Online Psychiatry and Medication Management in Montana
Frontier Psychiatry provides psychiatric evaluation and medication management to people across Montana by secure video. We see children from age 2 through older adults, and new patients are generally seen within 5 business days.
5 business days to a
new-patient appointment
No referral needed
Blue Cross Blue Shield of
Montana accepted, in network
Children from age 2 through
older adults
60 minutes first visit,
30 minutes follow-ups
Montana Medicaid accepted, plus 13 more plans, named below
Care is delivered by Frontier Psychiatry's 28 Montana-licensed prescribers: 12 psychiatrists, 1 board-certified addiction medicine physician, 7 psychiatric nurse practitioners and 8 physician assistants. A licensed clinical pharmacist supports your care and does not prescribe.
A psychiatric nurse practitioner or physician assistant does the same core work a psychiatrist does: evaluates you, makes a diagnosis, prescribes medication and adjusts it over time.
What we treat
Frontier Psychiatry treats the conditions below in children from age 2, teenagers and adults, anywhere in Montana, by video, with medication management when it is clinically appropriate.
Depression and mood disorders
Weeks of flat mornings, and nothing you used to enjoy landing. Major depressive disorder, persistent depressive disorder and seasonal depression.
Anxiety and panic
A mind that will not shut off at night, or a heart that races with no warning. Generalized anxiety disorder, panic disorder and social anxiety disorder.
Adult ADHD
Missed deadlines, unfinished projects, a working memory that keeps dropping things. Attention-deficit/hyperactivity disorder diagnosed in adulthood.
Child and adolescent ADHD
Notes home from school, homework that takes three hours, a child who cannot sit still. ADHD in children and teenagers.
PTSD and trauma
Sleep broken by the same memory, and a startle response that will not settle. Post-traumatic stress disorder and trauma-related conditions.
Substance use disorders
Drinking or using more than you meant to, for longer than you meant to. Alcohol, opioid, stimulant and other substance use disorders.
Addiction medicine
Frontier Psychiatry treats substance use disorders alongside the mental health conditions that usually come with them.
Starting treatment
Treatment can start by telehealth. Your first visit is a comprehensive evaluation that covers your physical and mental health history and where both stand now.
PRESCRIBING RULES
Buprenorphine can be prescribed by telehealth under federal rules that have no expiration date.
Stimulants and other controlled substances follow a different set of rules, which carry a date. See the controlled substances note further down this page.
Who we see
The access problem in Montana is real, measurable, and documented. These are the numbers that shape how we built the practice.
Parents looking for a child or adolescent psychiatrist
We are accepting new patients and we see children from age 2. You do not need a referral or a prior diagnosis. The first visit runs 60 minutes and a parent or guardian takes part.
People who have never seen a psychiatric clinician
The barrier here is usually not knowing what a visit is like. It is 60 minutes by video, and it is a conversation about what has been going on, what you have already tried, and what you want to change. There is nothing to prepare.
People who are not sure what they need
Maybe it is depression, maybe it is sleep, maybe it is something else. You do not have to know before you book. The evaluation is how that question gets answered, and you leave the first visit knowing whether treatment would help and what kind.
People who are not getting better
If you have been in treatment and it is not working, we can offer a second opinion and a different approach. Our Montana team is 28 clinicians, including child and adolescent specialists and an addiction medicine physician, so a case that needs different expertise can get it.
People whose primary care provider has done what they can
Primary care handles a lot of behavioral health, and often that is enough. When a case needs psychiatric specialty care, we work from where your provider got to. Bring your medication list and we will take it from there.
People whose clinician left
Bring your current medication list with doses, your pharmacy, and the date of your last visit. Your clinician reviews what you are taking at the first visit and decides with you what to continue, change or stop.
People who cannot take time off work
Ranch and farm work, oil field rotations, rail, logging, health care shifts. Follow-up visits run 30 minutes by video, so a medication check does not cost you a day, and it still fits during calving and harvest, when the work does not pause for appointments. If you work a rotation, your visit has to happen while you are in Montana, because your clinician holds a Montana license.
People far from a clinic or a VA facility
In much of eastern Montana and along the Hi-Line, the nearest psychiatric prescriber is a multi-hour drive, which turns a routine medication follow-up into a full day away. A video visit removes the drive without removing the clinician. We accept TriCare and TriWest, so veterans a long way from a VA facility can be seen the same way.
54 of Montana's 56 counties sit inside a designated mental health professional shortage area.
Source: HRSA Data Warehouse, mental health shortage area file, retrieved September 12, 2026.
