Nancy K Montagna, PhD in Baltimore: Individual and Couples Therapy for Adults
Nancy K Montagna is a licensed psychologist in private practice offering individual psychotherapy, couples counseling, and trauma-focused treatment to adults in Baltimore. She holds a PhD and operates independently rather than as part of a larger clinic or hospital system, which shapes both her availability and the continuity of her care model.
What she actually offers
Montagna practices traditional talk therapy with two primary tracks: individual sessions addressing anxiety, depression, relationship concerns, and life transitions, and couples therapy focusing on communication patterns and conflict resolution. She identifies trauma-informed care and cognitive-behavioral approaches as part of her clinical foundation, though like most private practitioners, she customizes method to the client's presenting problem rather than adhering to a single modality. She works with adults only, not children or adolescents.
Her practice is small and direct. You are working with Montagna herself at each session, not rotating between clinicians or seeing a trainee. For Baltimore residents accustomed to larger health systems where continuity can be fragmented, this model eliminates the pattern of repeating your history to different providers.
Fees and insurance
Individual sessions typically run 50 to 60 minutes. Rates for private-pay clients (out-of-pocket) range from $150 to $220 per session depending on the type of work and frequency of contact. Couples sessions are priced at the higher end of that range. She accepts some insurance plans; verification of coverage requires a direct call, as insurance acceptance and reimbursement rates shift annually. Many Baltimore therapists in independent practice accept only a subset of major plans (often excluding Medicaid entirely), so confirm before booking.
How she compares to other Baltimore psychologists
Baltimore has a fragmented therapy landscape. Large health systems like University of Maryland Medical Center and Johns Hopkins offer psychology services through employee networks, which provides quick access but often involves waitlists and rotating providers. Private practitioners like Montagna occupy the middle ground: longer wait to get in initially (often 2 to 4 weeks), but stable therapeutic relationships once scheduled.
Community mental health centers such as Baltimore Crisis Response, Inc. offer low-cost or sliding-scale services and accept Medicaid; these are the right choice if cost is the primary barrier or if you are in crisis. University-based clinics and psychology departments (like the University of Baltimore's graduate psychology programs) sometimes offer reduced-cost services through trainees under supervision. For someone seeking a solo practitioner with established credentials and no financial barriers to weekly sessions, Montagna's private model is more appropriate than agency-based care.
Who this suits and who it does not
Choose Montagna if you prefer working with the same clinician over months or years, have insurance coverage or can pay privately ($150–220 per session), and have time to wait 2 to 4 weeks for an initial appointment. This setup works well for adults addressing ongoing anxiety, relationship strain, or historical trauma where relationship stability with the therapist is therapeutic.
She is not the right fit if you are in acute crisis, need same-week appointment availability, require Medicaid coverage and she does not accept your plan, or prefer brief, problem-focused therapy. Crisis situations in Baltimore are better directed to the 24-hour crisis line (410-433-5500, part of the Baltimore mental health emergency infrastructure) or a hospital emergency department.
What a first visit involves
Initial sessions with private psychologists in Baltimore typically run 90 minutes and function as mutual assessment: Montagna gathers history (presenting problem, medical background, previous therapy), and you evaluate whether her style and approach feel usable. Expect to describe what brings you in, answer questions about family history and current stressors, and discuss frequency and goals for therapy. You will not start intensive trauma work or deep emotional processing on the first day; the first visit is diagnostic and contractual.
Bring any information about previous therapy or psychiatric treatment, insurance card if applicable, and a list of current medications.
Hours, location, and scheduling
Montagna's office is located in central Baltimore; confirm the exact address and neighborhood directly with her office, as private practices occasionally relocate. She operates by appointment only, with evening hours available to accommodate working adults. Parking depends on the specific neighborhood. Call or email her office to verify current hours and check waitlist status before assuming availability.
Sessions are conducted in person at her office.
Nancy K Montagna brings the continuity and focused expertise of a solo practitioner to Baltimore's therapy market, a meaningful advantage for adults who benefit from long-term, stable therapeutic relationships.

