Sunrise over mountains with clouds and sun rays

Child and Adolescent Psychologist

Dr. Sara Streufert, PhD, PLLC. Child and Adolescent Psychologist.

If you’re a parent, caregiver, or young adult looking for support, I’m here to help.

I’m so glad you’ve found your way here. I’m Dr. Sara Streufert, and I specialize in psychological and neuropsychological evaluations for children, adolescents, and young adults ages 6 to 22. These evaluations are designed to provide valuable insights into cognitive, emotional, and behavioral needs, offering diagnostic clarification and clear treatment recommendations.

Whether you're seeking clarity about emotional challenges, attention concerns, learning difficulties, or social struggles, my goal is to provide comprehensive, thorough, and accurate diagnostic clarification. The results of the evaluation will assist in directing the treatment plan, ensuring that the interventions are personalized and effective for the individual’s needs.

For more information about my qualifications, background, and experience, I invite you to explore my bio. If you have any questions or would like to schedule an evaluation, please don’t hesitate to contact me.

Services

  • Trail signpost in a grassy field with mountains in the background.

    Clinical Interview/Consultation

    This service is designed to offer a thoughtful and comprehensive exploration of your concerns. Whether you're seeking a second opinion or considering if an evaluation is necessary, this session will provide clarity and direction. We will review the current symptoms, history, and challenges to determine the most appropriate next steps. By the end of the session, you’ll receive valuable insights and recommendations to support your child’s mental health and overall well-being.

  • Trail through a lush forest with tall trees and blooming pink flowers.

    Comprehensive Evaluations

    Psychological and neuropsychological evaluations are comprehensive assessments aimed at understanding the cognitive, emotional, and behavioral factors that may be impacting a child, adolescent, or young adult’s daily functioning. These evaluations are particularly useful for identifying challenges related to learning, attention, memory, emotional regulation, and social skills. By providing a detailed understanding of an individual’s strengths and areas of difficulty, the evaluation helps guide tailored recommendations for therapeutic interventions, academic accommodations, and personal development strategies. The ultimate goal is to offer insight that supports informed decisions for effective treatment and future success.

Sara Streufert, PhD
Licensed Clinical Psychologist

Dr. Sara Streufert is a licensed clinical psychologist with extensive experience conducting comprehensive psychological and neuropsychological evaluations for children, adolescents, and young adults. Her work spans inpatient, outpatient, and private practice settings, with a focus on complex diagnostic presentations and collaborative, compassionate care.

Currently, her private practice is focused on providing comprehensive evaluations through a self-pay model that allows for flexibility and individualized care, free from the limitations often associated with insurance-based services.

Areas of Clinical Experience

  • Providence Sacred Heart Medical Center

    • Psychiatric Center for Children and Adolescents (PCCA) - Inpatient Psychiatric Hospitalization

    • Behavioral Emotional Skills Training (BEST) Program - Partial Hospitalization

  • Providence Medical Group – Providence Psychology - Outpatient Behavioral Health

  • Centennial Pediatrics of Spokane - Pediatric Primary Care

  • Division of Disability Determination Services (DDDS)

Areas of Expertise:

  • Autism Spectrum Disorder (ASD)

  • ADHD

  • Intellectual Disabilities

  • Learning Disorders (reading, math, writing)

  • Depression & Bipolar Disorder

  • Generalized & Social Anxiety

  • Panic Disorder

  • Obsessive-Compulsive Behaviors

  • Emotional Dysregulation and Impulse Control Issues

  • Oppositional Defiant Disorder (ODD)

  • Conduct Disorder

  • PTSD & Complex Trauma

  • Adoption & Attachment-related Challenges

  • Prenatal Substance Exposure

  • Suicidality & Self-Injury

  • School Avoidance & Academic Difficulties

  • Adjustment & Stress-related Concerns

Education & Training:

  • PhD in Counseling Psychology – Western Michigan University

  • MA and BA – Gonzaga University

  • APA-accredited internship – WI Department of Juvenile Corrections

  • Doctoral internships – University of Wisconsin–Madison & Western Michigan University

Fees

  • Clinical interview and consultation services are provided in 90-minute appointments for a fee of $350. If you choose to proceed with a comprehensive evaluation at the end of the session, this fee will be applied toward the total cost of your evaluation.

  • Comprehensive psychological and neuropsychological evaluations are billed at an hourly rate of $250. An additional fee for testing materials and assessment tools may apply, depending on the specific measures used. All costs will be clearly outlined before testing begins.

