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Neuropsychological Testing and Evaluations

Something’s not quite right. And you need to know what it is, why it’s happening, and what can be done about it.

That’s where a neuropsychological evaluation comes in.

Neuropsychological testing (as known as a neuropsychological evaluation) is the most comprehensive assessment that can be performed.  It’s an in-depth assessment of a person’s cognitive abilities, behaviors, emotional states, academic skills and abilities, and personality in the context of their brain functioning.

Neuropsychological testing goes the extra mile.

Where other types of testing stop at telling you what’s wrong, a neuropsychological evaluation can explain why it’s happening and a person’s prognosis for the future.  By understanding the source of deficits and how a person’s brain functions, the recommendations and interventions that neuropsychological assessments yield are highly specific and tailored to the individual’s needs. The ultimate goal of neuropsychological testing is help guide and inform treatment to improve or maintain a person’s functioning. 

From our centrally located office in Miami, FL, our team of licensed clinical neuropsychologists can perform these evaluations in both English and Spanish.

Here’s what you can expect:

  • 90-minute to 2-hour clinical interview with a licensed clinical neuropsychologist
  • 8 – 12 hours of test administration
  • 3 – 5 days to score and process test results
  • 3 – 5 days to analyze and write final report
  • 1-hour final feedback session to review the review

Total Time for completion = 10 to 15 working days* 

*Rushed reports are available, subject to an additional fee.

You probably have more questions about our neuropsychological testing.

Here are some of the most common questions that people ask us about neuropsychological assessment.

Neuropsychological evaluations are often recommended by neurologists, oncologists, psychiatrists, surgeons, attorneys, educators, and many other professionals that work with the person believed to have neuropsychological deficits and their family members.  Here are some of the concerns that may lead to a referral for neuropsychological testing:

  • Attention deficits
  • Memory difficulties
  • Concussions
  • Traumatic head injury (TBI)
  • Developmental disabilities
  • Neurodegenerative conditions (e.g. Dementia, Alzheimer’s, Parkinson’s, Multiple Sclerosis, etc.)
  • Stroke
  • Seizures/epilepsy
  • Brain tumors
  • Cancer, Chemo Brain/Mental Fog
  • Medication Side Effects
  • Personal Injury Litigation

What does neuropsychological testing measure?

A neuropsychological evaluation can measure all aspects of cognitive, motor, behavioral, emotional, academic, and personality functioning.  Each evaluation is tailored to answer the questions and concerns of the client, family members, or referring professional(s). There are a few of the areas assessed:

  • Intelligence/IQ
  • Executive functions (i.e. attention, concentration, organizing, planning, reasoning, problem-solving)
  • Auditory and Visual Memory (short-term, long-term, and working memory)
  • Visual-spatial abilities
  • Visual-perceptual processing
  • Visual-motor abilities
  • Fine motor skills
  • Expressive, receptive, and pragmatic language
  • Mental flexibility
  • Mental Control
  • Academic achievement
  • Adaptive functioning
  • Impulsivity
  • Mood disorders
  • Anxiety disorders
  • Personality disorders

The length of a neuropsychological evaluation depends on the number of tests that need to be administered to fully answer and concerns of the client, family members, or referring professional(s).  Additionally, the client’s speed of completing tasks affects the length of the evaluation as some tasks are not timed. On average, testing takes 8 to 12 hours of test administration for a full battery of neuropsychological testing.

The cost of a neuropsychological evaluation depends on the time required and the complexity of the case.  You’re likely to see all kinds of rates or package prices if you’re shopping around. Our rates are $250 per hour for neuropsychological testing, scoring, report writing, clinical interviews, feedback, and review of related documents.

Maybe.  In many cases, insurance companies require that you get authorization prior to starting neuropsychological testing to determine medical necessity for a neuropsychological evaluation.  Your insurance company may also require that testing is completed by a provider that’s in their network. Sometimes, these in-network providers are overwhelmed by demand and you may need to weeks or even months for an appointment just to get started.

At Envision Wellness, we’re out-of-network providers.  That means that we don’t accept any insurance. This allows us to work with clients, their family, and their treatment team directly without the middle man (i.e. the insurance company) calling the shots, telling our neuropsychologists what they can or can’t do for people.  Also, our clinicians can be efficient about testing, scoring, and report writing because they’re not slowed down by insurance paperwork and red-tape.  We aim to get the results in your hands in 14 days or sooner upon completion of testing.

We understand that a neuropsychological evaluation is an expensive investment to pay for out of pocket.  We accept credit cards, HSAs, and FSAs as payment. We also offer payment plans to make this easier and accessible.  Additionally, we can provide you with a special receipt called a superbill that can make it possible for you to be reimbursed a portion of the cost of the neuropsychological evaluation by your insurance company.

Only a licensed psychologist that has successfully completed two years of post-doctoral fellowship (4,000 hours) in neuropsychology and neuropsychological assessment is qualified to do these assessments.  

Please be extremely careful when selecting a provider to do neuropsychological testing.

Unfortunately, people do all kinds of shady things for a buck in Miami.  Just because someone is a licensed psychologist and can do testing does not mean they are qualified to do neuropsychological testing.  Make sure you ask where they completed their neuro post-doc training, check their references, look them up on LinkedIn, and check their licensed status here.

Absolutely not.  We don’t perform cookie-cutter neuropsychological evaluations.  

In our mind, each case is as unique as the person so we select a specific battery of testing instruments that will meet the goals of the evaluation.  We also don’t pad in extra tests, either, because a.) we want to use time efficiently and b.) keep the evaluation affordable.

Good question.  The results of a neuropsychological evaluation can be used for:

  • Confirmation and/or clarification of diagnosis
  • Determination of prognosis
  • Identification of strengths and weakness
  • Guidance for physical and cognitive rehabilitation  
  • Guidance for academic intervention and remediation
  • Guidance for vocational rehabilitation
  • Determination of the effects of medication and/or other interventions
  • Short-term and long-term care planning
  • Make referrals to other ancillary supportive services (e.g. psychotherapists, educational consultants, vocational counselors, speech and language pathologists, physical therapists, etc.)

Yes.  Our neuropsychologists will ask for written authorization to be able to freely communication individuals involved in the client’s care.  This will allow them to gather relevant information that will be integrated into their final report and recommendations.

Please bring any relevant lab work, scans/imaging, past evaluations, medical records, treating doctors’ names and contact information, and current and recent medication names and dosages.

Don’t worry if you forget something on the first day.  You can bring it in next time.

Call or schedule a Consult to learn more and get pricing for this evaluation.

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Still not sure if psychological testing’s for you?  Check out the FAQs others have asked about evaluations.

This post is also available in: Spanish