It’s about time to feel well.







Innovative Approach to Psychiatry










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 Brainify.ai.
He has over 200 academic presentations and publications to his credit, focusing on high-risk populations and the role of interventional psychiatry. His main research interest is in neuromodulation for treatment resistant mood disorders and obsessive compulsive disorder. He has over 60,000 hours of clinical experience and is an official supervisor for the practice of Mentalization Based Treatment. Dr.Muir is a gifted educator who creates Continuing Medical Education materials for the American Academy of Child and Adolescent Psychiatry and writes for the general public on topics at the intersection of healthcare and society on his popular Frontier Psychiatrists Substack. When not working to champion help that is actually helpful, he enjoys creating music and watching esoteric documentaries, especially with his twin children. He is licensed in NY.
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.
As a psychiatric futurist, she speaks regularly at a wide range of conferences from the American Psychiatric Association to SXSW and to the media on a wide range of topics from psychedelic medicine to health tech innovations. Prior to Fermata, she was the inaugural Medical Director of the NYC Ellenhorn Private Assertive Community Treatment program and the founder of Brooklyn Minds, a groundbreaking high acuity outpatient mental health group practice which was acquired by Curated Mental Health in 2022. She is a mom to two amazing twins, one of whom also wants to be a “feelings doctor” who is “good at technology” when she grows up. She is licensed in NY, MA, NJ, CA, MS and TX.

Our Practice Areas
Accelerated Deep Transcranial Magnetic Stimulation
Medication Management
Second Opinion Consultation
Mentalization Based Therapy
Clinical Supervision & Education
Monarch eTNS System
Spravato (esketamine)
Kind words from other clinicians
Frequently Asked Questions
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.
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.
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.
We accept all major credit cards, HSA/FSA cards, checks, cash, wire transfers/ACH payments and even cryptocurrency!
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.