    A comprehensive evaluation typically includes:

    • A diagnostic interview with the client (and parents or caregivers, if applicable)

    • A thorough review of relevant records

    • In-person test administration across one or more sessions

    • Scoring and interpretation of test data

    • Integration of findings and report writing

    • A detailed, written evaluation report

    • A 60-minute feedback session to review results and recommendations

    Because each evaluation is individualized, the number and type of measures used may differ. The total number of hours required—and therefore the final cost—will depend on the unique needs and goals of the assessment.

    Scheduling and Payment

    To schedule a comprehensive evaluation, a $1,000 deposit is required. This deposit will be applied toward the total cost of the evaluation. The remaining balance can be paid in equal installments at each appointment or in full prior to or on the day of the first appointment.

  • Currently, Dr. Streufert does not participate with insurance provider networks. While the cost of an evaluation can be a significant consideration for families, it's important to understand that a thorough and accurate assessment can provide meaningful insights and guidance that support an individual’s well-being, development, and daily functioning.

    Dr. Streufert can work as an Out-of-Network provider with your insurance company. Many insurance plans cover a significant portion of the fee. In this case, you would pay Dr. Streufert directly at the time of service, and depending on your insurance provider and plan, you may be able to receive reimbursement for much of the cost. To facilitate reimbursement, Dr. Streufert can provide you with a “superbill” that you can submit to your insurance company.

    For guidance on navigating the reimbursement process, please refer to the Insurance Reimbursement Tips section below. It includes key questions to ask your insurance provider and outlines important information to help you better understand your coverage.

  • Many clients are eligible for partial reimbursement from their insurance provider for Out-of-Network (OON) services. Coverage for OON services varies by insurance company and individual plan. It is recommended that you contact your insurance provider prior to beginning the evaluation process to better understand your specific benefits.

    When speaking with your insurer, consider asking the following questions:

    • Do I have Out-of-Network coverage?

    • What are my Out-of-Network benefits?

    • Do I need a referral or prior authorization to see an Out-of-Network provider?

    • What is my annual deductible, and what amount has already been met this year?

    • After I meet my deductible, what percentage or dollar amount of the visit cost will I be reimbursed for? (Note: Be sure to reference the specific CPT codes Dr. Streufert will be billing- see below)

    • Is there a limit to how many sessions “units” (for testing clients), or dollar amount I can be reimbursed for per year?

    • Will Telehealth (video) services be reimbursed by my plan?

    • What is the process to submit claims for reimbursement?

    Services are billed using Current Procedural Terminology (CPT) codes, which are 5-digit codes specific to each service. Dr. Streufert can give you a “superbill”, which is the document that has all of the information that the insurance company will need in order to process your reimbursement. Prior to calling your insurance company, clarify with Dr. Streufert which CPT code(s) she will bill, so that you can ask your insurance company specifically.

    Common assessment CPT codes:

    • 90791 (intake appointment)

    • 96136 and 96137 (psychological test administration and scoring)

    • 96130 and 96131 (psychological evaluation services)

    • 96132 and 96133 (neuropsychological evaluation services)

    Common therapy CPT codes:

    • 90791 (intake appointment)

    • 90832 (individual therapy 25-30 minutes)

    • 90834 (individual therapy 45-50 minutes)

    • 90837 (individual therapy 55-60 minutes)

    • 90846 (parent session without child present)

    Telehealth visits are typically designated by adding "-95" to the above codes (e.g., 90834-95 is the CPT code for a 50-minute video therapy session).

  • Many families choose to use their Flexible Spending Account (FSA) or Health Savings Account (HSA) to cover the cost of medically necessary mental health services, such as comprehensive evaluations, consultation services, and individual or group therapy.

    *Note: Standalone IQ testing for school admissions is not typically reimbursed by insurance or by HSA/ FSA accounts due to it being educational in nature rather than medically-necessary. If you plan to use these funds for this purpose, be sure to confirm coverage directly with your insurance provider or plan administrator before scheduling the evaluation.

Limitations of Services

Dr. Streufert is dedicated to supporting a broad range of mental health and assessment needs. However, certain specialized services are currently unavailable, including:

  • Legal and forensic evaluations

  • Co-parenting evaluations

  • Custody evaluations

  • Court-mandated assessments

Contact

Sara Streufert, PhD

920 N. Argonne Rd., Suite 110E

Spokane Valley, WA 99212

509.601.0230

Prior to your first appointment, you will need to complete New Patient paperwork. Dr. Streufert will contact you via the patient portal, where all necessary forms will be provided for you to complete and submit.