No guesswork or phone tag, just great in-network care, fast.
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Puja Kumar, MD
Background and credentials
Dr. Puja Kumar is trained in adult, child, and adolescent psychiatry and is a board-certified pediatrician. She earned her Bachelor of Science from the University of Calgary and her medical degree from St. George’s University in Grenada. She completed her pediatrics residency at Maimonides Medical Center in New York and practiced pediatrics with MedStar Shah Medical Group in Maryland before transitioning to psychiatry. She later trained in child and adult psychiatry at University Hospitals Cleveland Medical Center.
Treatment approach
Dr. Kumar provides medication management combined with supportive therapy, typically in 30-minute follow-up visits. She takes a holistic approach to treatment, considering the impact of lifestyle, parenting practices, and family dynamics on mental health. She emphasizes integrative care, ensuring that treatment plans are tailored to each patient’s unique needs and circumstances.
What you can expect in a first visit
During the first visit, patients can expect a thorough and compassionate evaluation, where Dr. Kumar takes time to understand their symptoms, medical history, and environmental influences. She prioritizes collaborative decision-making, working closely with patients and, when applicable, their families, to develop a comprehensive and personalized treatment plan. Follow-up visits typically focus on medication adjustments, supportive therapy, and lifestyle recommendations to optimize mental health outcomes.
Why Talkiatry?
We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.
Fatemeh Safian Esfahani, MD
Dr. Fatemeh Safian is a board-certified psychiatrist with experience in outpatient, inpatient, and telepsychiatry settings. She completed her residency at Larkin Community Hospital, caring for a diverse range of patients. Dr. Safian diagnoses and treats a wide variety of conditions, including depression, anxiety, OCD, PTSD, trauma-related disorders, phobias, personality disorders, ADHD, bipolar disorder, postpartum depression, and concerns across all age groups. She is dedicated to creating a safe, supportive space where people feel truly heard—believing good psychiatry starts with listening.
Dr. Safian fosters a warm, respectful, and judgment-free environment where patients can share openly. She takes time to understand each person’s symptoms, story, values, and goals. Medication is just one option; she also considers therapy, lifestyle changes, and other supports. Collaboration and trust are central to her approach, with patients guiding the care decisions.
During the first appointment, Dr. Safian conducts an in-depth, unhurried conversation to explore the patient’s history and goals. Together, they develop a personalized treatment plan that may include medication, therapy referrals, and practical strategies. Ongoing follow-ups provide space to track progress, make adjustments, and ensure the patient feels comfortable and empowered.
Steven Mathew, DO
Dr. Steven Mathew is a trained adult and child and adolescent psychiatrist. He recently completed his child and adolescent psychiatry fellowship at the University of Miami/Jackson Health System, where he served as chief fellow. He completed his general psychiatry residency at Pine Rest Christian Mental Health Services in Grand Rapids, Michigan. Dr. Mathew earned his Doctor of Osteopathic Medicine from the Philadelphia College of Osteopathic Medicine’s Georgia campus, a satellite campus located in the Atlanta metro area. He graduated from the University of Georgia with a Bachelor of Science in Biology and afterwards obtained a Master of Public Health in Health Policy and Management.
Dr. Mathew has had extensive clinical experiences caring for patients across the lifespan in specialty inpatient units, partial hospitalization programs, emergency psychiatry, outpatient clinics, consult liaison psychiatry, and telemedicine. He has clinical expertise in treating depression, anxiety, trauma, OCD, ADHD, and tic disorders.
Dr. Mathew's treatment approach combines evidence-based medication management with supportive therapy, emphasizing empathy, collaboration, and goal-oriented care tailored to each patient and family.
Mona Ismail, MD
Dr. Ismail is double board-certified by the American Board of Psychiatry and Neurology in both Adult Psychiatry and Child and Adolescent Psychiatry. She earned her medical degree from Cairo University, where she also completed her neurology residency at Cairo University Hospitals. Following this, she pursued psychiatric training at New York Medical College at St. Vincent’s Hospitals, where she was appointed Chief Resident and recognized as Resident of the Year.
Dr. Ismail further specialized with a fellowship in Child and Adolescent Psychiatry at UMDNJ/Rutgers Robert Wood Johnson Medical School. Her career includes multiple leadership roles, notably serving as Chief of the Child and Adolescent Partial Hospital Programs (PHP) at Rutgers University in Newark, NJ, where she provided direct care to young patients. She has also held Medical Director positions across various clinical settings, including child and adolescent inpatient units, outpatient programs, and intensive outpatient services for both adolescents and adults with mental health and co-occurring substance use disorders.
