Evaluation 03
Neuropsychological / Cognitive Evaluation
An individualized assessment of how you are functioning cognitively, whether something has changed, what may be contributing, and what to do next.
A neuropsychological evaluation is more than cognitive testing. It is designed to understand how a person is functioning cognitively, whether there has been meaningful change, what may be contributing to the pattern, and what to do with that information. Depending on the referral question, it may examine attention, processing speed, executive functioning, learning and memory, language, visuospatial functioning, and other relevant abilities. Measures are selected for the clinical question rather than given as an identical fixed battery, and testing typically takes about two to three hours. The value lies in careful interpretation: focused testing, integrated with your history, toward a meaningful answer to the question you came with.
- Format
- Virtual
- Testing time
- Typically 2–3 hours
- Report
- 2–3 weeks
- Fee
- $3,450
Who this is for
This evaluation fits
You may consider an evaluation if
Recognizing the question
Your memory or thinking seems different than it used to
Cognitive concerns persist after a concussion, injury, stroke, illness, or medical event
Brain fog, slowed thinking, or mental fatigue is affecting everyday life
You have a neurological, autoimmune, or medical condition and want to know whether cognition is affected
Cognitive changes have arisen during a significant hormonal or women's health transition
You or your physician want an objective cognitive baseline
You are functioning well overall but have noticed subtle changes that are hard to explain
You want to understand your pattern of strengths and weaknesses and what may be contributing
What it can help answer
The questions behind the testing
Findings describe cognitive functioning and the pattern it suggests. They are interpreted cautiously and cannot, on their own, prove that one particular condition caused a concern.
- 01Is there objective evidence of cognitive weakness or change?
- 02Which cognitive abilities remain strong?
- 03What is the overall pattern of strengths and weaknesses?
- 04Is the pattern consistent with a neurological or medical concern?
- 05Could psychological factors, sleep, health, medication, or other factors be contributing?
- 06How is cognition affecting everyday functioning?
- 07Which recommendations, accommodations, compensatory strategies, treatment considerations, or follow-up may help?
- 08Would a baseline be useful for monitoring future change?
What the evaluation includes
Measured, not estimated
Areas are selected according to the referral question and interpreted together, in the context of your history, rather than as isolated scores.
Clinical Interview & History
Review of the presenting concern and relevant neurological, medical, psychological, developmental, educational, occupational, and functional history.
Individualized Cognitive Testing
Approximately two to three hours of testing for many evaluations, with some requiring up to approximately four hours depending on the referral question and scope. Measures are selected to answer the referral question rather than administering the same fixed battery to everyone.
Records & Collateral Information When Relevant
Medical records, imaging reports, prior evaluations, treatment records, or collateral input may be incorporated when clinically useful and available. Not every evaluation requires them.
Integration & Interpretation
Findings are interpreted in the context of your history, clinical presentation, and referral question — not simply by whether individual scores are high or low. Validity measures are included so conclusions rest on reliable data.
Recommendations & Written Report
An integrated written report with clinically meaningful conclusions and individualized recommendations.
Expected timeline
From first call to feedback
A small number of evaluations are scheduled each month, so each stage receives the hours it requires.
Consultation
15 minutesA short call to confirm testing is the right way to answer your question.
Step 1 of 5Interview
Week 1History, records, and the questions you want answered.
Step 2 of 5Testing
Week 1–2Typically two to three hours, sometimes up to about four, depending on the referral question.
Step 3 of 5Interpretation
Week 2–3Scoring, integration with records, and report writing.
Step 4 of 5Feedback
Week 3–4A dedicated hour reviewing every finding in plain language.
Step 5 of 5
What patients receive
What you leave with
A written report
Complete findings, diagnostic reasoning, and specific recommendations, written to be used by a physician.
A feedback session
A full hour with your results in front of you, and time for the questions that follow.
A cognitive baseline
Numbers any future testing can be measured against, years from now.
A plan
What to monitor, what to change, whom to involve, and in what order.
Frequently asked
Questions people ask first
How long is the testing?
Typically about two to three hours, and sometimes up to about four, depending on the referral question and the breadth of testing needed. A longer battery is not inherently more thorough. Testing time is also only one part of the evaluation, which includes the interview, records review when relevant, scoring, interpretation, integration, and report preparation.
Can this really be done virtually?
Yes. The measures used here are validated for secure video administration, and remote testing is now standard practice in neuropsychology. Where a question genuinely requires in-person testing, you will be told so directly and referred.
Do I need a physician referral?
No. Many patients arrive on their own. If a physician is involved, the report is written so it can be used in their care.
What if the testing finds nothing?
That is a meaningful result. Objective evidence that cognition is intact redirects the question toward sleep, mood, medication, or medical causes, and gives you a baseline for the future.
Is insurance accepted?
This is a private-pay practice. A detailed superbill is provided for out-of-network reimbursement, and a Good Faith Estimate is issued before any work begins.
Clear next steps
How to begin
Request a consultation
A complimentary 15-minute call to describe what you are noticing and hear whether this evaluation answers your question.
Receive an estimate
A Good Faith Estimate and a written plan for scheduling arrive before any work begins.
Reserve your dates
Interview and testing sessions are scheduled together, so the full timeline is known from the start.
Also offered
ADHD Evaluation
Diagnostic clarification for adolescents and adults when attention, organization, follow-through, executive functioning, or academic or work performance raises the question of ADHD.
02Psychological Evaluation
Comprehensive assessment of emotional and psychological functioning, for diagnostic clarification and individualized recommendations.
04Pre-Surgical Evaluation
A focused evaluation, with clear documentation on the timeline your procedure requires.
While you wait
The Brain Blueprint™
Written work from this practice — plain-language guides to attention, memory, habit, and recovery. A one-page primer is free to download.
Next step
What happens next
Messages are answered within one business day. Consultations are usually available the same week.
- 01
Book a 15-minute call
Nothing is scheduled or charged at this stage.
- 02
We decide together
Which evaluation answers your question, what it costs, and when it can be held.
- 03
You receive it in writing
Dates, fees, and a Good Faith Estimate, before anything begins.