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PSYPACT

What’s the best way to get started?

The easiest—and preferred—way to get started is by clicking “Request Appointment,” which will take you to our online booking system. There, you can view available intake appointments and select a day and time that works best for you. After scheduling, you’ll receive a welcome email with intake form links and details about next steps.

Where are you located?

Neeley Psychological Services has two clinic locations:

  • Adult Clinic:

    3400 Southeast 196th Avenue, Suite 102, Camas, WA 98607

  • Child & Teen Clinic:

    1901 Main Street, Washougal, WA 98671

We also offer select types of assessments via telehealth in 40+ states through PSYPACT. You can view participating states on the PSYPACT map here: https://psypact.gov/page/psypactmap

Telehealth availability depends on the type of evaluation requested, the client’s physical location at the time of services, clinical appropriateness, and whether the client’s insurance plan covers telehealth services.

What types of adult evaluations do you perform?

Our adult evaluation practice primarily focuses on assessments for Autism Spectrum Disorder (ASD) and Attention-Deficit/Hyperactivity Disorder (ADHD). We also conduct evaluations for Obsessive-Compulsive Disorder (OCD) and Posttraumatic Stress Disorder (PTSD) when clinically appropriate.

Our evaluations are highly specialized and are typically focused on one or two diagnostic questions per evaluation. We do not provide broad or exploratory assessments intended to evaluate every possible diagnosis someone might meet under the DSM-5.

We do not specialize in evaluations for bipolar disorders, schizophrenia spectrum disorders, personality disorders, or adult learning disorders.

What does a typical adult assessment process look like?

Getting Started

The process begins by requesting an intake appointment through our website. Telehealth and in-office options are available for most adult clients, depending on client location, clinical appropriateness, and insurance coverage.

After submitting your request, you will receive a welcome email with links to all required intake materials. All forms are completed electronically and online. The email will ask you to:

  1. Complete intake forms
  2. Register for our secure client portal
  3. Complete a mental health screening questionnaire

These steps must be completed at least 72 hours before your scheduled intake appointment. If the required forms are not completed by that time, your intake appointment request may be denied. Once your intake forms are submitted, your appointment request is automatically confirmed.

Prior to your intake appointment, you will receive a message through the secure client portal from our billing department with an estimate of what your insurance may cover (if applicable) and any anticipated out-of-pocket expenses.

The Intake Appointment

The intake appointment typically lasts 30–50 minutes. During this visit, your clinician will:

  • Review the information you submitted
  • Gather additional background and symptom/trait information
  • Review the evaluation process
  • Answer any questions you may have

If we determine we are a good fit for one another, evaluation session(s) will be scheduled at the end of the intake appointment.

Evaluation Sessions

Evaluation session length varies depending on the type of assessment but is typically 1.5 to 2 hours. Most adult assessments consist of one to two evaluation sessions.

Neeley Psychological Services works with a team-based model. Several psychometrists assist with intake and evaluation services. Psychometrists are trained members of our clinical team who assist with administering standardized assessment measures and structured clinical interviews under the supervision of licensed psychologists. Your evaluation may involve one or more qualified team members.

Following the intake appointment, you will receive electronic rating scale forms by email. These must be completed at least 48 hours before your evaluation session. Please be sure to check your email spam folder throughout the process (keywords may include Neeley, MHS, or WPS).

Before your evaluation session, you will receive another portal message from our billing department with an updated estimate of the total evaluation cost. This may include a breakdown of co-pays, co-insurance, deductibles, and any projected out-of-pocket expenses. Please refer to our "Fees & Insurance" page for additional information.

Evaluation sessions may include a combination of:

  • Cognitive testing
  • Computer-based assessments
  • Standardized questionnaires (rating scales)
  • Structured diagnostic interviews

Most evaluations utilize standardized measures and structured clinical interviews tailored to the referral questions.

