Treatments & Therapies
SPRAVATO® Near Me — Tyler, TX
Looking for SPRAVATO® treatment near Tyler, TX? East Texas Psychiatry is REMS-certified, accepts Medicare and major insurance, and offers same-week consultations.
Quick Answer
East Texas Psychiatry and Counseling is a REMS-certified SPRAVATO® provider located at 100 Independence Pl, Suite 405, Tyler, TX 75703. We accept Medicare and most major commercial insurance, handle prior authorization, and offer same-week intake consultations. SPRAVATO® (esketamine) is FDA-approved for treatment-resistant depression and MDD with acute suicidal ideation.
01Finding a REMS-Certified SPRAVATO® Provider in Tyler, TX
When searching for SPRAVATO® treatment near Tyler, TX, the most important qualification to verify is REMS (Risk Evaluation and Mitigation Strategy) certification. REMS certification is an FDA requirement — it is not optional, and it is not something that can be approximated. A practice that is not REMS-certified cannot legally administer SPRAVATO®.
The REMS certification process requires specific facility standards (monitoring capability, private patient space, adverse event management protocols), staff training in esketamine pharmacology and REMS procedures, patient enrollment in the REMS registry, and ongoing compliance with federal reporting requirements. This certification represents a meaningful commitment to safe esketamine administration — not just a paperwork exercise.
East Texas Psychiatry and Counseling is REMS-certified for SPRAVATO® administration in Tyler, TX. Our clinic at 100 Independence Pl, Suite 405, Tyler, TX 75703 is equipped and staffed to meet all REMS requirements.
Beyond REMS certification, a SPRAVATO® provider should be able to offer comprehensive psychiatric evaluation (not just an infusion service), insurance verification and prior authorization management, medication management coordinated with SPRAVATO® sessions, and ongoing follow-up care across the full induction and maintenance phases. East Texas Psychiatry offers all of these as part of our integrated SPRAVATO® program.
02What to Look for in a SPRAVATO® Provider Near Tyler
Not all SPRAVATO® providers offer the same level of care. Here is what to look for when evaluating providers near Tyler, TX.
REMS certification: Verify that the practice is REMS-certified. This is the minimum safety requirement and the legal prerequisite for esketamine administration.
Comprehensive psychiatric evaluation: A good SPRAVATO® provider conducts a thorough psychiatric evaluation before initiating treatment — not just confirming that you have tried two antidepressants. The evaluation should cover diagnosis, full medication history, co-occurring conditions, and clinical goals.
Insurance management: Navigating prior authorization for SPRAVATO® is complex. A quality provider manages this process on your behalf — including letters of medical necessity, peer-to-peer discussions, and appeals.
Integrated care: SPRAVATO® should be part of a broader psychiatric care plan, not administered in isolation. Look for a provider who manages your oral antidepressant alongside esketamine sessions and coordinates with other providers when relevant.
Access: Same-week availability and statewide telepsychiatry for non-session appointments are practical access factors that matter for getting started quickly and for sustained engagement.
East Texas Psychiatry meets all of these criteria for patients in Tyler and across East Texas and Texas statewide.
| Question | What to know |
|---|---|
| Address | 100 Independence Pl, Suite 405, Tyler, TX 75703 |
| Phone | (430) 288-5800 |
| Hours | Mon–Fri 9am–5pm |
| REMS-certified? | Yes — federally required for legal SPRAVATO® administration |
| Insurance | Medicare, Aetna, Ambetter, BCBS, Cigna/Evernorth, Optum, UHC, UMR |
| Telepsychiatry | Available statewide for evaluations and non-session follow-up |
03East Texas Psychiatry — Location and Services
East Texas Psychiatry and Counseling is located at 100 Independence Pl, Suite 405, Tyler, TX 75703. Our phone number is (430) 288-5800. We are open Monday through Friday, 9am to 5pm.
Our SPRAVATO® program includes: comprehensive psychiatric evaluation for candidacy determination, prior authorization management with Medicare and commercial insurers, REMS-compliant esketamine sessions with full two-hour monitoring, medication management (oral antidepressant coordination alongside esketamine), symptom tracking with validated depression measures, and ongoing follow-up care across induction and maintenance.
