By secure video · PsyPACT states
Bilingual Neuropsychological Evaluations by Telehealth
Understand your brain. Move forward.
For adults located in any PsyPACT participating state. ADHD, exam accommodations and memory concerns. English / Español.
In South Florida and prefer in person? See in-person evaluations →
PsyPACT
A bilingual Florida psychologist, available in your state by video
- Authorized: Dr. Nuñez is licensed in Florida and authorized by the PSYPACT Commission to provide telepsychology to clients located in PsyPACT participating states. Verify credential.
- Where you are matters: what counts is the state you are physically in during each session, not your home address. If you travel, tell us before your appointment.
- Check your state: participating states change as new laws take effect, so we do not list them here. See the official PsyPACT map.
What We Do
Neuropsychological and Psychological Evaluations
- Students and professionals: testing and documentation for ADHD and exam accommodations.
- Older adults and families: memory and cognitive assessments to understand changes and plan ahead.
- Citizenship applicants: N-648 medical waiver evaluations for USCIS naturalization exemptions.
Evaluations cover intellectual abilities, attention, memory, executive functioning (planning, organization, and impulse control), language, and spatial reasoning.
Services
Type of Evaluations
An evaluation is only worth what the institution receiving it will accept. Every report is prepared with that destination in mind — USCIS, a testing board, a dean of student services, or the neurologist who asked for it.
ADHD Evaluations
College & Graduate School Accommodations
Comprehensive evaluations to diagnose ADHD in adults (18+), clarify symptoms, guide treatment, and provide documentation for academic accommodations.
Who should be evaluated
- Difficulty sustaining attention or completing tasks
- Chronic disorganization or time management problems
- Lifelong patterns of procrastination, forgetfulness, or impulsivity
- Academic struggles despite intelligence and effort
- Need for updated documentation (prior testing older than 3–5 years)
What you receive
Comprehensive written report with DSM-5-TR diagnosis (if criteria are met), explanation of test results, specific accommodation recommendations, and treatment recommendations.
Common accommodations
Extended time (50% or 100%), reduced-distraction environment, breaks during exams, preferential seating, note-taking assistance, assignment extensions.
Cost
ADHD and standardized evaluations: $1,850 $1,500 Limited time. Other evaluations are quoted after a short call. Insurance generally does not cover accommodation-focused evaluations; a superbill is provided.
Standardized Exam Accommodations
SAT · ACT · LSAT · MCAT · GRE · GMAT
Already have an ADHD or learning disability diagnosis and just need documentation for a specific exam? This is for you. Detailed documentation required by testing organizations to approve accommodations such as extended time, breaks, and reduced-distraction environments.
Exams we provide documentation for
College entrance (SAT, ACT, AP), law school (LSAT), medical school (MCAT), graduate school (GRE), business school (GMAT), and other professional licensing exams.
Common accommodations
Extended time, stop-the-clock breaks, reduced-distraction environment, sit/stand option during testing.
Timeline
Testing organizations can take 7–10 weeks to review accommodation requests. Complete testing well in advance of your registration deadline.
What makes documentation successful
Recent evaluations (within 3–5 years), formal diagnosis from a qualified professional, objective test data, and a clear connection between the diagnosis and requested accommodations. Reports are designed to meet these rigorous standards.
Full guide to exam accommodations (LSAT, MCAT, GRE & more) →
Memory & Cognitive Assessments
Older Adults · Dementia · Alzheimer’s
Evaluations for adults experiencing memory problems, confusion, or cognitive decline — distinguishing normal aging from conditions requiring medical attention. Full details →
Common reasons for evaluation
- Memory loss interfering with daily activities
- Difficulty managing finances or medications
- Getting lost in familiar places
- Confusion about time or dates
- Changes in language or word-finding
- Personality or mood changes
What the evaluation identifies
Testing distinguishes between normal aging and conditions such as mild cognitive impairment (MCI), Alzheimer's disease, vascular dementia, Lewy body dementia, frontotemporal dementia, depression that mimics memory loss, TBI/concussions, and medication effects on cognition.
Why early evaluation matters
Early assessment allows identification of treatable causes, access to medications that may slow progression, and planning for the future while the person can participate in decisions.
N-648 Immigration Medical Waiver Evaluations
Citizenship · USCIS · In person in Florida
Are you, or is a family member, applying for U.S. citizenship but unable to meet the English language or civics requirements because of a medical or developmental condition? You may qualify for an exemption, but first you need documentation from a licensed clinical psychologist.
USCIS Form N-648 (Medical Certification for Disability Exceptions) requires an evaluation by a licensed provider who can certify that a medically determinable physical or developmental disability or mental impairment prevents the applicant from meeting the standard requirements for naturalization. Dr. Nuñez is experienced in completing these evaluations and providing the comprehensive documentation USCIS requires.