Reports and Feedback

After the evaluation is completed, a comprehensive diagnostic report is prepared. Reports are typically completed within 3 to 6 weeks, though timelines may vary depending on overall client volume.

You will receive an electronic copy of your report through the portal. If you would like us to share the report with another provider (e.g., a physician or prescriber), you will need to complete an electronic Release of Information (ROI) form.

A feedback session may be scheduled with your provider to further review results, if needed.

Important Note About Services

Neeley Psychological Services specializes exclusively in diagnostic evaluations. We do not offer therapy, coaching, treatment, or medication services. Your report may include recommendations, resources, and intervention options to support next steps.

What makes your adult assessment practice different?

One of the most distinctive aspects of Neeley Psychological Services is our specialization in adult populations that are often underserved in psychological assessment. Dr. Neeley has long focused on adult evaluations, an area where services are typically less available than child assessments.

We also specialize in Autism presentations in individuals assigned female at birth (AFAB) and gender-diverse adults—groups whose neurodivergent traits are frequently misunderstood, overlooked, or underdiagnosed. Many individuals in these populations report having their experiences minimized or misinterpreted within healthcare settings and may have previously received diagnoses that did not fully capture their lived experience. Our evaluations are designed to thoughtfully and carefully assess these presentations using current, evidence-based understanding of Autism.

Another distinguishing feature of our practice is that many of our evaluations are covered in full or in part by private insurance. Many assessment practices operate on a strictly private-pay basis, whereas we have invested in the infrastructure and billing support needed to work with insurance when possible.

Neeley Psychological Services is also known for a relatively efficient turnaround time, from initial intake appointment to completion of the diagnostic report. Over time, we have refined our processes and procedures to support a streamlined and organized assessment experience, while maintaining clinical depth and quality.

Finally, our adult evaluation process is collaborative and neurodiversity-affirming. We value your insight into your own experiences and view assessment as a shared process. With a strong understanding of diagnostic criteria and your expertise in your own life history, we work together to determine whether a diagnosis is appropriate and, if so, which diagnosis best helps make sense of your experiences.

I want to get my spouse or partner evaluated. What should I do?

Our first question is usually: Does your partner want to be evaluated? We understand and appreciate that loved ones often want to help with finding providers and accessing services. At the same time, we try to avoid situations in which someone is evaluated primarily to meet another person’s expectations, whether that is a spouse, partner, or therapist.

The assessment process works best when the individual being evaluated is motivated and personally invested. When someone does not want to participate, the process can be challenging and assessment results are often limited or inconclusive. Accurate assessment depends on active engagement and collaboration.

We strongly value client autonomy and do not believe in forcing evaluations or diagnoses on individuals who are not seeking them. If your spouse or partner is genuinely interested in being evaluated, we would be happy to help. We ask that they initiate the process themselves whenever possible.

I want to get my adult child evaluated. What should I do?

If your adult child has a genuine interest in being evaluated, we would be happy to help. It is important that the individual seeking services is willing and able to participate actively in the assessment process. For this reason, please do not schedule appointments unless you are confident your adult child is interested and engaged.

Please also note that, due to confidentiality requirements, we are unable to discuss evaluation details or results with parents or others unless the adult client has signed a Release of Information (ROI) form authorizing us to do so.

Will you need input from my family, friends, or healthcare providers during the evaluation?

For most self-referred adult clients, we do not typically need to gather information from others, although this may be recommended in some situations. The most common circumstance in which additional input is helpful is during evaluations for Autism Spectrum Disorder Level 2 or Level 3, where a broader understanding of support needs may be clinically important.

The majority of Level 1 Autism evaluations (associated with lower support needs relative to other Autism presentations) do not require consultation with family members, friends, or healthcare providers. However, with the client’s permission, we are always willing to review written input from family members, caregivers, or members of the healthcare team if the client believes it would be helpful.

My primary care provider and/or therapist said that I’m not Autistic. Should I still get evaluated?

