"I am The Way and The Truth
and The Life" John 14:6 ♥
Serve God by serving others.
Pink Positive Psychology specializes in individual therapy for females 13+ and their families.
We take an individualized and humanistic eclectic treatment approach, choosing from a wide array of evidence-based techniques
tailored and customized to address the specific needs of each person.
Research shows the most important factor to clients improving in therapy is the therapeutic alliance,
thus, choose a clinician you feel most comfortable with.
Females / Women / Christian Counseling
Private pay sessions are $160.00 per 1-hour face-to-face session or per
1-hour phone session. Insurance does not pay for phone sessions.
Fill out form online
Click HERE to schedule an appointment.
Call Pink Psy (833) 746-5779 to schedule an appointment.
Text Melissa E. Mendoza, LMSW at cell ph: (586) 209-7092 to schedule an appointment.
E-mail Melissa Mendoza at MMendozaLMSW@gmail.com to schedule an appointment.
Melissa has a HIPPA compliant e-mail to communicate for coordinating care but her personal e-mail is used for new client appointments.
*All Form(s) are HIPPA compliant and ENCRYPTED which means your information is safe and secure.
The Center For Natural Healing
From the East: I-696 to Exit 16 Main Street/Woodward/Detroit Zoo. Merge on to 10 Mile (Service Drive).
Right onto Woodward, slight Right on Washington (LA Fitness on your left). Go about 1/4 Mile.
The Building is on the right side of the street at the Corner of Washington and Harrison, next to The School of Rock.
From the West: I \-696 to Exit 16 Main Street/Woodward/Detroit Zoo. Merge on to 10 Mile (Service Drive). Left onto Woodward, slight Right onto S.
Washington (LA Fitness on your left). Go about 1/4 Mile. The Building is on the right side of the street at the Corner of Washington and Harrison, next
to The School of Rock.
From I-75: Take I-75 to I-696. Go West on I-696 to Exit 16 Main
Street/Woodward/Detroit Zoo. Merge on to 10 Mile (Service Drive), slight Right on Washington (LA Fitness on your left).
Go about 1/4Mile. Building is on the right side of the street at the Corner of Washington and Harrison, next to The School of Rock.
Convenient free parking in the gravel parking lot behind the green garage at the back of the Center for Natural Healing. Parking is also available on Washington Street and Harrison Street.
Pink Positive Psychology
1103 S. Washington
Royal Oak, MI 48067
Ph: (833) Pink-Psy
Fax: (833) 233-3547
Bathrooms are upstairs on the 2nd floor.
Drivers License / Insurance Card(s) / Credit Card / Forms
*Please fill out forms before session online or at office; hard copies of forms are on the front desk. Thank you!
There is no receptionist. Upon arrival make yourself comfortable in the waiting area and please text your clinician that you have arrived
i.e. “Jane D. here” and she will be with you at your scheduled appointment time.
On-line: Click on Link and fill out forms on your phone or PC
Online-Forms only take 5-minutes each to fill out.
By Hand: Print & Fill Out At Home in Blue or Black Ink & Bring Forms to Session
In Person: Let Clinician Know You Will Arrive to Session Early To Fill Out Forms in Person (Forms will be on front desk).
This form explains our expectations of you as a client, your protections and rights as a client, and our fees. Please read and fill out client name, and emergency contact.
This form serves as an authorization to input your credit card information into our secure system and charge it when a balance on your account exists.
This is an assessment tool to assess the magnitude of client's level of Depression; form only takes 5-7 minutes to fill out you can fill out on your phone.
This is an assessment tool to assess the magnitude of client's level of Anxiety; form only takes 5-7 minutes to fill out.
This form is required for releasing information wherein form is used to coordinate care with other professionals such as your Primary Care Physician; Psychiatrist; Lawyer, School Counselor; Probation Officer; ect.
Payment processed/due in full at onset of session; you will receive a receipt.
Credit card payments: Visa, Mastercard, Discover & American Express
I am aware my sessions are 53-minutes long wherein 10-minutes to the hour
we will have a few minutes to summarize. Intake sessions typically last an hour.
Regarding arriving to appointment(s), any scheduling matters please contact clinician via mobile/cell phone.
Please give your clinician 24-48 hours of notice if you need to cancel/reschedule your appointment to avoid the $75 cancel fee.
Please note clinician(s) do not work on an emergency basis.
If an emergency situation arises, you should call 911 to go to the nearest hospital emergency room.
IMPORTANT: Your benefits may change at any time and it is ultimately the client's/responsible parties
responsibility to stay abreast of policy/benefit changes for services rendered. Please note some insurance
policies carve out mental health coverage to different insurance carriers and often policies can change at any
time since not all policies run on a calendar year thus is it imperative for benefit of client/responsible party
please act/plan accordingly to prepare so you are not unexpectedly incurring the cost of the services rendered
at the out of pocket private pay rate of $160 per session. Please be aware that any quote of insurance coverage provided by my
insurance carrier, and obtained on my behalf by Pink Positive Psychology, is an estimate of coverage, and that
PPP is not responsible for any errors in the information provided.
Your clinician will inform you of your insurance verification policy benefits estimate
i.e. payment amount, co-pay, deductible, deductible is or is not applicable to mental health
once insurance verification is processed by our billing department.
The sooner the insurance information is provided the soon we can verify your insurance.
NPI is an acronym for National Provider Identifier
Pink Positive Psychology's Group NPI / NPI 2: 1730617358
Melissa E. Mendoza, LMSW Individual NPI / NPI 1: 1326441064
INFORMATION THAT YOU MAY WANT TO ASK WHEN
VERIFYING YOUR MENTAL HEALTH OUTPATIENT BENEFITS:
Example Questions to Inquire with your Insurance Company
Re: Outpatient / Mental Health Benefits
Effective Date of Policy?
Is my clinician a billable provider for myself at Pink Positive Psychology? Yes or No
Do I have a deductible? Yes or No
How much is my deductible? $_____
How much is remaining on my deductible? $_____
Is the deductible applicable to Mental Health? Yes or No
Do I have a co-pay? Yes or No
Co-Pay Amount: $______
Do I need Authorizations? Yes or No
How many sessions are permitted per calendar year? _____
Any diagnoses that are not covered by my mental health benefits/my clinician?
If I have a deductible and I have to pay full amount for session how much is the
53+ Minute Session?
You may receive appointment reminders sent to you via text and or e-mail.
Pink Positive Psychology
Located inside The Center for Natural Healing
1103 S. Washington Ave.
Royal Oak, MI 48067-3219
Day • Evening • Weekend
Copyright © 2017 Pink Positive Psychology. All Rights Reserved.