An active educator, Dr. Ismail has been a teaching faculty member, delivering lectures and providing supervision and evaluations for medical residents and child and adolescent psychiatry fellows. Her academic contributions extend to research, where she has served as a principal investigator on multiple studies.
Throughout her career in leadership and teaching, Dr. Ismail maintained an integrative private practice in New Jersey, serving residents of the NJ and NY metropolitan areas before relocating to North Carolina.
Dr. Ismail is passionate about integrative medicine, which combines evidence-based alternative therapies with conventional treatments to optimize outcomes. Her approach focuses on promoting overall wellness, keeping both the body and mind in harmony.
During the diagnostic evaluation, Dr. Ismail will review your medical history and past treatments to develop a comprehensive, personalized treatment plan that prioritizes your overall wellness. In addition to medication management, she incorporates supportive, cognitive, or psychodynamic psychotherapy during follow-up visits, as time allows. When appropriate, she may also recommend referrals to specialized psychotherapists to address your individual needs as part of a holistic treatment approach.
Albert Fernandez, MD
Dr. Albert Fernandez is a board-certified physician who specializes in adult psychiatry. He has expertise in medication management and psychotherapy. His practice emphasizes a holistic approach to treatment and his style is empathic, insight-oriented, and flexible. He has particular interests in helping individuals struggling with depression, difficulty functioning at work or school, life transitions, bipolar spectrum disorders, ADHD, obsessive-compulsive disorders, relationship struggles, anxiety disorders, sleep disturbances, low self-esteem, and more. He received his bachelor's degree in psychology from Princeton University with a certificate in neuroscience. He earned his M.D. from Renaissance School of Medicine at Stony Brook University and completed his residency training in psychiatry at the Mount Sinai Morningside and West Hospitals. He has supervised junior residents and medical students. He also worked as a staff psychiatrist at Fordham University and published a review article on the effects of residential relocation on mental health. He is currently a Post-Doctoral Candidate in the Adult Analytic Training Program at the New York Psychoanalytic Society and Institute.
Kenneth Lai, MD
Before pursuing medicine, Dr. Kenneth Ethan Lai explored a range of passions. After earning dual degrees in Biology and Biochemistry from the University of California, Riverside, he opened a popular Riverside eatery featured on The Food Channel. He later transitioned to the IT industry, earning a master’s degree and certifications, before answering his true calling in medicine, graduating from Saint Matthews University School of Medicine.
Dr. Lai believes psychiatry combines science and the art of medicine. Patients value his professionalism, patience, empathy, and attentive listening. He acknowledges the many choices patients have in providers and strives to create a welcoming, collaborative, and supportive environment for everyone seeking care.
Dr. Lai treats both adults and children/adolescents with expertise in psychopharmacology, psychotherapy, addiction, geriatrics, and dual-diagnosis care. He is trained in TMS and ECT, is a Certified Suboxone Prescriber, and offers consultations and treatment through office-based or telemedicine visits. His approach is tailored to each patient’s needs, integrating compassionate care with evidence-based treatment.
Jennifer Ruch, DO
Dr. Jennifer Ruch is a board-certified psychiatrist who strives to understand her patients' lived experiences and aspirations to develop supportive therapeutic relationships through empathetic listening, mutual trust, and respect. She collaboratively creates individualized care plans that align with personal treatment goals in a safe and judgment-free environment. After completing her Bachelor of Science degree in Human Biology with a focus in psychology from the University of California, Merced, she earned her medical degree from Lake Erie College of Osteopathic Medicine. Dr. Ruch completed her General Psychiatry Residency at Arnot Ogden Medical Center in New York. Her clinical experience involves treating individuals of all age groups from diverse populations and socioeconomic backgrounds suffering from anxiety, depression, bipolar disorder, psychotic disorders, neurodevelopmental disorders, and neurocognitive disorders. She has provided care in inpatient and outpatient psychiatric facilities, the Veterans Affairs Medical Center, emergency rooms, state facilities, and an inpatient chemical dependency center. She also performed pre-procedure psychological evaluations for bariatric and spinal cord surgeries, and psychiatric consult liaison services on medical units and has clinical training in inpatient and outpatient neurology. Her clinical experience incorporated treatment modalities such as pharmacotherapy and interventional psychiatry, including Transcranial Magnetic Stimulation and Spravato. Dr. Ruch integrates a wide array of psychotherapy as needed; however, her practice primarily focuses on medication management while utilizing referrals to therapists and providing collaborative care for optimal outcomes.