It is not uncommon for individuals to receive differing opinions about Autism from well-intentioned providers. Many primary care providers, psychiatrists, therapists, educators, and even some psychologists have limited training in the full range of Autism presentations, particularly in adults and in individuals assigned female at birth. Autism assessment is a specialized area that is not emphasized in many professional training programs.

Because of this, informal opinions may sometimes be based on common misconceptions rather than a comprehensive evaluation. If questions remain, a formal assessment with a provider who specializes in Autism can help provide clarity. One helpful consideration is whether prior feedback was based on a structured diagnostic evaluation or a general impression.

If you have been told you are not Autistic but continue to have questions or feel that the explanation does not fully fit your experiences, seeking a comprehensive evaluation may still be worthwhile. A formal assessment can offer clarity, validation, and guidance, regardless of the outcome.

What child and teen age ranges do you work with?

We evaluate children and adolescents from approximately 2 years and 5 months through 17 years of age.

What child/teen diagnoses are you able to give?

As a licensed psychologist, Dr. Katherine Stubblefield (Dr. Kat) is able to provide diagnoses listed in the DSM-5-TR. Her areas of specialization include Autism Spectrum Disorder, Attention-Deficit/Hyperactivity Disorder (ADHD), Developmental Delay, Intellectual Disorder, and Specific Learning Disorders. She also has experience working with children who meet criteria for anxiety and depressive disorders.

Dr. Kat does not specialize in more complex psychiatric diagnoses, including Posttraumatic Stress Disorder (PTSD), Bipolar Disorders, Personality Disorders, or Schizophrenia Spectrum Disorders. If there is concern that one of these conditions may better explain a client’s presentation, referral for further evaluation by another psychologist will be recommended.

Why should I have my child/teen evaluated?

A comprehensive evaluation can provide valuable information about your child or teen’s cognitive, social, academic, and emotional functioning. This information helps you—and your child’s healthcare or educational team—make well-informed decisions about appropriate supports, services, and interventions.

In addition, many insurance providers require a formal diagnostic evaluation in order to approve certain therapeutic or support services. While a specific diagnosis cannot be guaranteed, the results of an evaluation can help clarify your child’s needs and support access to appropriate care and resources.

Why does my teen need to complete the intake history form when I can provide more detailed information?

You absolutely know your child well, and parent input is an important part of the evaluation process. At the same time, the purpose of the assessment is to understand your teen’s experiences from their own perspective. For this reason, it is important that they complete the intake history form as accurately and thoughtfully as possible.

Your teen is welcome to ask for your support while completing the form if needed. In addition, there will be opportunities for parents or caregivers to share their observations and insights throughout the evaluation process. Gathering information from multiple sources is clinically valuable; however, the extent of parent involvement is guided by confidentiality considerations and, when applicable, your teen’s consent.

My teen doesn’t have an email address, or I’m not comfortable with them having one. Can we use a parent’s email instead?

We understand that families may have concerns about online safety and want to make decisions that feel appropriate for their teen. However, we are unable to bypass this requirement. Teens ages 13 and older must have their own accessible email address in order to participate in services.

Your teen’s email is used to securely provide access to intake forms, rating scale forms, and the final report. In addition, under state and HIPAA confidentiality laws, we cannot release clinical information or assessment results to parents or guardians without the teen’s written consent. Having a dedicated email account helps ensure compliance with these requirements and supports your teen’s autonomy throughout the evaluation process.

Why do I need to complete a Release of Information (ROI) form for my teen?

Under Washington State law, individuals ages 13 and older may initiate psychological services without parental consent. While parents or guardians may also initiate services, teens must still provide assent to participate, and they retain full rights to confidentiality.

Because of these confidentiality protections, we are not legally permitted to share clinical information or evaluation results—including the final report—with parents or guardians unless we receive written consent from the teen through a Release of Information (ROI) form.

Do you evaluate clients in other states?

