Dr. Douglas Kent Hoverkamp
Medical Director; specialty not published
medicine
Southampton,
A thirteen-client gated estate at the western end of the Hamptons, built for New York executives who keep working while they get sober.
Thirteen clients, three staff for every one of them, on a gated estate two hours from Manhattan: that is the structure The Dunes East Hampton is built around. The brand name is now historic. The residential programme left East Hampton in March 2021 and has since run from Lohan Court in North Sea, Southampton, while a separate outpatient clinic remains in East Hampton. It is a substance-use-led facility with dual diagnosis capability, organised around the Addiction Syndrome Model of the Harvard addiction scientist the clinic names as its Senior Program Consultant, and it deliberately rejects the isolation model: clients keep phones and laptops, run their businesses from the estate and attend off-site meetings with a sober companion. No psychiatrist and no staff psychologist appears on the published roster, and the operating licence the clinic and the directories describe could not be confirmed in any public register.
The clinic publishes a full named roster of about 25 people with credentials, which is more transparency than most of its peers offer.
Medical Director; specialty not published
medicine
Senior Program Consultant; author of the Addiction Syndrome Model the programme is built on
clinical consultancy
Clinical Director, CASAC, RC, CES
leadership
Clinical staff, LCSW-R
clinical
Clinical staff, ACC, LCSW-R, CHT
clinical
Clinical staff, BA, MEd
clinical
Clinical staff, CASAC II, RC, CALC
clinical
Clinical staff, CASAC Advanced
clinical
Clinical staff, CASAC, CRC, RMP, EELC
clinical
Clinical staff, CASAC-T
clinical
Step Work Educator and Facilitator
clinical
Nurse, RN, BS, MAT
nursing
Nurse, RN
nursing
Nurse, LPN
nursing
Executive Director
leadership
Director of Operations
operations
Admissions and Business Development
operations
Director of Marketing and Executive Insurance Liaison
operations
Director of Regulatory and Legal Affairs
leadership
Chef
kitchen
No practitioner registration number is published for any clinician, including the Medical Director.
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Individual and group psychotherapy at a published 3 to 1 staff ratio on a thirteen-client gated estate, built on the Addiction Syndrome Model with CBT, DBT, EMDR, internal family systems and trauma work, wrapped in a holistic programme of yoga, meditation, acupuncture, massage and equine therapy. Clients see their counsellor three times a week, and more if the team or the client finds it necessary. On arrival each client completes a medical and psychiatric assessment.
As per the residential programme
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The clinic's differentiating product and its stated argument against the isolation model. Clients keep phones and laptops, continue running businesses from the estate, and are accompanied to off-site meetings by sober companions, on the reasoning that a sealed environment leaves clients unprepared for re-entry.
Integrated within the residential programme
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Treatment of co-occurring depression, anxiety, bipolar disorder and trauma alongside the substance use disorder, with every residential client receiving a comprehensive psychological evaluation. It is delivered by a counsellor and social-worker team under a Medical Director rather than by a resident psychiatrist, since none appears on the published roster, and no defined programme is published for any single co-occurring condition.
Ongoing
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Run from the operator's separate East Hampton clinic and presented as a step-down from residential treatment as well as a standalone service: individual and group counselling, psychiatric evaluations and medication management, medication-assisted treatment, couples and family counselling, family support groups, and a virtual outpatient option for clients who have returned home.
Integrated throughout the stay
Included in the programme
Equine-assisted therapy, yoga in a glass-sided atrium, meditation, reiki, acupuncture, massage, nature walks and beach access, cooking classes and fitness with an in-house personal trainer and physical therapist. The clinic positions this as an equal partner to the clinical programme rather than as an amenity.
Ongoing after discharge
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Weekly alumni meetings, a peer network pairing recent graduates with alumni volunteers, a digital aftercare programme delivered by teletherapy, alumni social events and continued access to the operator's outpatient services. Duration, content and cost are not published, and no written discharge plan is described.
No public price found.
The review base is credible but thin and stale. Birdeye shows 4.5 from 42 entries, of which 31 are relayed from Google and 11 from a social platform with none native to the aggregator, and the newest entry captured is roughly seven years old. The Google profile itself was not directly retrievable, and indirect figures conflict. Other directory profiles largely relay the same Google reviews rather than adding independent volume, and their ratings are not recorded here because none of them is a named, citable source. No Trustpilot or Yelp listing was located. Ratings are consistently good and none of the platforms shows the hallmarks of manufacture, but the total base is under 50 and the counts conflict between aggregators. Three sources were examined and excluded: a directory whose visible reviews concern unrelated content, an unverified complaints platform, and a platform blacklisted under this ranking's own sourcing rules. The clinic's own testimonials are published with no aggregate and are not independent testimony.
