Tyler Patten, APRN, PMHNP-BC — board-certified psychiatric nurse practitioner, licensed in Florida
Cash-pay telehealth psychiatry for adults in Miami-Dade — a published price, and no insurance in the middle.
Miami is not short of psychiatric practices. It is short of ones that will tell you what a visit costs before you arrive, and Florida has one of the highest uninsured rates in the country — so a great many people here are paying out of pocket whether they planned to or not.
Concierge and boutique psychiatry is common in Miami-Dade, and prices reflect it. A first evaluation paid out of pocket routinely lands between $250 and $500, with follow-ups of $100 to $250, and often nobody quotes the number until after the appointment.
I’m Tyler Patten, a board-certified psychiatric nurse practitioner licensed in Florida. Flat pricing, published on this page: $175 for a full first hour, $65 for each follow-up, charged after the visit.
Published on purpose. Not knowing the number is the single most common reason people never book.
| Visit | Price |
|---|---|
| New patient evaluation — 60 minutes with Tyler | $175 |
| Follow-up visit — 20 minutes | $65 |
| Typical Miami-area private psychiatrist, first visit, out of pocket | $250–$500 |
| Typical follow-up, out of pocket | $100–$250 |
Payment is collected after your appointment, not when you book. A valid card is kept securely on file and charged once the visit is complete. No insurance is billed, so there is no deductible to meet and no surprise bill weeks later.
Pick a time that works. No referral, no waitlist, no phone tag — most new patients are seen within a week.
A full 60 minutes with Tyler, from anywhere in Miami with a private space and a connection. Click a link; nothing to install.
Prescriptions go electronically to your Miami pharmacy the same day. Follow-ups are $65 and always with the same provider.
Antidepressants, mood stabilizers, non-stimulant ADHD medication and non-habit-forming options for anxiety and sleep — started, adjusted, and reassessed properly rather than refilled forever.
I don’t prescribe controlled substances — no stimulants, no benzodiazepines. Florida has a great many telehealth practices built around exactly that; this isn’t one of them.
If you’ve been paying a subscription or a membership on top of visit fees, it’s worth comparing. There is no membership here — you pay for appointments you actually have.
Miami and the rest of Florida, all the same appointment:
See the full Florida page for statewide pricing, licensing and FAQs.
A full hour for $175, from anywhere in Miami.
Book your first appointment