For patients who live outside Tyler — in Longview, Nacogdoches, Lufkin, Athens, Marshall, Jacksonville, Kilgore, or elsewhere in East Texas or statewide — we offer secure telepsychiatry for evaluations, medication management, and follow-up appointments. The SPRAVATO® sessions themselves require in-person visits to our Tyler clinic, per REMS requirements.
Our team: James Baughman, MSN APRN PMHNP-BC (co-founder, 35+ years, Navy veteran); Antonio Brigham, MSN-Ed APRN PMHNP-BC PMHNP-C (dual board-certified); Karen A. English, MSN PMHNP-BC (child and adolescent specialist).
04Insurance Accepted for SPRAVATO® Near Tyler
East Texas Psychiatry accepts the following insurance plans for SPRAVATO® treatment:
Medicare Part B: Covers SPRAVATO® as a physician-administered drug with prior authorization. We manage the full prior authorization process.
Commercial insurance: Aetna, Ambetter, Blue Cross Blue Shield, Cigna/Evernorth, Optum, UnitedHealthcare, and UMR.
For each plan, we verify your specific coverage and confirm your benefits — including deductibles, co-insurance, and prior authorization requirements — before your first appointment. We do not bill without verified coverage.
For uninsured or underinsured patients, we discuss the Janssen CarePath savings program, which can significantly reduce out-of-pocket costs for eligible patients.
Prior authorization is required for SPRAVATO® under Medicare and most commercial plans. East Texas Psychiatry manages the full PA process — documentation, submission, peer-to-peer discussions, and appeals. You do not need to contact your insurer yourself.
The challenge
Finding a qualified SPRAVATO® provider near Tyler, TX requires verifying REMS certification — not just proximity or general psychiatric services.
Our approach
East Texas Psychiatry is REMS-certified, comprehensive, insurance-ready, and accessible — with same-week consultations and statewide telepsychiatry for patients across East Texas.
The outcome
Patients who choose providers with both REMS certification and comprehensive psychiatric care services have better access and better coordinated treatment than those who use standalone infusion clinics.
Take the first step
Help starts with one conversation — most new patients are seen within a week.
05How to Get Started With SPRAVATO® in Tyler
Getting started with SPRAVATO® at East Texas Psychiatry is straightforward. Here is the process.
Step 1 — Contact us: Call (430) 288-5800 or use the Schedule a Consultation button on this page. Our intake team will confirm your insurance, answer basic questions about the evaluation process, and schedule your initial appointment. For most new patients, this appointment is available within the same week.
Step 2 — Initial evaluation: A board-certified PMHNP conducts a comprehensive psychiatric evaluation (60–90 minutes). If SPRAVATO® is appropriate, prior authorization is initiated the same day.
Step 3 — Authorization: Your insurer reviews the authorization request (typically 5–14 business days). We manage this process entirely and notify you when a decision is received.
Step 4 — Session scheduling: Once authorized, we schedule your induction sessions — twice weekly for four weeks. We work around your schedule and confirm transportation logistics before your first session.
Step 5 — SPRAVATO® sessions: Each session is approximately two hours at our Tyler clinic, including the REMS-required monitoring period. Sessions are monitored by trained clinical staff.
That is the complete pathway from first contact to first session. We manage every step we control, and we keep you informed of those we do not.
ProvidersYour Care Team in Tyler
James Baughman & Antonio Brigham, PMHNP-BC
- James Baughman, PMHNP-BC — co-founder, U.S. Navy veteran, 35+ years of combined clinical experience in psychiatric care.
- Antonio Brigham, PMHNP-BC — co-founder, dual board-certified, holistic approach integrating medication management and evidence-based therapy.
- Karen A. English, PMHNP-BC — child and adolescent psychiatry specialist, serving younger patients and their families under the same roof.
- Together, they have built a practice where board-certified expertise, unhurried evaluations, and coordinated care are the standard — not the exception.