The review base is credible but thin and stale. Birdeye shows 4.5 from 42 entries, of which 31 are relayed from Google and 11 from a social platform with none native to the aggregator, and the newest entry captured is roughly seven years old. The Google profile itself was not directly retrievable, and indirect figures conflict. Other directory profiles largely relay the same Google reviews rather than adding independent volume, and their ratings are not recorded here because none of them is a named, citable source. No Trustpilot or Yelp listing was located. Ratings are consistently good and none of the platforms shows the hallmarks of manufacture, but the total base is under 50 and the counts conflict between aggregators. Three sources were examined and excluded: a directory whose visible reviews concern unrelated content, an unverified complaints platform, and a platform blacklisted under this ranking's own sourcing rules. The clinic's own testimonials are published with no aggregate and are not independent testimony.
Substantial but overwhelmingly local and adversarial. Local outlets covered the facility repeatedly between 2011 and 2021, almost always in the context of a zoning dispute at its former site. Favourable coverage is limited to a Newsday feature on luxury treatment for Long Island executives, which the clinic reposts on its own blog without the original publication date. No first-hand bylined reporting from inside the facility was found within the last five years.
Three unnamed award badges appear on the clinic's own pages with no alt text and no award named in the page copy, so the awards they represent are not published. No award or clinical prize could be identified by name from any source.
The residential programme occupies a private gated estate on Lohan Court in North Sea, Southampton, bought in March 2021. This is a relocation rather than an expansion: the programme ran in East Hampton from late 2010 until the move, and that house has since been sold on as a private residence. The brand name and the domain still say East Hampton. The clinic advertises a private 17-acre estate. Brokerage records for the same address describe 17.2 acres in total, made up of the house on 8.7 acres plus three separate adjoining buildable lots, and local reporting of the purchase described eight acres. The 17-acre figure is defensible as the total land holding; the built estate clients use sits on roughly 8 to 8.7 acres. Grounds and amenities published across sources include an indoor pool pavilion, an outdoor pool, a pool house, a tennis court, a gym, a glass-sided yoga atrium, gardens and patios, common areas with fireplaces, and wooded grounds not visible from any public property. Daily housekeeping and laundry are published. The room guarantee has changed: older accounts state a private bedroom and bathroom for every client, while the clinic's current site describes options for both private suites and shared living arrangements, so a private room is no longer explicitly guaranteed. It is a converted private residence rather than a purpose-built clinical facility, which is the largest structural difference between this estate and a purpose-built clinic.
Food is treated as part of the programme rather than as catering. A named in-house chef appears on the published clinical staff page, which is a stronger signal than most competitors give, and three meals a day are prepared on site from locally sourced ingredients. The clinic states that the chef works with an accredited nutritionist and dietitian on menu planning and individual dietary needs, and cooking classes are offered as an ancillary activity. Against that, the nutritionist and dietitian are not named, no nutrition assessment on admission is published, there is no personalised nutrition programme built on dietary, metabolic or laboratory testing, no culinary credential is published for the chef, and no food-hygiene inspection record was located.
one to one therapy
The strongest separation established here is one-to-one therapy. Thirteen clients live in one house, group psychotherapy and process groups are core to the programme rather than optional, dining is communal, and the common areas, pools, gym, yoga studio and grounds are shared. The clinic's current site no longer guarantees a private bedroom, describing options for both private suites and shared living arrangements. There is a single arrival point and one staff body serving all clients rather than a team per client. The executive product moves clients outside the perimeter to off-site business meetings with sober companions, which is a further trade-off the clinic makes openly. Balanced against that: no client-name leak and no privacy enforcement action was found. Despite roughly a decade of hostile litigation with the town at the former site, organised neighbour opposition, a hostile campaign website now offline and extensive adversarial local press, no source names a client and no disclosure of a client by the facility was found. That is a meaningful record precisely because the facility was under sustained hostile scrutiny. The 13-client cap and the 3 to 1 ratio were both corroborated by an adversarial outlet reporting a contested hearing, which is better evidence than most self-published figures carry. The material exposure is institutional rather than clinical. Between 2010 and 2021 the operator's use of its former East Hampton property was argued in public repeatedly: a 2013 zoning board vote of 4 to 1 upheld a determination that the facility functioned as a health clinic needing a special permit, the operator's own federal discrimination suit was dismissed as unripe in March 2015 and the dismissal was affirmed on appeal with certiorari denied, and at a May 2019 hearing the town's planning department charged over-clearing of about 21,000 square feet, with no final decision found. None of that is a confidentiality breach, and it should not be read as one. The estate itself is gated, wooded and not visible from any public property.
