# Telepsychiatry across California, by secure video > Online psychiatric care by secure video anywhere in California: evaluation and medication management with a psychiatric-mental health nurse practitioner. **Source:** https://breakthroughmentalhealth.health/telepsychiatry/ **Provider:** Breakthrough Mental Health, 3646 Long Beach Blvd # 205, Long Beach, CA 90807 (telehealth across CA) Online psychiatric care Psychiatric evaluation and medication management from wherever you are in the state, with no drive and no parking garage. Quick answer We see patients by secure video anywhere in California, for a psychiatric evaluation and ongoing medication management. Video visits are with Irine Achuamang, MSN, PMHNP-BC, a psychiatric-mental health nurse practitioner who is accepting new patients. We are in network with many major plans. We do not currently take Medi-Cal managed care. [Request an appointment](https://breakthroughmentalhealth.health/book/) · [Call (818) 286-3862](tel:+1-818-286-3862) Your provider ## Who you see by video *(image: Irine Achuamang, MSN, PMHNP-BC)* ### [Irine Achuamang, MSN, PMHNP-BC](https://breakthroughmentalhealth.health/providers/irine-achuamang/) Board-Certified Psychiatric Nurse Practitioner Accepting new patients - Anxiety - Depression - ADHD - Bipolar Disorder - OCD [View profile](https://breakthroughmentalhealth.health/providers/irine-achuamang/) Every video visit is with Irine Achuamang, MSN, PMHNP-BC, a psychiatric-mental health nurse practitioner licensed in California. She also sees patients at our office, so moving between video and the office does not mean starting over with someone new. By video, Irine provides [psychiatric evaluation](https://breakthroughmentalhealth.health/treatments/psychiatric-evaluation/) and [medication management](https://breakthroughmentalhealth.health/treatments/medication-management/) for patients anywhere in California. Conditions she treats include: - [Anxiety & Related Disorders](https://breakthroughmentalhealth.health/conditions/anxiety/) - [Depression & Related Disorders](https://breakthroughmentalhealth.health/conditions/depression/) - [ADHD](https://breakthroughmentalhealth.health/conditions/adhd/) - [Bipolar & Related Disorders](https://breakthroughmentalhealth.health/conditions/bipolar/) - [Obsessive-Compulsive Disorder (OCD)](https://breakthroughmentalhealth.health/conditions/ocd/) - [Generalized Anxiety Disorder](https://breakthroughmentalhealth.health/conditions/gad/) - [Panic Disorder](https://breakthroughmentalhealth.health/conditions/panic-disorder/) - [Social Anxiety Disorder](https://breakthroughmentalhealth.health/conditions/social-anxiety/) - [Post-Traumatic Stress Disorder (PTSD)](https://breakthroughmentalhealth.health/conditions/ptsd/) - [Trauma-Related Disorders](https://breakthroughmentalhealth.health/conditions/trauma/) - [Insomnia](https://breakthroughmentalhealth.health/conditions/insomnia/) - [Autism Spectrum Disorder](https://breakthroughmentalhealth.health/conditions/autism/) - [Eating Disorders](https://breakthroughmentalhealth.health/conditions/eating-disorders/) - [Personality Disorders](https://breakthroughmentalhealth.health/conditions/personality-disorders/) - [Psychotic Disorders](https://breakthroughmentalhealth.health/conditions/psychotic-disorders/) - [Schizophrenia](https://breakthroughmentalhealth.health/conditions/schizophrenia/) Video suits most of this care. If any part of yours needs an office visit, we will tell you. Step by step ## How a telepsychiatry visit works 1. ### Request a time Choose one of our next openings online, or call (818) 286-3862. A real person confirms your visit, usually within one business day. Tell us then that you would like to meet by video. 2. ### Find a private spot Join from anywhere in California, as long as you are in the state during the visit, somewhere you can talk without being overheard. A phone, tablet or laptop with a working camera and microphone is enough. 3. ### Your first visit A psychiatric evaluation of about an hour. Irine asks about your symptoms, your history and your goals, then explains what she finds and the next steps she recommends. 4. ### Follow-up visits Shorter medication management visits of about 30 minutes, by video or in the office. If you need lab work, it can be drawn near you and the results gone over by video. Video or the office ## Video, the office, or both Our [Long Beach office](https://breakthroughmentalhealth.health/psychiatrist-long-beach/) is at 3646 Long Beach Blvd # 205, Long Beach, CA 90807. Telehealth available across California, with new locations coming to Northern California. Come in instead when you need a hands-on check, or when there is nowhere private to talk. Still deciding? The article [Is Telehealth Psychiatry Right for You? A Checklist for California Patients](https://breakthroughmentalhealth.health/resources/telehealth-psychiatry-california/) walks through the questions to answer before a first video visit, and [In-Person vs Telehealth Psychiatric Care: A Side-by-Side Comparison](https://breakthroughmentalhealth.health/resources/in-person-vs-telehealth-psychiatry/) sets the two formats next to each other, from travel to privacy. **Office:** 3646 Long Beach Blvd # 205, Long Beach, CA 90807 **Hours:** Mon–Fri · 8 AM–6 PM (Pacific) **Phone:** [(818) 286-3862](tel:+1-818-286-3862) ## Cost and insurance Self-pay rates are the same for a video visit as for an office visit: $250 for an initial psychiatric evaluation (about an hour) and $150 for a follow-up visit (about 30 minutes). Sliding-scale options are available. Just ask. We are in network with many major plans, and every plan we accept is listed on our [insurance and self-pay rates](https://breakthroughmentalhealth.health/insurance/) page. Coverage differs from one plan to the next, so please check yours with us before your first visit. We do not currently take Medi-Cal managed care. If that is your coverage, we are a self-pay option rather than a covered visit. ## Not for emergencies Video visits are booked ahead for ongoing care. If you or someone you know is in crisis, call or text 988 (free, 24/7). [Call or text 988](tel:988) · [988 Suicide & Crisis Lifeline](https://988lifeline.org/). If you are experiencing a medical emergency, call 911. ## Frequently asked questions ### How does a telepsychiatry visit work? Request a time online or call (818) 286-3862, and a real person confirms it, usually within one business day. At the appointment you join a secure video visit from a private spot anywhere in California (you need to be in the state during the visit), on a phone, tablet or laptop with a camera and microphone. The first visit is a psychiatric evaluation of about an hour, and follow-ups are shorter medication management visits of about 30 minutes. ### Who will I see at a telepsychiatry visit? Video visits are with Irine Achuamang, MSN, PMHNP-BC, a psychiatric-mental health nurse practitioner licensed in California. She also sees patients at our Long Beach office, and she is accepting new patients. ### What does a telepsychiatry visit cost? Self-pay rates are the same as for an office visit: $250 for an initial psychiatric evaluation (about an hour) and $150 for a follow-up visit (about 30 minutes). Sliding-scale options are available. Just ask. We are in network with many major plans, so please check your own plan with us before your first visit. We do not currently take Medi-Cal managed care. If that is your coverage, we are a self-pay option rather than a covered visit. ### Can I use a telepsychiatry visit in a crisis? No. Video visits are booked ahead for ongoing care. If you or someone you know is in crisis, call or text 988 (free, 24/7). If you are experiencing a medical emergency, call 911. ## Start with a video visit Request a time online and a real person confirms it. Tell us you would like to meet by video, or call us first with any questions. [Request an appointment](https://breakthroughmentalhealth.health/book/) · [Call (818) 286-3862](tel:+1-818-286-3862)