About NeuPath
A boutique TMS clinic, built for the patient with a complicated history.
NeuPath is a boutique mental wellness clinic in Long Beach offering TMS, therapy, and medication management under one coordinated clinical plan. We are intentionally small, intentionally not part of a national chain, and intentionally set up to give the time and clinical attention that complicated mental health histories actually need.
Why NeuPath exists
Most TMS in the United States is delivered by chains that look the same in every market: a short intake, a streamlined screening, the same protocol for everyone, the next patient in twenty minutes. The model is economically efficient, and it has helped expand access to TMS, which is good. But it leaves something on the table for patients whose history is not generic.
The patients who arrive at NeuPath are usually not first-trial. They have tried two, three, six medications. They have done years of therapy. They have looked into ECT, or had it. Some have tried TMS at a national chain and want to talk about what worked, what did not, and what comes next. The clinical question is rarely "does this person qualify for treatment X" but "given this specific history, what is the right next step, and which combination of treatments will move things forward?"
NeuPath is set up to ask that question carefully. We have time for a forty-five minute evaluation. We can offer TMS, therapy, and medication management as part of one coordinated plan. We say clearly where the evidence is strong, where it is emerging, and where it is honestly thin. And we are willing to say "this is not the right next step for you" when that is the truth.
How we approach care
We read the history first
The clinical evaluation starts with what has been tried: which medications, at what dose, for how long, with what response. None of that is filler. It is the record we read first.
We coordinate across modalities
Neuromodulation, medication, psychotherapy. Most patients benefit from a combination, not a single tool. We design plans that fit together rather than treating each piece in isolation.
We honor evidence honestly
Some treatments have strong evidence for some conditions. Others are emerging. We are explicit about where each recommendation sits on that spectrum, including off-label uses.
We do not rush the evaluation
A complicated history needs a careful read. The first appointment is forty-five to sixty minutes, and we do not start treatment without a measured plan in writing.
We verify insurance before scheduling
Cost is part of the care plan. We check benefits, explain prior authorization where relevant, and tell you what the out-of-pocket cost will be before you commit to a course of treatment.
We say no when no is the right answer
If TMS or any other treatment is not the right next step for you, we say so. Recommending the wrong treatment is worse than recommending none.
Who NeuPath is for
Our care is most useful for adults who have already tried something, whether antidepressant medication, therapy, or sometimes prior TMS, and want a different kind of next step. Many of our patients come to us with:
- Treatment-resistant depression after multiple antidepressant trials.
- Anxiety that has improved partially but has not resolved.
- PTSD or complex trauma that has not fully responded to talk therapy alone.
- OCD where medication has helped but not enough.
- Postpartum depression or anxiety that need careful evaluation around medication, breastfeeding, and TMS options.
- ADHD alongside another condition, needing coordinated medication management rather than siloed care.
- Substance use recovery support layered with mental health treatment.
- Veterans and active-duty service members carrying combat-related PTSD, treatment-resistant depression after service-connected care, or wanting a community-side option that takes Tricare and coordinates with VA records when appropriate.
We see children, teens, and adults. We accept Tricare alongside major commercial plans, and we welcome veterans and active-duty service members directly. Some patients see us for a one-time consultation about a specific decision. Some commit to a full course of treatment. Some become long-term medication-management patients alongside their other providers. All of those are reasonable shapes for a relationship with us.
The clinic and the care team
NeuPath is located at 3646 Long Beach Blvd. Suite 210 in Long Beach, California. The neighborhood is coastal and university-adjacent, with easy parking and a treatment rhythm that works well for the daily-weekday cadence of a TMS course. The clinic operates Monday through Friday from 9:00 AM to 6:00 PM. NeuPath, PC is the legal entity through which all clinical services are delivered.
Care at NeuPath is delivered by a small coordinated team. Dr. Samer Roumani, D.O., dual board-certified psychiatrist and Medical Director, oversees the clinical program. Richard Perez, PMHNP-BC, Board-Certified Psychiatric-Mental Health Nurse Practitioner with over fifteen years of mental healthcare experience in the Long Beach area, works closely with Dr. Roumani to deliver coordinated care.
You can read full credentials and clinical focus on the Providers page. For the practical details (parking, public transit, accessibility, what to expect when you arrive), see the Long Beach clinic page.