Headline basis: Public evidenceThe headline number is the public score, not the extended score., LROAS 1.0.0, edition 2026-10-01
Public-evidence total: 37
The sum of the ten criterion scores, from 10 to 100, using evidence anyone can check, including the clinic's own pages as self-declared statements. For the licence element of C2 only, it can also use an authority ruling held in our sealed evidence room. It is the only number used for the rank.
ConfidenceHow well the evidence supports the score.: medium. ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: C10.
The clinic describes a private retreat for 13 clients in one house, with group therapy and family therapy in the residential programme and shared dining and grounds. The luxury rehab centre page offers a private suite or a shared living situation, so a private bedroom for every client is not established, which band 3 requires. No exclusive-use arrangement and no confidentiality measure beyond statute is published. No contradiction deduction applies.
ConfidenceHow well the evidence supports the score.: low
The NY OASAS Provider and Program Search lists programme 54190, Residential Services, service type 820 Stabilization and Reintegration, at 15 Lohan Ct, Southampton, as a current entry, so a licence for the scored site is present, and the team page names a Medical Director. Overnight medical presence, on-site medical detox, a defined programme for severe mental illness, a named escalation route and accreditation are not established; Part 820 stabilization is not medically managed withdrawal and the clinic does not state on-site detox. Band 6 needs at least one further element beyond licence and medical lead, and none is met, so band 5 is the only band that fits a licensed site with a medical lead and nothing further.
ConfidenceHow well the evidence supports the score.: high
On arrival clients receive a medical and psychiatric assessment, and the evaluation page lists blood work and a complete physical, with a Medical Director named for the site. The evaluation page also lists a comprehensive evaluation by a psychiatrist, but the team page names no psychiatrist, so psychiatrist-led diagnosis is not credited. No clinical screening before the client commits, no specialist diagnostics and no written diagnostic formulation delivered to the client are published, which keeps the clinic below band 5. Medication management is published only for the outpatient pathway.
ConfidenceHow well the evidence supports the score.: medium
Each client sees a counsellor three times a week, with more sessions if the team or client finds it necessary. The 3 to 1 staff-to-client ratio covers all staff, and bylined reporting on the former site counted chefs, masseuses and yoga instructors in the same figure, so the team is treated as pooled. Session length, the share of clinical hours in groups, 24-hour clinical presence in the residence and how length of stay is set are unpublished, which keeps the clinic out of higher bands.
ConfidenceHow well the evidence supports the score.: high
The alumni page publishes weekly alumni meetings, a peer network and a teletherapy aftercare programme run by the same operator, and the intensive outpatient page presents a step-down with psychiatric evaluation and medication management. No duration, price or inclusion, no written discharge plan, no six-month structured contact and no coordination with outside doctors are published, which keeps the clinic below band 7.
ConfidenceHow well the evidence supports the score.: medium
A sweep of the clinic's single domain found no ranking, best-of or comparison content among 161 posts, an openly disclosed advertising partnership, award badges that name no award, and an llms file that describes the clinic without instructing models to recommend or rank it. No positive signal is published: USD 50,000 a month appears only in a blog post summarising press coverage, which is not a clinic-published price, and no referral-fee, declining or voluntary-admission policy is published. A clean sweep without a positive signal is band 4.
ConfidenceHow well the evidence supports the score.: low
No transparency element is met. The terms and conditions govern website use only, the privacy policy names no data controller or legal entity and says nothing about record handling, and the contact page gives no licence number and no legal entity. No price, fee inclusions, payment, refund, early-departure or complaints terms and no statement of what the clinic does not treat are published. The register entry proves the licence for other criteria but is not a licence reference on the clinic's own site.
