- Manhattan · Direct Pay · Concierge
Psychiatric Care in Manhattan— At Home, In Office, or by Telehealth
This practice is led by Dr. Raymond Zakhari, a triple board-certified nurse practitioner (ANP-BC, FNP-BC, PMHNP-BC) specializing in psychiatric care for Manhattan patients and families.
For patients and families who need thorough evaluation, real access to their clinician, and care that continues beyond the first appointment.
This practice provides psychiatric care for children, adults, and older patients through house calls in Manhattan, office visits at 1115 Broadway, and telehealth.
- Direct-pay practice · $800 per visit · All visit types
Triple board-certified
ANP-BC · FNP-BC · PMHNP-BC
House calls + Office + Telehealth
Manhattan · All visit types · Same fee
Direct access
No referral, no insurance routing
1115 Broadway
Manhattan, New York
What brings you here today?
Each concern is evaluated in full clinical context — not just categorized.
Geriatric Psychiatric Care
Family & Young Adult Mental Health
Men's Mental Health & Performance
Sexual Health & Sex Therapy
Addiction & Compulsive Behaviors
What drives symptoms — and what this practice looks for
Care is guided by a biopsychospiritual model, meaning symptoms are understood in the context of brain function, behavior patterns, relationships, and life experience.
This practice also draws on Imprinted Arousal Pattern (IAP) theory — a clinical framework that helps explain how repeated patterns of stress, reward, meaning, and behavior become biologically reinforced over time.
The goal is not only symptom relief. The goal is to understand the pattern driving the problem and intervene at the right level.
Brain & Biology
Fewer emergency room visits and hospital admissions driven by preventable issues.
Behavior & Psychology
Behavior patterns, learned responses, developmental history, and the psychological drivers of recurring symptoms.
Relationships & Meaning
Family systems, life context, identity, and the role meaning plays in how symptoms develop and persist.
IAP — Pattern Thinking
Imprinted Arousal Pattern (IAP) theory is a clinical framework developed within this practice to explain how emotional experiences, arousal states, and behaviors can become linked together over time — forming reinforced loops that drive recurring symptoms. It is used here to identify the underlying pattern behind a patient's presenting problems, not just the surface diagnosis.
What this practice addresses
Each service area is grounded in the same biopsychospiritual model — careful evaluation, individualized treatment, and a focus on what is actually driving the problem.
GeriatricGeriatric Psychiatric Care
- Memory loss and cognitive decline
- Dementia assessment and management
- Delirium identification and treatment
- Medication review and deprescribing
- Coordination with families and care teams
Family & DevelopmentChild, Adolescent & Young Adult Care
- Anxiety, mood, and behavioral concerns
- School-related and developmental problems
- Failure-to-launch in emerging adults
- Family conflict and early substance use
- Developmentally appropriate family involvement
Men's Mental HealthMen's Mental Health & Performance
- Burnout and chronic stress
- Mood changes and irritability
- Focus and performance concerns
- Behavioral patterns affecting work or relationships
- Sexual health concerns overlapping with mood
Sexual HealthSex Therapy & Sexual Health
- Low libido or desire concerns
- Erectile concerns with psychological contributors
- Performance anxiety and shame-related struggles
- Compulsive sexual behavior
- Pornography-related patterns affecting intimacy
Addiction & CompulsiveAddiction & Compulsive Behaviors
- Alcohol, opioid, and benzodiazepine use
- Gambling and financial risk behavior
- Compulsive sexual behavior and pornography-related patterns
- Relapse cycles and high-risk behaviors
- IAP-informed pattern analysis and relapse prevention
Fees & Visit Types
Clear structure. Transparent pricing.
This is a direct-pay practice. Insurance is not billed. This model is designed around direct clinician access, thoughtful evaluation, and continuity of care.
$800
per visit
All visit types included
- House calls in Manhattan
- Office visits at 1115 Broadway
- Telehealth visits
Documentation note: If requested, documentation may be provided for out-of-network submission, but reimbursement is not guaranteed and is the patient’s responsibility to pursue.
Common Questions
Frequently Asked Questions
Clear answers about how this practice works, who it serves, and what to expect.
Does this practice accept insurance?
No. This is a direct-pay practice. Insurance is not billed for any visit type. If requested, a superbill (documentation of service) can be provided for you to submit to your insurer for potential out-of-network reimbursement. Reimbursement is not guaranteed and depends on your plan.
Do I need a referral to make an appointment?
No referral is required. Patients and families can contact the practice directly.
What areas does Dr. Zakhari cover for house calls?
House calls are available throughout Manhattan. Office visits are available at 1115 Broadway. Telehealth is available to patients located in New York State.
What age groups does this practice treat?
This practice treats children, adolescents, adults, and older adults. Family involvement is incorporated when appropriate.
What conditions does this practice treat?
Areas of focus include geriatric psychiatry, anxiety and mood disorders, men’s mental health, sexual health concerns, addiction and compulsive behaviors, and family and young adult mental health.
Is the fee the same for house calls, office visits, and telehealth?
Yes. The fee is $800 per visit regardless of visit format.
Can documentation be provided for insurance reimbursement?
Documentation for out-of-network submission can be provided upon request, but reimbursement is not guaranteed and is the patient’s responsibility to pursue.
Insights
Clear explanations for complex concerns
For patients, families, and referral sources trying to make sense of psychiatric and medical-psychiatric problems.
Homepage
Manhattan · Direct Pay · Concierge Psychiatric Care in Manhattan— At Home, In Office, or by Telehealth This practice is led by Dr. Raymond Zakhari, a triple board-certified nurse practitioner
General Inquiries
For general questions — not personal health information — you may send a message. Messaging is monitored during business hours and is not HIPAA compliant.
For urgent or emergency concerns, call 911 or go to the nearest emergency department.
Messaging Notice
This form is not monitored continuously. Do not use it for clinical questions, prescription requests, or time-sensitive matters. All communications through this form are for administrative and scheduling inquiries only.
Next step: a confidential call
If you are considering care for yourself or a family member, the best place to start is a short, confidential conversation. This conversation helps clarify the problem, explain how care is structured, and determine whether this is the right fit.