Yes. Neeley Psychological Services is licensed in Washington and Oregon, and is also a participant in the Psychology Interjurisdictional Compact (PSYPACT). PSYPACT allows us to provide telehealth and remote evaluation services to clients located in 40+ participating states. You can view the current list of participating states on the PSYPACT map here:

https://psypact.site-ym.com/page/psypactmap

Please note that some situations require in-office evaluation. For example, agencies that determine eligibility for disability income may require cognitive or IQ testing, which is often conducted in person. If you are seeking an evaluation to qualify for a specific program or service, it is your responsibility to determine that program’s documentation and testing requirements in advance.

Additionally, while we may be licensed to provide telehealth services in your state, some insurance plans do not cover evaluations conducted via telehealth. Insurance coverage must be verified separately.

How do I prepare for the evaluation?

Preparation is straightforward. After your intake appointment, we will email you the required assessment forms. Completing these forms is the primary way to prepare for your evaluation. Child and teen evaluations may also include parent and/or teacher forms, when appropriate.

All rating scale forms should be completed at least 48 hours before your evaluation session whenever possible. If you miss this deadline, please complete the forms as soon as you are able. We also recommend checking your email spam folder throughout the assessment process (common keywords include Neeley, MHS, and WPS).

Some adult clients—particularly those seeking Autism evaluations—choose to compile notes, timelines, or brief summaries of relevant traits and experiences. If you find this helpful, you are welcome to share these materials with us through the secure client portal (preferred) or by emailing admin@neeleypsych.com. To help us review materials efficiently, please limit submissions to five pages or fewer, with brief summaries or bullet points preferred.

Do you accept insurance, and will insurance cover my evaluation (including telehealth)?

Neeley Psychological Services accepts some private insurance plans. Coverage may vary depending on the provider (e.g., Dr. Neeley vs. Dr. Kat), the type of evaluation requested, and your specific insurance plan. A list of private insurance plans we generally accept, organized by provider, can be found on our "Fees & Insurance" page. We do not accept Medicaid or other state-funded insurance plans.

We are unable to guarantee that insurance will cover any portion of an evaluation, including ADHD or Autism assessments. Insurance plans change frequently and may vary by state and by individual policy. The only way to determine potential coverage is for us to verify your benefits after receiving your insurance information.

It is also important to note that some insurance plans cover evaluations conducted in person but do not cover evaluations completed via telehealth. If telehealth services are requested, coverage must be verified separately.

Neeley Psychological Services makes every effort to provide an accurate estimate of the total costs associated with your evaluation services. Estimates are provided to the best of our ability; however, insurance coverage can vary, and certain factors may not be fully known until claims are processed. As a result, the final amount owed may differ from the initial estimate. Any portion of the evaluation not covered by insurance is the client’s responsibility.

What insurance plans do you accept?

A list of private insurance plans we generally accept, organized by provider, can be found on our "Fees & Insurance" page.

Do you accept Medicaid or state insurance?

No, Neeley Psychological Services does not accept Medicaid or other state-funded insurance plans. This is a well-known barrier across many psychological assessment practices. These plans often involve significant administrative and authorization requirements and, even after those steps are completed, services are frequently not approved or ultimately not covered.

Like many practices, we have explored participation in the past. Unfortunately, these systemic barriers make it difficult to reliably provide comprehensive psychological assessment services under Medicaid or state insurance plans.

At this time, options for full psychological assessment covered by Medicaid or state insurance remain very limited. We encourage individuals to contact their insurance provider or local community mental health agencies to inquire about available evaluation or referral options.

Does insurance cover academic or Specific Learning Disorder testing?

No. Insurance companies do not cover assessment of academic skills (such as reading, writing, or math testing) that is required to determine whether a child or teen meets criteria for a Specific Learning Disorder. As a result, academic testing is always billed as an out-of-pocket expense.

If an evaluation includes both ADHD and/or Autism testing and academic testing, insurance may be used for the ADHD/Autism portion of the evaluation (depending on your plan), while academic testing is billed separately as private pay.

