life happens outside of sessions and so we are able to communicate via secure text messaging or phone calls regarding urgent and logistical matters. We also recognize that accessing emergency services and psychiatric hospitalizations, while life-saving in some circumstances, can be life destroying when turned to in a reflexive, knee-jerk fashion. That is why we prioritize being available when crises arise to work collaboratively around getting help that is actually helpful.

Can I use my insurance at Fermata?

At this time, our clinicians are out-of-network with most insurance plans in order to provide the quality and type of care that we can stand behind. Dr.Muir is in network with Cigna and Dr.MacMillan with Medicare but not all services (e.g. accelerated TMS) are covered by insurance. In parallel, we advocate at the national level around increasing mental health parity and accessibility to quality mental health care. We hope to in the future be able to work more in an aligned way with more payers and stakeholders. Meanwhile, we do provide "superbills" upon request for out-of-network reimbursement for covered services if your plan has this benefit (e.g. a PPO plan). We are happy to provide guidance around plan selection. Our technology partner, Osmind, can also submit these superbills to insurance companies on your behalf if you prefer.

What forms of payment does the practice accept?

We accept all major credit cards, HSA/FSA cards, checks, cash, wire transfers/ACH payments and even cryptocurrency!

Are you hiring and do you work with trainees?

We are happy to partner closely with therapists interested in working in a collaborative model but are not hiring for staff therapists at this time to work directly at the practice. We are able to serve as supervisors for trainees or those with provisional licenses, however, depending on the circumstances. If you are trained as a deep TMS Technician or have a strong interest in getting this training, we are looking for more part-time technicians to work with our patients. To inquire about available opportunities, please contact us at