Micah Turpeau, MD
Dr. Micah Turpeau, is a board-certified psychiatrist with experience in both outpatient and inpatient settings. She earned her medical degree from Meharry Medical College and completed her psychiatry residency and child & adolescent psychiatry fellowship at the University of Florida College of Medicine – Jacksonville. Her training and practice reflect a commitment to supporting patients across the lifespan with individualized, evidence-based care.
Dr. Turpeau strives to create a safe, judgment-free space where patients can share their experiences openly. She encourages honest dialogue so patients feel supported, understood, and fully involved in every decision. Her approach emphasizes evidence-based medication management to reduce symptoms and improve functioning, while maintaining flexibility to adapt strategies as needs and goals evolve.
Dr. Turpeau begins with a collaborative exploration of symptoms, personal history, and goals to establish a clear treatment direction. She tailors care to each individual, balancing medication management with supportive therapy when appropriate. Through shared decision-making, She ensures patients remain active participants in their treatment. By closely monitoring progress and adjusting as needed, She provides care that is both responsive and effective.
Tulsie Patel, MD
Tulsie Patel is a board certified psychiatrist who treats adults. She graduated Cum Laude from Drexel University and attended medical school at the University of Miami Miller School of Medicine. She completed her psychiatry residency at the University of Texas Southwestern (UTSW) and was elected to serve as Chief Resident during her final year of training. She has worked as an outpatient psychiatrist in California and Florida and has experience in medication management, individual and group therapy, and transcranial magnetic stimulation (TMS). She is dedicated to constantly learning and has previously published numerous articles and book chapters on various topics in the fields of psychiatry, dermatology, and psychodermatology. She is also very passionate about education and medical journalism. During her residency training, she worked at ABC News in New York City as a member of their medical unit. She provided consultation on medical stories for programs including Good Morning America and World News with David Muir. She has published a number of articles on the websites for ABC News and Good Morning America. She also has experience presenting as an on-air expert for ABC News and for mental health podcasts. She is committed to continuously evolving as a provider in order to provide the best care for her patients. Her focus is always to provide patient-centered care by prioritizing open communication and collaboration with her patients. She has experience providing care for a variety of psychiatric illnesses. The conditions she treats include but are not limited to depression, anxiety, panic disorder, OCD, PTSD, and ADHD.
Ethan Atwood, MD
Dr. Ethan Atwood is a board-certified psychiatrist. He earned his medical degree from the College of Medicine at the University of Arkansas for Medical Sciences. He completed his psychiatry residency and fellowship at the University of Alabama at Birmingham, and he completed a forensic fellowship at the University of Arkansas for Medical Sciences.
New patients can expect a warm and welcoming atmosphere when beginning their journey with Dr. Atwood. He emphasizes a holistic approach to mental health care, combining medication management with supportive therapies. His empathetic nature and commitment to patient well-being ensures a nurturing and supportive environment.
Dr. Atwood believes in a collaborative approach, working closely with his patients to develop treatment goals and adjust treatment strategies as needed. He is committed to providing ongoing support and guidance, ensuring that patients feel confident and supported throughout their mental health journey.
Seth Mandel, MD
Dr. Mandel received his Bachelor of Arts and Doctor of Medicine degrees from the University of Pennsylvania. He completed his Residency in Psychiatry at Mount Sinai Medical Center in Manhattan. He has been board certified in psychiatry since 2001 and is a Life Fellow of the American Psychiatric Association. He has held numerous clinical and academic appointments including serving as Chairperson of Psychiatry at Huntington Hospital in Huntington, New York, and Assistant Professor of Psychiatry at Hofstra North Shore-LIJ School of Medicine.
Dr. Mandel has over 25 years of clinical experience treating all mental health conditions. He has a strong interest in mood and anxiety disorders, including work-related anxiety. He authored a section on the pharmacology of social anxiety in the book Work Makes Me Nervous. Dr. Mandel also has expertise working with clients diagnosed with borderline personality disorder. He has lectured on the pharmacologic management of this condition, including a presentation at the NIMH International Think Tank for the More Effective Treatment of Borderline Personality Disorder.
Dr. Mandel continually seeks to streamline complex medication regimens. He has completed a fellowship in integrative psychiatry and carefully considers the potential contributions of lifestyle and nutrition to overall mental health and well-being. By taking an eclectic approach, Dr. Mandel is able to achieve the best possible outcome for all whom he is privileged to serve.