Who may qualify
- Applicants with Alzheimer's disease, dementia, or other cognitive disorders
- Applicants with intellectual disabilities or developmental disorders (e.g., Down syndrome, autism spectrum disorder)
- Applicants with significant memory loss or cognitive decline following stroke, traumatic brain injury (TBI), or serious illness
- Applicants with severe mental health conditions that substantially limit learning or communication
What the evaluation includes
The evaluation typically includes a clinical interview (with a family member or caregiver present if helpful), a review of relevant medical records, and cognitive testing to assess memory, language, and overall functioning. The process is conducted in Spanish or English, based on your preference. A formal written report meeting USCIS standards is provided, along with the completed N-648 form.
What you receive
- Completed USCIS Form N-648, signed and certified by Dr. Nuñez
- A supporting written report documenting the diagnosis and its impact on the applicant's ability to learn English or pass the civics test
- Evaluation conducted in Spanish if preferred — no interpreter needed
Important: USCIS does not guarantee approval of any N-648 waiver. The evaluation documents the medical basis for the exemption request — the final decision rests with USCIS. Begin the process as early as possible, as there may be wait times for appointments and for USCIS to process your application.
Nota: Esta evaluación está disponible completamente en español. No se requiere intérprete.
Therapy & Counseling
Bilingual · English · Spanish
Individual therapy for adults navigating life transitions, anxiety, depression, and adjustment challenges. A complement to evaluations or as a standalone service.
Areas of focus
- Adult anxiety, depression, and mood concerns
- Life transitions and adjustment challenges
- Coping with chronic conditions or new diagnoses
- Stress and burnout management
Approach
Evidence-based individual therapy in English or Spanish. Sessions offered via secure telehealth or in person at the practice locations.
Note: Dr. Nuñez's primary specialty is neuropsychological evaluation. Therapy is offered as a focused, complementary service.
How it works
From first call
to final report
Clinical Interview
60–90 minutes
Overview of current concerns, review of relevant history, and review of available records. For older adults, a family member is welcome to join and assist with the history intake.
Testing sessions
4–8 hours
Includes formal standardized testing, pen-and-paper tasks, computerized testing, and self-report inventories to assess personality, emotional, and behavioral functioning. Testing may be completed in one session or split across several sessions to minimize fatigue.
Report Writing
7–10 days
Scoring and interpreting testing results, and integrating history, findings, and behavioral observations. A comprehensive report including diagnosis and recommendations is provided.
Feedback Session
30–45 minutes
Review and explanation of results, diagnosis, and recommendations, along with presentation of the final report.
The complete evaluation process typically takes 14–21 days from the initial session to the final report.
Request AppointmentFrequently Asked Questions
Your questions,
answered.
College & Graduate Exam Accommodations
The practice provides evaluations for adults ages 18 and older. We do not conduct assessments for children or adolescents under 18.
ADHD and standardized evaluations are $1,850 $1,500 Limited time. Other evaluations are quoted after a short consultation call. Includes clinical interview, 4–6 hours of testing, scoring and interpretation, a detailed written report, and a feedback session. Transparent pricing is provided before you commit to testing.
Insurance typically does not cover neuropsychological testing for educational accommodations. While some plans cover testing when medically necessary, testing for college or standardized exam accommodations is generally not covered. A detailed superbill can be provided to submit for potential reimbursement.
Yes. Reports provide clear rationales for accommodation recommendations grounded in objective testing results. Testing companies and academic institutions approve requests case-by-case.
- Extended time: 10%, 25%, 33%, 50%, 75%, or 100% additional time
- Distraction-reduced environment: separate, quiet testing room
- Breaks: stop/start breaks as needed
- Sit/stand option during extended testing
- Note-taking assistance: audio recorder, laptop, or smartpen
- Assignment extensions: flexible deadlines
No. The practice does not provide gifted assessments or IQ testing for gifted program placement.
Memory & Cognitive Testing for Older Adults
- Age-related memory decline
- Mild cognitive impairment (MCI)
- Alzheimer's disease and other dementias (vascular, Lewy body, frontotemporal)
- Cognitive changes following stroke or TIA (mini-stroke)
- Depression or anxiety affecting memory and thinking
- TBI / Concussions
- Medication effects on cognition
No referral is required, although many patients are referred by their primary care physician or neurologist. A copy of the report will be sent to your referring physician and any other providers you authorize.
- List of current medications (or bring the bottles)
- Recent medical records, if available (neurologist reports, brain scans, lab results)
- Eyeglasses and hearing aids, if you use them
- A family member or close friend who knows you well (for the initial interview)
Testing can be tiring, especially for older adults. We can take breaks as needed and split testing across multiple shorter sessions if necessary. The goal is to get an accurate picture of your abilities in a comfortable, supportive environment.
Schedule as soon as you or your family notice concerning changes. Early evaluation can identify treatable causes, detect mild impairment before it progresses, establish a baseline for monitoring, and provide peace of mind if testing shows normal aging.
About
Dr. Dagmar E. Nuñez,
Psy.D.
Dr. Dagmar E. Nuñez is a clinical psychologist licensed in the state of Florida, specializing in neuropsychology, attention deficits, and executive functioning difficulties such as those seen in ADHD or related to anxiety and depressive disorders. She also focuses on memory concerns in older adults, including Alzheimer's disease and other forms of cognitive impairment and dementia.
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Information
Submit your contact information and Dr. Dagmar will reach out within 1–2 business days.