Standard rTMS
Evidence-based magnetic stimulation delivered in a structured outpatient course for eligible patients with treatment-resistant depression.
Physician-led interventional psychiatryRequest a consultation Menu
Precision brain health · Greenwich, Connecticut
Personalized TMS, led by a psychiatrist.
Advanced, evidence-based care for depression, OCD, and complex mood disorders, built around your history, symptoms, and goals.
Board-certified psychiatry · In-person care in Greenwich · Measurement-based outcomes
Noninvasive treatmentAwake. Outpatient. Measured.
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In-network options
Benefits verified before treatment
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Measurement-based
Progress tracked at planned intervals
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Greenwich, CT
100 Melrose Avenue, Suite 101
The NeuroSynchrony difference
When standard treatment is not enough, precision matters.
We combine psychiatric assessment, targeted brain stimulation, objective measurement, and practical cognitive support. The aim is not novelty for novelty’s sake. It is a more disciplined treatment plan.
Treatment options
One modality. Several ways to use it well.
TMS is not a single protocol. We select the approach only after evaluating diagnosis, prior treatment, safety, time constraints, and the strength of the evidence.
Theta-burst stimulation
A shorter stimulation pattern that can reduce time in the treatment chair when clinically appropriate and covered by the patient’s plan.
Accelerated protocols
Multiple carefully spaced sessions over a shorter period, considered individually after psychiatric and safety evaluation.
EEG-informed planning
Objective brain activity measurements can supplement clinical assessment and help us formulate individualized treatment questions.
Clear about the evidence
Established and off-label care are not presented as the same thing.
Established indications
We provide evidence-based TMS for eligible patients with major depressive disorder and obsessive-compulsive disorder using appropriate devices and protocols.
Specialized and off-label care
Other applications are considered case by case. Their off-label status, evidence limitations, alternatives, and financial implications are discussed before consent.
Clinical decisions first. Technology second.
How it works
A deliberate process from evaluation to outcome.
Consult
A focused psychiatric evaluation clarifies symptoms, prior treatment, medical history, goals, and whether TMS is a sensible next step.
Map
We select the target, protocol, and intensity using clinical evidence, motor-threshold testing, and additional data when indicated.
Treat
Sessions are delivered in our Greenwich clinic with regular symptom measurement and tolerability checks.
Measure
We review progress at planned intervals and adjust the course only when the data and clinical picture support it.
Coverage and access
Insurance should be clarified before the first pulse.
We work with several major commercial insurers. Participation and coverage vary by plan, diagnosis, and protocol, so our team verifies benefits and discusses expected costs before treatment.
AetnaCignaUnitedHealthcareOxfordAnthemCarelonMeritain HealthPlan participation is subject to change. Verification is not a guarantee of payment.
The clinical team
A focused team that knows your treatment.
NeuroSynchrony Health brings together psychiatry, brain stimulation, and cognitive remediation in one focused Greenwich practice.
Co-founder · Medical director
Tobias Halene, MD, PhD
Board-certified psychiatrist licensed in Connecticut and New York, with nearly two decades of experience across outpatient, emergency, Veterans Health Administration, and academic settings.
Co-founder
Gregg Pauletti, MSc
Cognitive remediation specialist with more than 15 years of experience in mental health and executive-function support.
Clinician
Julian Nunez, LPCA
Provides psychotherapy and practical cognitive support within NeuroSynchrony’s integrated care model.
For referring clinicians
A direct clinical conversation, without the referral disappearing into a portal.
We welcome questions about candidacy, protocols, insurance requirements, and coordination of care. Please do not send protected health information through ordinary email.
Common questions
Useful answers before you call.
Is TMS FDA cleared?+
TMS devices are FDA cleared for specific indications, protocols, and patient populations. Depression and OCD are among the established indications we treat. Other uses may be off-label and are discussed explicitly before treatment.
Does insurance cover treatment?+
Many commercial plans cover TMS for major depressive disorder when medical-necessity criteria are met. Coverage varies by diagnosis, plan, prior treatment, and protocol. We verify benefits before treatment begins.
What does treatment feel like?+
Patients remain awake and seated. Magnetic pulses create a tapping sensation at the scalp. Headache or local discomfort can occur, particularly early in treatment, and is monitored at every visit.
How quickly will I improve?+
Response timing varies. Some patients notice change during the treatment course; others improve later or do not respond. We use standardized measures so decisions are based on more than a good or bad afternoon.
Start with a conversation
Find out whether TMS is a reasonable next step.
A consultation is an evaluation, not a commitment to treatment. We will review the clinical picture, answer direct questions, and explain what is established, what is off-label, and what insurance may require.
For privacy, do not include diagnoses, medication lists, or other sensitive health information in ordinary email.