Margot Krahn, PMHNP-BC
Psychiatry, including children 5-17 and geriatric psychiatry
Video visits across Florida · in person in Wesley Chapel
Riverview residents · Florida telehealth (video)
Online Child & Teen Psychiatry for Riverview, FL residents
Child and teen psychiatry by secure video for Riverview residents, with Margot Krahn, PMHNP-BC. No drive and no waiting room.
- Video visits from home
- For Florida residents
- Many major plans + self-pay
You’ll see Margot Krahn, PMHNP-BC.
Prefer a call first?
Request a visit
Tell us how to reach you and, if you like, what is going on. We confirm your coverage before your first visit.
- See open times onlinePick a time on your clinician’s Zocdoc calendar in a few clicks.
- No drive from RiverviewSkip the 30-minute drive to Wesley Chapel. Join from a phone or laptop, anywhere in Florida.
- A callback within one business dayPrefer to talk it through first? Send the form and a care coordinator calls you back, usually within one business day.
Quick answer
Margot Krahn, PMHNP-BC sees Riverview residents by secure Florida telehealth from our Wesley Chapel office, with open times on her Zocdoc calendar below or by callback. If you would rather be seen in person, our Wesley Chapel office is about 30 minutes from Riverview. Ascend has no Riverview office. Telehealth visits are for Florida residents. We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you.
Book with your clinician
The clinician who will see you.
Booking opens the clinician’s Zocdoc calendar in a new tab, set to new-patient video visits. Prefer to talk to someone first? Use the form and a care coordinator will call you.
How a video visit works
Four steps from booking to a plan you can follow, without leaving Riverview.
Book online or ask for a call
Pick a time on Zocdoc, or send the form and a care coordinator calls you back, usually within one business day.
Get your secure link
Before the visit you receive a secure video link. Join from a phone, tablet or laptop, from a private spot in Florida.
A first visit for your child
Margot Krahn, PMHNP-BC, meets with you and your child by video and hears from both of you. First visits run about sixty minutes.
A plan for home and school
Treatment may include medication, therapy or both, with video follow-ups that check how things are going at home and at school.
Where Riverview patients are seen
Most Riverview patients choose video. If you would rather sit in the room, our Wesley Chapel office is about 30 minutes away.
Recommended for Riverview
By video, from home
- Skip the drive: Wesley Chapel is about 30 minutes from Riverview
- The same child and teen psychiatry team that sees patients in Wesley Chapel
- For Florida residents, on a phone or laptop
Serving Riverview, Hillsborough County
- 33578
- 33579
Prefer in person?
Our Wesley Chapel office
Ascend Mind and Body of Wesley Chapel27724 Cashford Cir Ste 102
Wesley Chapel, FL 33544
About 30 min from Riverview by car via I-75 N, outside rush hour
For Riverview families
Hillsborough County: school and records for parents.
School
Public schools in Riverview are part of Hillsborough County Public Schools. If school is part of the picture, bring what the school has produced, such as a Section 504 plan or an IEP, teacher comments and attendance records, to the first visit.
Records from the pediatrician
Ask your child’s pediatrician to send recent records and a list of current medicines before the first visit, so the evaluation starts from the full picture.
What child and teen psychiatry can help with
Riverview parents: asking the school for an evaluation, the children's ER on Simmons Loop and the I-75 drive
Families reach us from Boyette and the streets off Boyette Road, from Progress Village and Gibsonton on the west side, and from the neighborhoods strung along Big Bend Road and Gibsonton Drive. From the center of Riverview our Wesley Chapel office is about 30 minutes and 27 miles up I-75 N, measured outside rush hour, and the interstate is reached at exit 246 (Big Bend Rd), 250 (Gibsonton Dr) or 254 (US 301). Most of what an evaluation of a young child involves, from the parent interview to the rating scales and the follow-ups, can be done by video, so a first grader is not pulled out of the afternoon for a round trip up the interstate.
You can start the school side yourself. If a teacher has raised attention or behavior, you do not have to wait for the school to bring it up again. The 2025 parent guide from Hillsborough County Public Schools says a parent may ask the school, out loud or in writing, to consider an initial evaluation for a suspected disability, and the district must then hold a Child Study Team meeting within 30 calendar days. A written, dated request makes that clock easy to follow. When the worry is emotional, the district points families to the Student Services team at their child's school, which is the school counselor, nurse, psychologist and social worker. Once you sign a release, we can share the completed rating scales and our letter with that team, so the evaluation for ADHD, anxiety or behavior and the school's process inform each other instead of running in parallel.
If your child is not safe. Ascend Mind and Body offers scheduled outpatient appointments and is not an emergency service. In Hillsborough County the youth Mobile Response Team is run by Ibis Healthcare, the organization formed when Gracepoint Wellness and COVE Behavioral Health combined, so some parents still know it by those older names. Crisis counselors at 988 answer calls and texts at any hour, and 911 is the call when anyone is in immediate danger. Riverview has two emergency departments inside its own boundaries:
- BayCare St. Joseph's Hospital-South on Simmons Loop, one of BayCare's three designated pediatric emergency centers
- AdventHealth Riverview on US Highway 301 S, open since October 2024, whose ER treats adults and kids around the clock
The closest children's hospital is Muma Children's Hospital at TGH in Tampa.