ConfidenceHow well the evidence supports the score.: low
No final regulator, court or tribunal finding against the operator within ten years was found. The operator's own discrimination suit against the town was dismissed in 2015, affirmed on appeal with certiorari denied, which is the operator's claim failing rather than a finding against it, and the 2019 over-clearing charge reported at a zoning hearing has no reported decision and stays an allegation. No inspection record was retrieved and no first-hand reporting from inside the facility was found, so no positive safety element lifts the band above 5.
ConfidenceHow well the evidence supports the score.: high
The hospitality score is band 5: a gated estate with a pool, yoga atrium, in-house trainer and daily housekeeping, a state licensed-address record placing programme 54190 at 15 Lohan Ct, and a 24-hour emergency department at Stony Brook Southampton Hospital 14 minutes and 10.4 km away by road on a Leading Rehabs route check. Band 6 for hospitality would need a fifth element, and no emergency equipment or medication rules are published. The nutrition score is band 2 because the nutritionist and dietitian is not named and no nutrition element is evidenced. The mean of 5 and 2 is 3.5, rounded half up to 4.
ConfidenceHow well the evidence supports the score.: high
The Medical Director counts as provisionally verified: name and title are on the clinic's own team page, New York provides for physician licence verification, and the facility licence is proven by the current OASAS register entry for programme 54190. The team page names 25 people, 14 in clinical or clinical-governance roles, with no registration numbers; the other credentials are not confirmed, and professions outside the physician provision stay unverified. The index lands in band 2, and 13 register lookups remain to be done, so the band is provisional.
ProvisionalA check was still open when the edition closed, for example a register lookup or a video not yet received, or evidence under embargo.: Clinician register lookups for this criterion were still open at the edition cut-off (see known_gaps). The points count as assessed on the evidence available; the band may change when the lookups are completed, which is resolved in a later edition.
ConfidenceHow well the evidence supports the score.: medium
Not published. No price appears anywhere on the clinic's own website, which is a notable omission at this level of the market. The only figure in circulation is a journalist's: Newsday reported a price of $50,000 a month in a feature on luxury treatment for Long Island executives, which the clinic reposts on its own blog without the original publication date. That is a press figure of unknown vintage, not a clinic rate, and it is not used in any score here. The facility operates on a private-pay basis and employs an executive insurance liaison to pursue out-of-network reimbursement rather than holding in-network contracts. Ask for the fee, its inclusions and its refund terms in writing before committing, because no fee terms are published either.
Despite the name, the residential programme is not in East Hampton. Since March 2021 it has occupied a gated estate on Lohan Court in North Sea, Southampton, at the western end of the Hamptons on Long Island. The former house in East Hampton has been sold on as a private residence, and a separate outpatient clinic remains in East Hampton. Southampton is roughly two to two and a half hours from Manhattan by road, longer in summer traffic, and is also reachable by rail and coach. East Hampton Airport handles private aviation and JFK is the nearest international gateway. The clinic publishes no emergency transfer protocol and names no receiving hospital.
Adults with substance use disorders, including those with co-occurring depression, anxiety, bipolar disorder or trauma, who want treatment within reach of New York. The core audience is executives and founders: the differentiating product lets clients keep their phones and laptops, continue running a business from the estate and attend off-site meetings accompanied by a sober companion. It is a shared house with group work at its centre, so it does not suit anyone who requires no contact with other clients. Anyone needing a resident psychiatrist should confirm cover directly, since none is named on the published roster, and clients who are actively withdrawing or medically unstable may be referred to an external detox facility before admission.
The clinic advertises a confidential conversation and immediate placement options through a named admissions team. On arrival clients complete a medical and psychiatric assessment, and the clinic's published evaluation components are a nurse's questionnaire, a detailed psychosocial review, a complete physical, blood work, a comprehensive evaluation by a psychiatrist, consultation with the spiritual counsellor, a recreational assessment, a genogram and screening for co-existing conditions. That evaluation forms the basis of the recovery plan. Insurance is assessed at this stage on an out-of-network basis. No clinical screening before commitment and no waiting time is published.
The clinic runs weekly alumni meetings, a peer network pairing recent graduates with alumni volunteers, a digital aftercare programme delivered by teletherapy, and alumni social events. Clients can step down into the clinic's own intensive outpatient programme, which lists psychiatric evaluations, medication management, medication-assisted treatment, couples and family counselling and family support groups, and which is also offered virtually. Duration, content and cost of aftercare are not published, and no written discharge plan is described, which compares poorly with peers that publish a defined twelve-month continuing-care product.