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.
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.

Our Practice Areas
Accelerated Deep Transcranial Magnetic Stimulation
Medication Management
Second Opinion Consultation
Mentalization Based Therapy
Clinical Supervision & Education
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.