Why video helps here. According to Tampa General Hospital's 2025 Community Health Needs Assessment, Hillsborough had about 721 residents for every mental health provider in 2024, against 693 for Florida overall. Seeing a clinician by secure video widens the pool beyond the practices you can easily drive to.
Labs and parent support. If a medication plan ever needs bloodwork, Quest lists two Riverview sites in the south of town, on Summerfield Square Dr and Vail Ridge Dr, and Labcorp lists one on Boyette Rd. For yourself, NAMI Hillsborough is the county affiliate of the National Alliance on Mental Illness.
To get started, book a video visit with Margot Krahn, PMHNP-BC or request a callback.
Insurance and cost
Insurance
We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you.
Before your first visit
Insurance questions go to our care team, who confirm your coverage with you before your first visit.
Questions about cost?
Call (813) 670-3005 or read how insurance works here.
Child and teen psychiatry for Riverview residents, in depth
The longer answers, one topic at a time.
Riverview: young families asking about attention for the first time
Riverview has been one of the fastest-growing family areas in south Hillsborough for a decade. Boyette, Bell Shoals, Panther Trace, Rivercrest and the newer subdivisions around them brought in tens of thousands of households with young children, and pediatric psychiatric capacity has not tracked that growth. Finding a practice with room for a new pediatric patient can take more calls than parents expect.
The most frequent first call from this area concerns a child in kindergarten through third grade whose teacher has raised attention or behavior. The parent is usually unsure whether they are looking at a real problem or at a five-year-old being five. That uncertainty is reasonable, and resolving it is exactly what an evaluation is for.
Evaluating attention in a six-year-old is not the same as in a sixteen-year-old
With an older student, much of the history comes from the student. With a six or seven year old, almost none of it does. The evaluation leans on parents and on the classroom, and it has to account for a developmental range that is genuinely wide at this age. Attention span, impulse control, and the ability to sit still differ enormously between two typically developing first graders.
Several things look like an attention disorder in early elementary and are not. A child who cannot hear well. A child who is not sleeping, whether from a sleep disorder, a screen habit, or a household schedule. A child with an undiagnosed reading difficulty who checks out during literacy blocks and is fine in math. An anxious child whose mind is elsewhere. A child responding to something hard at home. Each of these has a different answer, and none of them is served by skipping to a diagnosis.
What we gather before anyone says ADHD
A diagnosis of ADHD requires symptoms in more than one setting, present before age twelve, causing real impairment, and not better explained by something else. That standard is why we ask for information from school as well as from home. Standardized parent and teacher rating scales help and we send them out. They measure how a child compares to peers on specific behaviors, which is more useful than a general impression.
We also want the developmental history, the birth and medical history, hearing and vision screening results, the sleep pattern, and any school testing already done. We ask what the day actually looks like: what time homework starts, what happens at bedtime, how mornings run. Specifics are more diagnostic than adjectives.
If the picture does not meet the criteria, we say so. Telling a parent that their child does not have ADHD is a legitimate and common outcome of a thorough evaluation, and it usually comes with a different explanation and a different plan attached.
What follows an evaluation
When ADHD is the right explanation for a young child, published guidance for this age group puts behavioral intervention and parent training in the foreground. That means concrete work with parents on structure, instructions, consistency, and reinforcement, alongside school accommodations. For younger children in particular, this is where treatment usually starts.
Medication is a separate conversation with its own risks and benefits, appropriate for some children and not others, and taken up on its own merits rather than as a foregone conclusion. If it becomes part of a plan we monitor it deliberately: growth, appetite, sleep, and how the child is actually doing in the classroom. Responses differ between children, and some children do well without medication at all.
Telehealth from Riverview, and the one visit that is not
Riverview does not have an Ascend office, and we are not going to imply otherwise. Families here are seen by HIPAA-secure Florida telehealth, which handles evaluation, follow-up, behavioral guidance, coordination with therapy, and non-stimulant medication management.
our prescribing policy requires an in-person evaluation before a first stimulant prescription. That visit is at the Wesley Chapel office, 27724 Cashford Circle, Suite 102; there is no Ascend office in Riverview. It is generally a single in-person appointment, with follow-up care continuing by video. The requirement applies to the first stimulant prescription rather than to every renewal, and what it exists to establish is a documented height, weight, pulse and blood pressure baseline against which later readings can be compared.
Care for Riverview families is part of our child and adolescent psychiatry in Florida. Visits that have to happen face to face are held at the Wesley Chapel office, the home of in-person child psychiatry in Wesley Chapel, and the rest can run through child psychiatry by telehealth anywhere in Florida. Families to the north can read about child psychiatry in Brandon. SouthShore families can also read about child psychiatry in Apollo Beach.