Every provider at East Texas Psychiatry holds board certification in psychiatric-mental health nursing (PMHNP-BC). Care is delivered at our Tyler clinic or by secure telepsychiatry anywhere in Texas. Our team accepts most major insurance plans, including Medicare, Aetna, Blue Cross Blue Shield, Cigna/Evernorth, Optum, UnitedHealthcare, UMR, and Ambetter.
06SPRAVATO® Access for East Texas Residents Outside Tyler
If you live in East Texas but not in Tyler itself — in Longview, Nacogdoches, Lufkin, Henderson, Marshall, Jacksonville, Palestine, Athens, or other communities — you can still access SPRAVATO® treatment at East Texas Psychiatry.
Your initial evaluation can happen via secure telepsychiatry — no need to drive to Tyler for the consultation. After evaluation and prior authorization confirmation, your SPRAVATO® sessions require in-person visits to our Tyler clinic (100 Independence Pl, Suite 405). Per REMS requirements, esketamine must be administered in a certified clinical setting with monitoring capability.
The in-person commitment during induction is approximately twice-weekly for four weeks. During maintenance, sessions shift to weekly or biweekly. We work with patients from across East Texas to make this schedule as manageable as possible — scheduling back-to-back sessions across the week, accommodating work schedules, and providing telepsychiatry for all non-session care.
Statewide telepsychiatry is available for any Texas resident. Wherever you are in Texas, if you have treatment-resistant depression and need a REMS-certified SPRAVATO® provider, East Texas Psychiatry is an accessible option.
Call (430) 288-5800 or use the Schedule button. Same-week consultations typically available.
This page is educational and is not a substitute for personalized medical advice. If you are in crisis, call 988 or 911.
Bottom Line
East Texas Psychiatry is Tyler's REMS-certified SPRAVATO® provider — located at 100 Independence Pl, Suite 405. Medicare and major insurance accepted. Same-week consultations available. Call (430) 288-5800.
We accept Medicare, Aetna, Blue Cross Blue Shield, Cigna/Evernorth, Optum, UHC, UMR, and Ambetter. Prior authorization managed by our team — you focus on care. Call (430) 288-5800 or schedule online.
We accept Medicare, Aetna, Blue Cross Blue Shield, Cigna/Evernorth, Optum, UnitedHealthcare, UMR, and Ambetter. Our team handles prior authorization — you focus on care. Visit us at 100 Independence Pl, Suite 405, Tyler, TX 75703, or call (430) 288-5800 or schedule online.
LocationFind Us in Tyler, TX
East Texas Psychiatry and Counseling serves Tyler and the surrounding East Texas region from our clinic at 100 Independence Pl, Suite 405, Tyler, TX 75703. Secure telepsychiatry is available for patients anywhere in Texas — same provider, same thoroughness, from wherever you are.
To schedule a new patient evaluation or ask about your insurance benefits, call (430) 288-5800 or submit a request online. Our intake team verifies your coverage before your first visit so there are no surprises. We accept Medicare, Aetna, Blue Cross Blue Shield, Cigna/Evernorth, Optum, UHC, UMR, and Ambetter, and self-pay options are available.
Whether your concern is treatment-resistant depression, anxiety, ADHD, or another psychiatric condition, we offer a 90-minute initial evaluation and a plan built collaboratively — not handed to you. Most new patients are seen within a week.
How We Reviewed This Page
This page was written for East Texas Psychiatry and Counseling and reviewed by our board-certified psychiatric-mental health nurse practitioners for clinical accuracy. It draws on guidance from primary sources such as the National Institute of Mental Health and other .gov/.org authorities cited below, and reflects how our Tyler-based team approaches care. It is reviewed and updated regularly. East Texas Psychiatry and Counseling is committed to transparent, evidence-based psychiatric care for adults throughout Tyler and East Texas, delivered with the time and attention every patient deserves.
What’s new: June 2026 — full content review and brand-aligned rebuild.
References & Trusted Resources
- National Institute of Mental Health — Health Topics. https://www.nimh.nih.gov/health/topics
- 988 Suicide & Crisis Lifeline. https://988lifeline.org/
- SAMHSA National Helpline. https://www.samhsa.gov/find-help/national-helpline