Once intake information is reviewed, our billing team will provide an estimate outlining what insurance may cover, if applicable, and any anticipated out-of-pocket costs.

How much do out-of-pocket evaluations cost?

Out-of-pocket evaluation costs vary based on the scope of services. Please see our "Fees & Insurance" page for details on our tiered pricing system, which is designed to provide transparent and predictable costs. Once the scope of your evaluation is determined, you will receive a Good-Faith Estimate outlining the anticipated total cost, in accordance with federal requirements.

That page also describes our payment plan options, which are available to all clients with balances exceeding $300.

Do you offer payment plans?

Yes. We offer 3-, 6-, and 12-month payment plans for balances of $300 or greater. Payment plans are billed automatically for convenience, and details are clearly outlined in advance so there are no surprises. Please visit our Fees & Insurance page for additional information.

Why do you require a form of payment on file?

Neeley Psychological Services requires a payment card or ACH authorization on file to streamline billing and reduce administrative delays. This system allows us to process payments efficiently and minimizes the need for invoice reminders or manual payment collection.

Having a payment method on file helps us maintain an organized and predictable billing process, which in turn allows us to offer transparent and competitive pricing for our services. This approach supports timely service delivery and helps ensure we can continue providing high-quality evaluations.

Do you provide therapy or counseling services?

Neeley Psychological Services does not currently offer therapy or counseling services, though we hope to expand into these services in the future. In the meantime, therapists and counselors can be located through the Psychology Today Therapist Directory:

https://www.psychologytoday.com/us/therapists

Can you prescribe medication?

No. Neeley Psychological Services does not prescribe medication. Depending on your location, we may be able to offer referral options. Psychiatric medication prescribers can also be found through the Psychology Today Psychiatrist Directory:

https://www.psychologytoday.com/us/psychiatrists

Can you help me obtain work accommodations related to my diagnosis?

Possibly, depending on the process involved. We recommend first contacting your employer’s human resources department to learn more about their specific accommodations process. Clients are responsible for researching which accommodations may be available and helpful for their situation, as we are not able to advise on which specific accommodations to pursue.

If a brief letter or short accommodation form is required, we can often assist, provided you supply the necessary details about what is being requested. More extensive or time-intensive documentation may incur an additional fee.

Please note that we are often unable to complete lengthy disability paperwork or ADA Medical Certification forms, as these documents are typically not designed for neurodevelopmental diagnoses such as Autism or ADHD. In many cases, these forms are better completed by a primary care provider or other medical professional.

Can you complete documentation for a Total and Permanent Disability (TPD) discharge or TEACH Grant service-obligation discharge?

In most cases, no. While Neeley Psychological Services regularly evaluates and diagnoses Autism Spectrum Disorder (ASD) in adults, we generally do not complete documentation for Total and Permanent Disability (TPD) or TEACH Grant discharges.

In our clinical experience, at least among the majority of Autistic adults who self-refer for an ASD evaluation in our practice, it is uncommon to meet the federal criteria for Total and Permanent Disability, which require evidence of an inability to engage in any substantial gainful activity across all forms of work. This is not meant to invalidate or dismiss the very real challenges, impairments, and support needs that many of our clients experience, but rather to clarify that the federal TPD standard reflects a different and much higher threshold than a diagnostic Autism evaluation is designed to address.

Our assessments focus on diagnosis, support needs, and clinical recommendations—not on establishing global, permanent vocational incapacity. In addition, some documentation requests associated with these programs involve outdated or ethically problematic measures, such as requests for a Global Assessment of Functioning (GAF) score, which is no longer used or supported in contemporary psychological practice.

If your primary goal is to pursue a TPD or TEACH Grant discharge, you may be better served by a provider who specializes in disability determinations or long-term functional capacity evaluations. We encourage reviewing the federal requirements in advance to determine the most appropriate next steps.

Will my diagnosis qualify me for disability income?