How it works
Request an appointment
Online, or call (406) 200-8471. No referral needed. We get back to you within 1 business day.
Complete your intake
Paperwork from home, at your own pace.
Meet your clinician
By secure video, for a 60-minute evaluation.
Come back for follow-ups
Usually 30 minutes, as often as your care needs.
Montana Providers, Not an Out-of-State Call Center
Frontier Psychiatry is a team of passionate providers, clinicians, and staff dedicated to transforming mental healthcare.
Where we see patients in Montana
Our clinicians are licensed statewide, so where you live does not decide whether you can be seen. We see patients in all 56 Montana counties, by video.
That includes eastern Montana, the Hi-Line, the Flathead and the Bitterroot, and the towns that rarely appear on a provider list: Glendive, Sidney, Wolf Point, Glasgow, Miles City, Havre, Cut Bank, Libby, Ekalaka, Jordan and the towns between them. We see patients on the Flathead, Blackfeet, Rocky Boy's, Fort Belknap, Fort Peck, Crow and Northern Cheyenne reservations, and families connected to Malmstrom Air Force Base.
If your town is not on this list, that is only because the list would run for pages.
Check my insurance in 2 minutesOur Montana office
Frontier Psychiatry was founded in Montana in 2020 and the company is run from Billings.
1601 Lewis Avenue, Suite 102, Billings, MT 59102
This is an administrative office. It is not a patient location, no care is delivered there, and every visit happens by video.
Insurance and cost
Frontier Psychiatry accepts Montana Medicaid and 13 more plans. We confirm your coverage before your first visit, so the cost is settled before you are seen.
If your plan is not listed, contact us. We may still be able to help.
Paying without insurance
Initial evaluation
60 minutes
$400
Follow-up visit
30 minutes
$250
The price is the same whether you see a psychiatrist, a psychiatric nurse practitioner or a physician assistant.
We see children from age 2.
Common Questions
Can an online psychiatrist prescribe meds?
Can you get diagnosed by a psychiatrist online?
Can an online psychiatrist prescribe Adderall or other stimulants?
Can a virtual psychiatrist prescribe Xanax?
How much does an online psychiatrist cost?
Do I need a referral to see a psychiatrist at Frontier?
How soon can I be seen?
Does Montana Medicaid cover telehealth mental health visits?
What insurance do you accept?
What happens at a first psychiatric appointment?
What is the difference between a psychiatrist, a psychiatric nurse practitioner and a therapist?
Why does Frontier Psychiatry have a pharmacist on its clinical team?
Do you see children and teenagers?
Can I transfer to Frontier if my previous clinician left?
Do you treat addiction, and what medications do you prescribe?
Is telehealth psychiatry as effective as seeing someone in person?
Do you provide crisis or emergency care?
How do I know if my medication is working?
Can I see a psychiatrist online if I live hours from the nearest clinic?
Do you see patients in all 56 Montana counties?
How do I find a psychiatrist who takes Medicaid in Montana?
Who we see
Frontier Psychiatry provides psychiatric evaluation and medication management by secure video. A first appointment is a clinical evaluation. It is not a promise of a diagnosis, a medication, or a prescription for a controlled substance. Telehealth does not cover conditions that require in-person care.
Controlled substances by telehealth
Frontier can prescribe controlled substances, including stimulants for ADHD, by telehealth under DEA flexibilities in effect through December 31, 2026. What happens after that date depends on federal rules that are not final.
Buprenorphine for opioid use disorder is separate: it has its own permanent federal telehealth pathway and does not expire.
If you are in immediate danger, call 911. If you are in crisis or thinking about suicide, call or text 988 to reach the Suicide and Crisis Lifeline. You can also text HOME to 741741 to reach the Crisis Text Line. The Lifeline and the Crisis Text Line are both available 24 hours a day. Frontier Psychiatry does not provide crisis or emergency services.
Medically reviewed by Eric Arzubi, MD, a board-certified psychiatrist and Assistant Clinical Professor at the Yale School of Medicine, and CEO and co-founder of Frontier Psychiatry, on September 12, 2026. Next review: March 2027.
Request an appointment in Montana
No referral needed. New patients are generally seen within 5 business days. We accept Montana Medicaid plus 13 more plans, and self-pay is $400 for a first visit and $250 for follow-ups.
We treat depression, anxiety and panic, ADHD in adults and in children, PTSD and trauma, and substance use disorders, for children from age 2, teenagers and adults, anywhere in Montana.
