Spravato®
Nasal spray, in clinic
Covered by most insurance
We check your benefits for you.
Spravato®
- Insurance
- Covered by most insurance Including Medicare. Coverage varies by plan.
- Next step
- We check your benefits and help with the paperwork.
White Plains · Suffern, New York
When medication
isn’t enough.
Spravato®, ketamine and TMS for depression that hasn’t improved with antidepressants.
Covered by most insurance.
Care that works with your coverage
Most major plans accepted. Check yours →
- 13,000+Spravato® sessions given
- 4.9★from 61 Google reviews
CoveredMedicare covers Spravato and TMS- Same dayor next-day appointments
If this is you
You took the pills. You waited the weeks. You switched, and waited again.
1 in 3adults
For about 1 in 3 adults on medication for major depression, two full courses don’t bring enough relief.
That is not a failure on your part. It is the point where a different kind of treatment belongs, and it is exactly what this clinic does.
Compare your options
Four treatments.
Simply explained.
Four ways forward. None is another daily pill.
Nasal spray · in clinic
Spravato®
A prescription nasal spray, taken in clinic under supervision.
A prescription nasal spray (esketamine), taken here with a clinician watching over you. For adults whose depression hasn’t lifted after trying two antidepressants.
- Visit time
- Plan for 2+ hours
- Payment
- Covered by most insurance
Your clinician helps you choose. Coverage and visit length vary.
Find your starting point
Which one is right for me?
An option to discuss
Spravato®
Covered by most insurance, including Medicare. A nasal spray, no needles.
About SpravatoA guide to your options, not medical advice. A clinician confirms the right fit at your evaluation.
Not sure? We’ll talk through your options.
The evidence
Measured in randomized trials. Not in testimonials.
- Spravato
227participants
In TRANSFORM-2, Spravato plus a new antidepressant improved depression scores significantly more than the antidepressant plus placebo at day 28.
Sponsored byRead the abstract on PubMed → - IV ketamine
71%
of 18 adults with treatment-resistant depression met response criteria the day after a single IV infusion.
Research byRead the abstract on PubMed →
- IV ketamine
64% vs 28%
responded 24 hours after one IV infusion of ketamine, compared with an active placebo (midazolam).
Led byRead the abstract on PubMed →
- IV ketamine vs ECT
403participants
In ELEKT-D, IV ketamine was non-inferior to ECT for treatment-resistant major depression without psychosis over three weeks. This was not a finding that ketamine was superior to ECT.
Led byRead the abstract on PubMed →
- TMS
301participants
In the multisite NeuroStar trial, response rates were significantly higher with active TMS than with sham (placebo) TMS at weeks 4 and 6.
Led byRead the abstract on PubMed →
- TMS
14.1% vs 5.1%
of patients reached remission with active TMS, compared with sham TMS, in an NIMH-funded trial at four US university hospitals.
Led byRead the abstract on PubMed →
A Spravato® visit at Marpa Minds
Calm by design.
Medical at every step.
Every treatment is given here, with a clinician present, under the care of our medical team.
Your visit, step by step
- 01
Check in
A nurse reviews how you’ve been and your medications.
- 02
Vitals
Blood pressure, pulse and oxygen. Before, during, after.
- 03
Settle in
A recliner, low light, a blanket, headphones.
- 04
Treatment
A clinician monitors you the whole time. TMS takes about 20 minutes.
- 05
Home
After Spravato or ketamine, someone drives you home. After TMS, you drive.
Same-day or next-day appointments are often available.
Your care team
Calm, private care.
Led by Dr. Benjamin Medrano.
Every treatment is given here, in a quiet, private setting, with a licensed clinician present from start to finish.
Medical Director · Psychiatrist
Benjamin Medrano, MD
Dr. Medrano oversees every treatment plan at Marpa Minds.
- MD, University of Colorado School of Medicine
- Psychiatry residency, Mount Sinai Hospital system, New York City
- Fellow, Integrative Psychiatry Institute; ketamine training certified by the American Society of Ketamine Physicians
- Formerly national medical director of a multi-site ketamine clinic practice; teaches clinicians at The Ketamine Training Center
- Quoted on ketamine treatment in The New York Times, The New Yorker and Forbes
- Private treatment roomsA comfortable chair and quiet while you rest.