There is no single answer to this question. Eligibility for disability income varies widely by program, state, and funding source, and requirements can change over time. Because we serve clients in 40+ states, we are not able to track or advise on the specific eligibility criteria for each program.

It is the client’s responsibility to determine what documentation or assessment components a particular program requires in order to be considered for benefits. For example, some programs may require a specific type of Autism evaluation, documentation of functional limitations, or a comprehensive intellectual (IQ) assessment, which may or may not be within the scope of a given evaluation.

If you are pursuing disability income or other benefits, we strongly encourage you to identify any specific assessment requirements in advance and let us know early in the process so we can determine whether those needs can be accommodated.

Can an Autism Spectrum Disorder diagnosis harm or hinder me in any way?

There is no simple or universal answer to this question. How a diagnosis may affect someone can vary depending on individual circumstances, legal context, and how or whether the diagnosis is disclosed.

An Autism diagnosis can provide clarity, validation, and access to appropriate supports or accommodations for many individuals. At the same time, questions about potential legal, employment, insurance, or other implications fall outside the scope of psychological assessment and into the realm of legal policy, which can change over time and vary by situation.

Because of this, we are not able to provide legal guidance or predict how a diagnosis might impact a specific individual. We encourage clients to conduct their own research and, if they have concerns about legal or regulatory implications, to consult with a qualified attorney or other knowledgeable professional.

Importantly, choosing whether, when, and to whom to disclose a diagnosis is always the individual’s decision.

Do you have a waitlist?

Neeley Psychological Services does not use a waitlist. We typically have intake appointments available within a few weeks to a few months, depending on the service. The most up-to-date availability can be viewed by clicking “Request Appointment” on our website, which will display the next available intake appointment slots.

I heard the NIH is amassing private medical records to study Autism. Is my private data safe?

We understand why this question may raise concerns, and we want to reassure you that Neeley Psychological Services is fully committed to protecting your privacy. The confidentiality of your health information and the services you receive is taken very seriously.

Under the Health Insurance Portability and Accountability Act (HIPAA), strict federal standards govern how protected health information may be used or disclosed. In accordance with these laws, we do not release diagnostic information, records, or reports to outside organizations—including research entities such as the National Institutes of Health—without your explicit written authorization.

We maintain a strict policy requiring your consent and clear direction regarding what information, if any, you wish to share and with whom. Releasing private health information without authorization would be illegal, unethical, and a violation of professional licensing standards.

If insurance is used, please be aware that insurance companies may request limited clinical or medical records, including diagnostic information, as part of their standard claims review, utilization review, or audit processes. These requests are governed by HIPAA, are a condition of using insurance benefits, and are outside the control of our practice. When such requests occur, we limit disclosures to the minimum information required.

We are committed to upholding legal and ethical standards while advocating for our clients. Our focus remains on providing accurate, comprehensive, and neurodiversity-affirming evaluations while safeguarding your privacy throughout the assessment process.

Where can I leave a review?

We do not actively solicit reviews in order to protect client confidentiality. That said, you are welcome to leave a review on our Google business page if you choose to do so.

If you have had a negative experience with Neeley Psychological Services, we would greatly appreciate the opportunity to address your concerns directly before a negative review is posted. Please feel free to contact Dr. Neeley at ben@neeleypsych.com so we can work toward a resolution.

Are you hiring?

Possibly. Neeley Psychological Services has experienced significant growth over the past several years and is currently focused on refining internal processes before further expansion. That said, we are always interested in connecting with psychologists and licensed mental health professionals who have experience in Autism and ADHD assessment.

We are also exploring the potential expansion of neurodiversity-informed therapy or coaching services and are interested in building a network of qualified, neurodiversity-affirming clinicians. This future expansion would likely involve hiring an experienced clinical supervisor with an entrepreneurial mindset to help lead and develop this area of the practice.

If you are a psychologist, licensed mental health professional, or clinical supervisor who believes you may be a good fit, please contact us at admin@neeleypsych.com.

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