Common questions
My kindergartner's teacher mentioned ADHD. Is five too young to evaluate?
Not too young to evaluate, though a diagnosis at that age is made carefully. The evaluation looks at whether the behavior falls outside the range for the child's developmental stage, whether it shows up in more than one setting, and whether something else explains it better. Plenty of five-year-olds referred this way turn out not to have ADHD.
Can ADHD really be diagnosed over video?
The evaluation is an interview plus collateral information from parents and school, and that transfers well to video. What video does not replace is the in-person visit Florida requires before a first stimulant prescription. If we think a case genuinely needs to be seen in person, we say so rather than working around it.
Do we have to use medication?
No. For younger children, guidance places behavioral intervention and parent training first, and many families never go further. Medication is discussed on its own merits when it fits, with the risks laid out, and the decision is yours.
Is there an Ascend office in Riverview or Apollo Beach?
No. The offices are Wesley Chapel, Carrollwood, and Lakeland. South Hillsborough families are served by telehealth, with our Wesley Chapel office used for any visit that must be in person.
What should I bring to the first appointment?
Any school testing or reports, the current 504 plan or IEP if one exists, recent teacher comments, the results of hearing and vision screening, and a list of medications and supplements. If the school has not completed rating scales, we will send them out.
Do you take insurance?
We work with many major commercial plans and offer self-pay options. Coverage varies by plan and service. Our team will confirm with you.
How do I ask my child's Riverview school to evaluate them?
Ask the school directly. Under the Hillsborough County Public Schools 2025 parent guide, a parent can request, verbally or in writing, that the school consider an initial evaluation for a suspected disability, and the district has to hold a Child Study Team meeting within 30 calendar days of the request. Writing it down and keeping a dated copy helps. For mental health concerns, contact the Student Services team at your child's school. You do not need to finish our evaluation first; the two can run side by side.
Is there a children's emergency room in Riverview?
Yes. BayCare St. Joseph's Hospital-South on Simmons Loop is one of the three pediatric emergency centers BayCare has designated, and it is inside Riverview. AdventHealth Riverview on US 301 S, which opened in October 2024, also says its ER treats adults and kids around the clock. The nearest full children's hospital is Muma Children's Hospital at TGH in Tampa. When a child's life may be at risk right now, dial 911. These are hospitals in the community, not part of Ascend Mind and Body.
What is Ibis Healthcare, and is it the same as Gracepoint?
Ibis Healthcare is the organization that Central Florida Behavioral Health Network lists as Hillsborough County's youth Mobile Response Team. Ibis says it was formed by combining Gracepoint Wellness and COVE Behavioral Health, and the old Gracepoint website now forwards to Ibis, so a Riverview parent who remembers Gracepoint is thinking of the same crisis service under a new name. The simplest way to reach crisis help at any hour is to call or text 988. Call 911 if someone is in immediate danger.
What ages does Margot Krahn see, and what if our child is younger than five?
Margot Krahn, PMHNP-BC works with children and teenagers from age 5 through 17. She also treats adults, so a Riverview teen who turns 18 can stay with the clinician who already knows the history. When the worry is about a toddler or preschooler, such as speech, development or early learning, the evaluation can start with psychological testing instead. Dr. Richard M. Marshall, Ed.D., Ph.D., a psychologist with Ascend Mind and Body, tests ages 1 through adulthood, and the care team can explain how that is arranged.
Is a psychiatric nurse practitioner qualified to diagnose ADHD in my child?
Yes. Margot Krahn holds board certification as a psychiatric mental health nurse practitioner (PMHNP-BC), is licensed in Florida as an advanced practice registered nurse, and has 12 years in practice, with training that spans children, adults and older adults. She evaluates and diagnoses ADHD, anxiety, depression and related conditions, and when medication becomes part of a plan she prescribes it and monitors it. She is a nurse practitioner, not a physician, and an ADHD diagnosis from her rests on the same published criteria described above.
If we would rather not use medication, who does the parent training?
Parent guidance is built into Margot Krahn's visits: concrete work on routines, how instructions are given, consistency and rewards, checked each time against how the past few weeks in Riverview actually went. For families who want structured sessions together, Diana Frances Smith, MS, RMFTI, a registered marriage and family therapist intern with Ascend Mind and Body, offers family therapy by secure video anywhere in Florida. Choosing to start without medication is a legitimate plan for a young child, and the decision stays with you.
How soon can my Riverview child get a first appointment?
Openings change from week to week, so rather than quote a wait, we let you see them: the booking button opens Margot Krahn's Zocdoc calendar with her current new-patient video times. If you want to ask questions before choosing a time, send the callback form and a care coordinator usually calls within one business day. Should your child become unsafe while you wait, call or text 988, call 911 for immediate danger, or go to the children's ER at St. Joseph's Hospital-South on Simmons Loop.
Ready when you are.
Book a video visit online, or send a request and a care coordinator will call you back. Insurance questions go to our care team, who confirm your coverage with you before your first visit.