



SUPPORTING PRACTICES
STRENGTHENING CARE
What we do.
Metropolitan Practice Advisors LLC partners with psychology practices to provide operational, administrative, and strategic support needed to build strong, sustainable organizations. As a managed services and consulting firm, we work behind the scenes to help practices operate more efficiently, scale thoughtfully, and navigate the complexities of running a modern behavioral health business, so that clinicians can focus on delivering high-quality care.
Our services include practice management support, financial and operational consulting, growth strategy, infrastructure development, and ongoing advisory services tailored to the unique needs of psychological and mental health practices. Metropolitan Practice Advisors LLC does not provide clinical, therapeutic, legal, or any other licensed services. Instead, we serve as a trusted business partner, offering expertise, systems, and insight that empower practices to thrive both operationally and economically.
Who we are.
Maxwell Briskman Stanfield, is a business entrepreneur with over a decade of experience helping organizations grow thoughtfully and sustainably. He brings a practical, business-first perspective. He is acutely familiar with the practical realities of running a business — operations, finance, infrastructure, and growth. In his law practice, Maxwell has worked with hundreds of business owners on a wide range of issues. He borrows from that experience to bring a wealth of knowledge and perspective to Metropolitan Practice Advisors LLC. Maxwell earned a B.A. in political science and Spanish from Washington & Jefferson College and a J.D. from Southwestern Law School in Los Angeles, California. Outside of his professional work, Maxwell enjoys enjoys spending time with family and friends, staying active, and pursuing personal interests that support balance and perspective.


Todd Raymond Avellar, Ph.D., is a licensed psychologist with more than a decade of experience providing therapy, supervising clinicians, and leading group practices. Todd is the founder of Curated Psychological Services PLLC, and Avellar Warden Psychological Associates PLLC. Todd served as full-time faculty in the Clinical Psychology PsyD Program at Point Park University, where he held roles including Director of Clinical Training, Placement Coordinator, and Interim Department Chairperson.
Todd earned a B.A. in psychology with a minor in applied psychology, an M.A. in counseling psychology, and a Ph.D. in counseling, clinical, and school psychology, all from the University of California, Santa Barbara. Todd completed doctoral and postdoctoral residencies at the University of Delaware and the University of Wisconsin-Madison. Outside of his professional work, Todd values balance through movement, nutrition, mindfulness, and time in nature. He also enjoys high-performance driving and exploring flow states across all areas of life.
Together, Todd and Maxwell blend their complementary skills, backgrounds, experience and education to bring Metropolitan Practice Advisors LLC to life.
How we do it.
Metropolitan Practice Advisors LLC works alongside psychology practices as a behind-the-scenes resource, aligning operations, systems, and strategy with each practice’s clinical mission and long-term goals. We begin by understanding how a practice truly functions: workflows, financial structure, staffing model, and growth pressures. Then, we design practical solutions that strengthen infrastructure without disrupting care delivery. Whether it is through managed services, strategic consulting, or a combination of both, we implement efficient processes, clarify decision-making, and provide ongoing guidance. This enables practices to scale intentionally, remain financially sound, and operate with confidence in an increasingly complex healthcare environment.
An example of what this looks like in practice:
A mid-sized psychology practice comes to us feeling stretched: clinicians are fully booked, leadership is overwhelmed by administrative demands, and growth feels risky rather than exciting. We step in to assess operations, financial performance, and internal systems. We streamline scheduling and billing workflows, clarify roles between clinical and administrative staff, introduce financial tracking tools that give leadership real-time visibility, and build a scalable infrastructure to support future hires. As a result, the practice gains stability, improved margins, and a clear growth roadmap. This allows the practice owners and clinicians to focus on patient care while leadership regains control of the business side of the practice.