Diagnostic evaluation
Comprehensive initial assessments grounded in a careful clinical history and current evidence.
NWPA · Outpatient psychiatry · Missouri & Illinois
Adult psychiatric care at Northwest Psychiatric Associates
Northwest Psychiatric Associates Ltd. — NWPA — offers thoughtful diagnostic evaluation, medication management, and ongoing support, in person and through telehealth, for adults throughout Missouri and Illinois.
- Accepting new patients
- In-person and telehealth
- Missouri and Illinois
- Adult psychiatric care
Our approach
Careful listening. Evidence-based care. Time to be heard.
Our practice emphasizes comprehensive psychiatric assessment, evidence-based diagnosis, and thoughtful medication management. We work with each adult patient to understand symptoms, medical history, current functioning, and treatment goals so care can be clinically appropriate and individualized.
Medication management
Thoughtful prescribing, regular follow-up, and adjustments aligned with response and tolerability.
Coordinated care
When additional support is needed, we can recommend therapy, intensive outpatient treatment, inpatient care, or another appropriate next step.
New patients
Getting started
We're glad you're considering our office. To make your first visit as productive as possible, please review and complete the paperwork below, and bring (or upload to your patient portal) a copy of your insurance card and a photo ID.
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1
Call to schedule
Reach our office at 636-695-4554 during business hours. We'll confirm fit, availability, and accepted insurance for your plan. If we are unable to answer, please leave a message so our staff can call you back. We know lives are busy, so please be sure your voicemail has room for a return message.
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Complete paperwork
Download and fill out the new-patient forms below. Bringing them completed helps us spend your first appointment on what matters — your care.
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3
Attend your first visit
All first appointments are completed in person at either our O'Fallon office or our Breese location. At Breese, patients come to the HSHS hospital campus in person and connect with NWPA by telehealth from that site. Please arrive 10–15 minutes early and bring a current medication list and your insurance card.
Download new patient paperwork
Note: These forms are not required for your first visit, but completing them before your appointment may help your provider review your concerns, symptoms, medications, and medical history. Please call the office to confirm the most current version of any paperwork before your visit.
Telehealth
Care from the comfort of home
Established patients may join their visit through the secure video link provided by their assigned provider. Telehealth visits are available only with provider permission and only when the patient has been seen recently in person. If your provider has not yet shared a link with you, please call the office before your appointment.
Victoria Sanford, PMHNP
TelehealthJoin your scheduled visit at the appointment time.
Join visit →Placeholder — replace with provider's secure session link.
Dr. Scott Arbaugh, MD
TelehealthJoin your scheduled visit at the appointment time.
Join visit →Use this link only for a scheduled visit with Dr. Arbaugh.
Kelsey Kingsborough, PMHNP
TelehealthJoin your scheduled visit at the appointment time.
Join visit →Use this link only for a scheduled visit with Kelsey Kingsborough.
Preparing for your telehealth visit
- Use a private, quiet space with a stable internet connection.
- Test your camera and microphone a few minutes before your appointment.
- Have your medication list and pharmacy information available.
- If you can't connect, call the office at 636-695-4554.
Insurance & billing
Insurance & coverage
We work with many major commercial and government plans. Because participation, benefits, and copays vary widely, please call the office to verify your specific coverage before your first visit.
Examples of plans we commonly work with
- Aetna
- Anthem Blue Cross Blue Shield
- Cigna
- UnitedHealthcare
- Medicare
- Medica
The plans above are listed as common examples and may not reflect current contracted status for every provider in our office. Coverage, in-network status, and benefits are subject to change. Please call 636-695-4554 to verify benefits for your specific plan before scheduling.
Our providers
Meet the team
Our clinicians bring complementary training and a shared commitment to careful, respectful psychiatric care.
Victoria Sanford
PMHNP — Psychiatric Mental Health Nurse Practitioner
Victoria provides evidence-based psychiatric care for adults, with attention to each patient’s history, symptoms, strengths, and treatment goals.
Read more
Victoria is a Psychiatric Mental Health Nurse Practitioner with a strong personal and professional commitment to psychiatric care. Her work is grounded in addressing the diverse mental health challenges that affect adults, families, and communities.
She has experience supporting clients with depression, anxiety, bipolar disorder, PTSD, schizophrenia, and substance use disorders. Victoria focuses on building a therapeutic relationship rooted in trust, empathy, and respect.
Dr. Scott Arbaugh
MD — Psychiatrist
Dr. Arbaugh is a board-certified psychiatrist with more than 35 years of experience in adult psychiatric evaluation, medication management, and complex diagnostic care.
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Dr. Scott Arbaugh earned his medical degree from Saint Louis University School of Medicine and completed his psychiatry residency through Barnes-Jewish Hospital/Washington University.
In addition to his outpatient psychiatric work, Dr. Arbaugh has served in teaching and clinical faculty roles, including as a Voluntary Clinical Instructor in Psychiatry at Washington University. His background also includes leadership in geriatric psychiatric programs connected with hospitals in Alton, Highland, and Breese, Illinois.
Kelsey Kingsborough
PMHNP — Psychiatric Mental Health Nurse Practitioner
Kelsey is a Psychiatric Nurse Practitioner specializing in adult mental health, with a focus on listening carefully and building individualized treatment plans.
Read more
Her first appointments are collaborative conversations that review current concerns, medical and psychiatric history, medications, past treatments, therapy recommendations, and personalized goals. Kelsey strongly prefers in-person visits, especially at the start of treatment, with telehealth considered only when clinically appropriate.
Kelsey studied at the University of Missouri–St. Louis and Maryville University, and she also serves as adjunct faculty at Maryville University.
Contact & hours
Visit NWPA in O'Fallon or Breese
Northwest Psychiatric Associates Ltd. sees adults throughout Missouri and Illinois, with an O'Fallon, Missouri office in the Winghaven district and a Breese, Illinois office at the HSHS hospital campus. For scheduling, paperwork questions, or to verify insurance, please call our office during business hours.
- O'Fallon, Missouri office
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9979 Winghaven Blvd, Suite 204
O'Fallon, MO 63368 - Breese, Illinois office
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HSHS hospital campus
Breese, IL - Phone
- 636-695-4554
- Fax
- 636-695-3099
- Office hours
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Monday – Thursday 9:00 AM – 3:00 PM
Friday 9:00 AM – 1:00 PM
Closed Saturday and Sunday