Women’s Reproductive and Perinatal Psychiatry

P. Lynn Ouellette MD DLFAPA

80 Raymond Road Brunswick, ME 04011

207-721-0080

plouellettemd@gmail.com

As of 9/1/25 my practice became part-time and primarily focused on Perinatal Psychiatry so I will be only accepting those referrals. My General Adult Psychiatric Practice was retired as of the end of August. My specialty interest and education has focused on in perinatal mood and anxiety disorders, providing treatment to women with depression and other mood disruptions and anxiety both during pregnancy and after having a baby, and on perinatal loss. I will also  provide preconception consultations regarding psychiatric  medication use during pregnancy. I also provide care for mental health difficulties  related to other women’s issues such as the menstrual cycle and menopause.

About Dr. Ouellette: 

I graduated from Tufts Medical School and completed my residency trainIng at Tufts/ New England Medical Center. I am a Board Certified Psychiatrist and a Distinguished Fellow of the American Psychiatric Association. When I first moved to Maine in 1988 I worked at Jackson’s Brook Institute which is now Spring Harbor Hospital for two years. I have been in private practice in Brunswick, Maine and on the staff at Mid Coast Hospital since 1991. In the past I have provided general adult psychiatric care, including diagnostic evaluations, medication treatment, and psychotherapy for mood disorders, anxiety, PTSD, personality disorders and more. However, over the years I have developed more training and expertise in the specialty area of perinatal psychiatry and women’s reproductive psychiatry. This includes the treatment of women during pregnancy and in the postpartum period, dealing with pregnancy loss, infertility, preconception counseling, and mental health issues related to the menstrual cycle and menopause. I have taught extensively throughout Maine in various settings about perinatal psychiatry. As I have moved into a part-time practice, I have chosen to focus solely on perinatal and women’s reproductive mental health.

I most enjoy and prefer to provide both the psychotherapy and the medication treatment; my focus is not exclusively medication treatment and believe that medication treatment should always be accompanied by psychotherapy. I consider it a great privilege to do this kind of work which allows me to be let into my patients’ personal thoughts and feelings in very intimate ways and I find it very gratifying to build trusting relationships which I feel are a huge component of healing in the treatment.

Contact information and Office Hours:

My current office hours are Tuesdays and Thursdays from 8AM to 6PM. I am seeing patients both in person at my office at 80 Raymond Rd in Brunswick, Maine and via telemedicine on a Doxy.me platform. The best way to reach me is through my email at plouellettemd@gmail.com.You may also contact me at my office number at 207-721-0080 where you can leave a voicemail.

Requests for records should be made by mail at my office address above. You can also email me if you have questions about obtaining records or release of information. They cannot currently be requested by fax due to technical problems.

Payment:

As of 9/1/25 and becoming a part-time practice, I stopped working with insurance companies after doing so for over 30 years. I now ask that payment be made at the time or soon after services are rendered. That can be done by personal check or by arranging a bank check or electronic transfer through Zelle at your bank or credit union. If you have out of network benefits through your insurance, I can provide you with the necessary information on a superbill that will allow you to submit for reimbursement.

Fee schedule updated for 9/1/25

Initial Psychiatric Evaluation (60-90 minutes) 90205/90972 ____________$315

Evaluation and management (medication treatment, consideration of medical co-occurring problems, treatment assessment and decision making, etc

Stable low complexity if combined with psychotherapy (99213)_________$125

Standard, moderate complexity or  25-30 minutes (99214) ____________$155

More complex or over 30 up to 45 minutes 99215_____________________$195

(more complex treatment or multiple prescriptions including controlled substances, more than one pharmacy, prescriptions frequently requested outside of appointments, meds requiring prior authorization)

Psychotherapy with medical services:

45-50 minutes  with stable medical monitoring__________________________$225

with standard medical services ___________ (most common)$255

     With complex med services_____________________________$295

Psychotherapy alone 55 to 60 minutes_________________________________$295

Psychotherapy plus med services when billed to insurance involves both a med visit and psychotherapy code. Medical management codes are as above. Psychotherapy codes only when billed with med management are as below: 

Psychotherapy with med man 45-55 minutes_____________________________$100

Psychotherapy with med man over 60 minutes____________________________$135

E.g. 45-50 minutes psychotherapy 90836 @ $100 and moderate level med services 99214 @$155 is the total charge of $255  for the visit.

PLEASE NOTE: IF YOU ARE RECEIVING PSYCHOTHERAPY AND MEDICATION TREATMENT, current insurance standards for claims filing require that each visit be billed with one charge for psychotherapy and another charge for medication management resulting in 2 charges per one visit, most commonly 99213+90836. Since it is assumed that the med management, which is inseparable from the therapy, also requires time in addition to the therapy itself, you are most often charged for the 45 minute therapy code (technically 38-52 minutes) plus the 99213 or 99214 medication management code. The total visit time will usually be 50-60 minutes. The extra 5-10 minutes at the end is time I need to call in your prescriptions and to write down a few notes from the appointment.

99442 Phone  consultation for medication treatment  11-20 minutes $95

99443 Phone consultation for medication treatment   21-30 minutes $135

Phone consultations are only  covered by insurance if medical treatment is the topic of concern, not for psychotherapy 

90899 “Unlisted psychiatric service or procedure” to be used for billing for work over 15 minutes such as:

Extensive records review, preparing extra reports requiring time that is beyond routine, filling out extra forms and paperwork, usually not covered by insurance and billed to patient at $50 per 15 min interval. 

Fees for appointments not cancelled at least 48 business hours in advance will be charged at the rate equal to the cost of the appointment which had been scheduled. 

I am always happy to talk with people over the phone as needed. However, extended phone conversations beyond 10-15 minutes will be considered psychotherapy and charged at a psychotherapy rate.