- Medical team present throughoutA psychiatrist oversees every treatment plan, and you are monitored at every visit.
- Time to rest before you leaveYou stay until you are ready. After Spravato or ketamine, someone you trust drives you home.
- ★★★★★
“I was initially skeptical to try Spravato or ketamine therapy for my depression treatment, but the team at Marpa Minds just put me at ease immediately.”
- ★★★★★
“The therapists and staff have been nothing but kind, gentle and highly responsive to my particular mindset when I arrive for a session.”
- ★★★★★
“From the second I stepped in the lobby I knew I could be at ease. The staff has been so wonderfully supportive, calming and soothing.”
- ★★★★★
“Thank you to everyone at Marpa for always making me feel safe, welcome, and seen. I highly recommend Marpa for treatment resistant depression.”
- ★★★★★
“From the moment you walk in, there is a mindful and serene atmosphere that helps create a sense of calm, comfort, and support.”
- ★★★★★
“From the incredibly welcoming staff to the warm, comfortable atmosphere, Marpa Minds has surpassed every expectation I had.”
Swipe for more
Patient stories
In their own words.
Cost and insurance
Cost, made simple.
TMS
Magnetic pulses, no medicine
Covered by most insurance
We check your plan’s requirements.
TMS
- Insurance
- Covered by most insurance Including Medicare and Tricare, usually after other antidepressants haven’t helped enough.
- Next step
- We check your plan’s requirements.
IV ketamine
Ketamine infusion
Cash pay
We explain the cost before you decide.
IV ketamine
- Insurance
- Cash pay Self-pay options.
- Next step
- We explain the cost before you decide.
IM ketamine
Ketamine injection
Cash pay
We explain the cost before you decide.
IM ketamine
- Insurance
- Cash pay Self-pay options.
- Next step
- We explain the cost before you decide.
Close to home
Where we are.
Rockland County
Suffern
10 Executive BoulevardWestchester County
White Plains
1 Barker Avenue
Westchester County
White Plains
1 Barker Avenue, Suite 200
White Plains, NY 10601
Visits by appointment · (914) 222-0101
- Mon & Thu
- 8:30 am – 6:30 pm
- Tue & Wed
- 10 am – 8 pm
- Fri
- 9 am – 3 pm
- Sat – Sun
- Closed
Rockland County
Suffern
10 Executive Boulevard, Suite 104
Suffern, NY 10901
Visits by appointment · (914) 222-0101
- Mon & Thu
- 8:30 am – 6:30 pm
- Tue & Wed
- 10 am – 8 pm
- Fri – Sat
- Closed
- Sun
- 11:30 am – 5:30 pm
Start with a conversation.
About 15 minutes on the phone. We ask what you’ve tried, check your insurance, and talk through whether Spravato, ketamine or TMS could be your next step. No referral needed. No commitment.
If you are in crisis right now, call or text 988.
Questions
Do I need a referral?
No. Book a consultation directly. If you have a therapist or psychiatrist, we coordinate with them.
Which treatments does insurance cover?
Spravato is covered by most major insurance plans, including Medicare, and so is TMS. IV and IM ketamine are usually cash pay. We verify your benefits before you start.
How soon can I be seen?
Same-day or next-day appointments are often available. The consultation comes first.
Can I drive myself home?
After TMS, yes. After Spravato or ketamine, no: someone you trust drives you home.
Which treatment is right for me?
That is decided with a clinician after a consultation and an evaluation, based on what you’ve tried, your health history and your insurance.
Speak to someone today.
Heal in safety and support.
1 – 2 Mins
What to Expect on Your Journey
with Us
Free, 15-Minute Consult Call with our Intake Team
Insurance-covered Telehealth Evaluation with our Providers
We Attain Insurance Authorization from Your Health Plan
Start Your Spravato Treatments in Our Center
