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Monday – Thursday: 9 a.m. – 5 p.m. · Friday: 9 a.m. – noon · Saturday and Sunday: ClosedMonday – Thursday: 9 a.m. – 5 p.m.First visit 60 minutes, follow-ups 25Licensed in NDGhada Sabbagh, Advanced practice registered nurse, psychiatric-mental health nurse practitioner · ND Lic. # 000000

Adult psychiatry in Bismarck

A calm place to start when you have felt low for a while

Mend is a solo psychiatric practice for adults living with depression. One nurse practitioner, an unhurried first visit, and fees explained before you book.

Sheer white curtains at a bright window with a small potted plant on the sill

Care

Three kinds of visit

Mend sees adults 18 and older. Each visit has one job, so you always know what today is for.

  • First evaluation

    A 60-minute visit to talk through your history, how you have been feeling and any medicine you take now.

    About the evaluation
  • Follow-up visits

    Short visits to see how you are doing and whether anything about your medicine or your plan should change.

    About follow-ups
  • How we prescribe

    What Mend prescribes and what it does not, and why nothing is prescribed before an evaluation.

    Read the policy

Is Mend right for you

Who Mend is for, and who it is not for

A plain answer before you spend any time or money.

  • Mend may suit you if

    • You are 18 or older and live in North Dakota

    • You have felt low, flat or worn out for weeks

    • You want to talk through medicine with someone who listens first

    • You are comfortable paying for visits yourself

  • Another kind of care may suit you better if

    • You want talk therapy only, and we can point you to a therapist

    • You need a prescriber who bills your insurance, Medicare or Medicaid

    • You are under 18

    • You need help today

  • If you are not sure

    Write to us. We will tell you honestly whether Mend fits, and where to go if it does not.

    Write to us
Ghada Sabbagh, nurse practitioner, seated in an armchair in navy scrubs and a light headscarf

Ghada Sabbagh

Psychiatric-mental health nurse practitioner

She sees adults in person in Bismarck and by video across North Dakota. She starts by listening, and she explains every choice before you make it.

At the first visit Ghada asks what the last few months have been like, explains how she works and the limits of confidentiality, and lets you set the pace. Her North Dakota license is listed at the foot of every page.

She sees

  • Adults who have felt low for a while
  • People weighing whether medicine is right for them
  • People already on medicine who want a second look

Credentials

  • Nurse practitioner, licensed in North Dakota

  • Psychiatric-mental health specialty

  • Advanced practice registered nurse, psychiatric-mental health nurse practitioner · ND Lic. # 000000

How it works

Start here, in four steps

No forms to find on your own. We send each one when it is time.

  • Write or call

    Tell us when you are free. Leave out medical details; they come later, in person.

  • Get the estimate

    Before your first visit we send the written estimate and the forms, each with a plain note on what it is for.

  • Come for 60 minutes

    In our Bismarck office or by video if you are in North Dakota. Ghada listens first.

  • Choose the next step

    Together you decide what, if anything, to start, and when the next short visit will be.

Where we practice

One quiet office in Bismarck, and video across North Dakota

Come in, or meet by video from home if you are in North Dakota at the time of the visit.

How fees work

The answers to what nearly everyone asks before a first visit.

  • Insurance we work with

    Mend is out of network with insurance plans, so you pay for each visit yourself. Mend does not take Medicare or Medicaid. If you would like a prescriber who bills your plan, we will gladly give you the names of colleagues.

    • Out of network with insurance plans

    • No Medicare or Medicaid

  • If you pay yourself

    You pay at the end of each visit by card, including HSA and FSA cards. The fee is set by the kind of visit and how long it runs: 60 minutes for a first evaluation, 25 for a follow-up and 45 for a longer follow-up. We give it to you in writing before you start. There is no contract and no payment in advance. A limited number of reduced-fee visits are open; ask how to request one. We ask for 24 hours' notice to change an appointment. Pharmacy and lab charges come from the pharmacy and the lab, not from Mend.

  • Receipts for reimbursement

    Each month we give you an itemized receipt (a superbill) with the dates and kind of visit, to send to your plan, which may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see. Your plan decides whether it pays anything, so ask it before you start.

  • An estimate in advance

    If you pay without insurance, you have the right to receive a written estimate of what your care will cost before you start. We send you one before the first visit. If the final bill is $400 or more above the estimate, you can dispute it. The estimate is not a contract.

    Your rights, at cms.gov/nosurprises
  • Checking your benefits

    We do not check benefits, because we do not bill your plan. If you want to know whether your plan reimburses out-of-network care, call it before the first visit and ask about out-of-network mental health services.

License

Who is licensed, and how to check

A state license belongs to a person. Ghada's is listed here and at the foot of every page, with the board that issued it.

  • Licensed in North Dakota

    • Advanced practice registered nurse, psychiatric-mental health nurse practitioner

      ND Lic. # 000000 · North Dakota Board of Nursing

      Required to practice as a nurse practitioner in North Dakota

Questions

Questions people ask before a first visit

Do you take my insurance?

No. Mend is out of network with insurance plans and does not take Medicare or Medicaid. You pay for each visit yourself, and we give you a monthly receipt you can send to your plan.

What is a superbill, and can I use it?

A superbill is an itemized monthly receipt with the dates and kind of visit, which you can send to your plan. The plan may reimburse part of out-of-network care. It carries a diagnosis code your insurer can see, and your plan decides whether it pays anything.

What is a Good Faith Estimate?

If you pay without insurance, you have the right to a written estimate of your costs before you start. We send you one before the first visit. If the final bill is $400 or more above it, you can dispute the bill. The estimate is not a contract.

How are fees set, and can I use an HSA or FSA card?

The fee depends on the kind and length of the visit, and we send it in writing before the first visit. You pay at the end of each visit by card, and HSA and FSA cards work. Ask how to request a reduced-fee visit.

What happens at the first visit?

It lasts 60 minutes. Ghada asks about your history, how you have been feeling and any medicine you take now, explains how she works and the limits of confidentiality, and you decide the next step together. Nothing is prescribed before an evaluation.

How often will I come, and how long is a visit?

After the first visit, follow-ups are 25 minutes, sometimes 45. Your nurse practitioner sets the pace with you, and many people come every few weeks at first, then less often.

Write to us

Tell us how you would like to start

We reply within one business day, by the method and at the time you choose.

Hours
Monday – ThursdayToday
9 a.m. – 5 p.m.
FridayToday
9 a.m. – noon
Saturday and SundayToday
Closed

Please don't include medical details in this message. For anything urgent, call us.