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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
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American Academy of Child & Adolescent Psychiatry logo
Clinical TMS Society logo
Anna Freud National Centre for Children and Families logo
New York University logo
Harvard Medical School logo
University of Rochester logo
Northwell Health logo
McLean Hospital logo
Ketamine Task Force logo
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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 Transcranial Magnetic Stimulation machine
Technology Partners
Osmind logo
Spruce Health logo
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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 currently leading the management of suicidality curriculum at the Mayo Clinic general psychiatry and child and adolescent psychiatry training programs. He serves as the Vice President of Medical Affairs for First Tracks, a technology enabled network management platform focusing on mental health payment models.

Our Founders

Carlene MacMillan, M.D.

Carlene MacMillan, M.D., is a Harvard-trained board-certified adult, adolescent and child psychiatrist and the VP of Clinical Innovation at Osmind, a platform that enables clinicians to deliver breakthrough mental health treatments. She is the Co-Chair of the Clinical TMS Society Insurance Committee and the Co-Chair of the American Academy of Child and Adolescent Psychiatry Consumer Issues Committee. Dr.MacMillan is also a member 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.
Treatments

Our Practice Areas

01

Accelerated Deep Transcranial Magnetic Stimulation

Expertly crafted neuromodulation protocols to fit a wide range of diagnoses, schedules and ages
02

Medication Management

Psychopharmacology that is collaborative and strategic, involving evidence-based prescribing and rational de-prescribing when appropriate
03

Second Opinion Consultation

Comprehensive diagnostic assessment and treatment recommendations for individuals and families seeking a path forward amidst uncertainty
04

Mentalization Based Therapy

A transdiagnostic therapeutic approach for individuals, partners, families and systems
05

Clinical Supervision & Education

Ongoing consultation or didactics around therapeutic and interventional psychiatric approaches and business and technology of healthcare concerns
06

Forensic Consulting

For legal council looking for expert witness testimony in psychiatry, particularly as it relates to mental health parity legislation under the accountable care act or fiduciary duty as it relates to the combined appropriations act of 2021. We accept inquiries from legal counsel only.
Testimonials

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 
Get in Touch

Request a consultation

FAQ

Frequently Asked Questions

Are all sessions in-person or is telehealth available?

At Fermata, we recognize that most of life happens outside sessions and so are able to communicate via secure 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.

How does communication work in between sessions?

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

Can I use my insurance at Fermata?

At this time, we are out-of-network with insurance plans in order to provide the quality and type of care that we can stand behind. In parallel, we advocate at the national level around increasing mental health parity and accessibility to quality mental health care and hope to in the future to be able to work in a more aligned way with all stakeholders. Meanwhile, we do provide “superbills” for out-of-network reimbursement for covered services if your plan has this benefit (e.g. a PPO plan) and are happy to provide guidance regarding plan selection. Our technology partner, Osmind, can also submit these superbills to insurance companies on your behalf if your 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 info@fermata.health.