John Banks, DO
Dr. John "Will” Banks is a board-certified psychiatrist who completed his General Psychiatry residency training at Stony Brook University Hospital in Stony Brook, NY. During his residency training at Stony Brook University Hospital, Dr. Banks was selected by faculty to serve as an administrative chief resident based on his leadership qualities and integrity. He received numerous awards during his residency training including the Excellence in Compassionate Care Award, Academic Achievement Award, and Harold Pass Excellence in Psychotherapy Award. He also served as an Outpatient Senior Resident to help junior residents acclimate to the outpatient treatment setting and telehealth format. Dr. Banks implements an integrative approach to his practice that primarily utilizes medication management and various psychotherapy disciplines such as cognitive-behavioral, supportive, and psychodynamic techniques. While Dr. Banks is trained in a variety of therapeutic fields, he works collaboratively with therapists and may recommend their inclusion as part of your treatment team to provide you with the level of care you deserve. The duration of follow-up appointments with Dr. Banks is typically 20-30 minutes. He received his master's degree from the University of North Texas Health Science Center in Fort Worth, TX. He then completed medical school at Lake Erie College of Osteopathic Medicine Seton Hill in Greensburg, PA where he served as president of his medical school's chapter of Sigma Sigma Phi Honorary Service Fraternity and co-founder of the National Alliance on Mental Illness (NAMI) Campus Club. Upon graduation from medical school, Dr. Banks completed his residency training in General Psychiatry at Stony Brook University Hospital in Stony Brook, NY.
Jacqueline Hong, MD
Dr. Jacqueline Hong is a board-certified adult psychiatrist who takes a genuine interest in her patients and values collaborative decision-making. Over the past 4 years of practicing, she has followed a holistic model of care that accounts for the physical, mental, social, and spiritual needs of the individual. She has a down-to-earth, patient, and warm personality, and prides herself on timeliness and professionalism. Though Dr. Hong focuses on medication management, she has a passion for supportive therapy with elements of CBT, psychodynamic therapy, and mindfulness. She may also recommend that a therapist be included in your care team if more specialized therapy is required. Dr. Hong graduated summa cum laude from Grove City College, and completed medical school at UTMB at Galveston. She finished her residency at Memorial Healthcare System in FL, where she held a leadership position in Graduate Medical Education. Dr. Hong has experience in treating a wide range of disorders, including depression, anxiety, OCD, PTSD, ADHD, schizophrenia, bipolar disorder, and addiction. She has worked with adolescent, geriatric, pregnant, and medically complex patients. Growing up in a Korean immigrant household and training in the ethnically diverse South Florida region has informed her of the unique struggles that immigrant populations face. Dr. Hong has a special interest in treating mood and anxiety disorders. Outside of the office, Dr. Hong enjoys art, cinema, and powerlifting.
Maria Carvajal Ramirez, MD
Dr. Maria Teresa Carvajal is an adult, child, and adolescent psychiatrist. She is originally from Guayaquil, Ecuador, and is bilingual in Spanish and English. Dr. Carvajal earned her medical degree from Universidad de Guayaquil in Ecuador. She then participated in a medical program at The William J. Harrington Training Program for Latin America and the Caribbean, at Jackson Memorial Hospital, an affiliate of the University of Miami in Florida. Afterwards, she completed her adult psychiatry residency at Icahn School of Medicine at Mount Sinai, Bronx Care Health System, and her fellowship in child and adolescent psychiatry at Northwell Health in New York. She has experience working in various settings, including inpatient, outpatient, and emergency departments. Dr. Carvajal has submitted and presented work to the American Psychiatric Association and has also collaborated on a book publication. Dr. Carvajal has experience treating children and adults with anxiety, depression, OCD, PTSD, ADHD, dementia, etc. She utilizes medication management in conjunction with emotional and supportive therapy in 30-minute follow-up visits. She is passionate about her work and understands the impact of mental illnesses in daily life activities and in the family system. She will work with each patient in an individualized manner and will tailor personalized treatment plans that may include pharmacological treatment. In addition, Dr. Carvajal may recommend including a therapist in your care team to provide the best outcome.
Gerald Matthews, MD
Background and credentials
Dr. Gerald Matthews is a board-certified adult psychiatrist. He earned his medical degree from the University of Louisville School of Medicine in Louisville, KY. Following medical school, he entered active duty service in the U.S. Army, where he completed his psychiatry residency at Tripler Army Medical Center in Honolulu, HI. After completing his training, he practiced as a staff psychiatrist at Fort Hood, TX, fulfilling his service obligation.
Treatment approach
Dr. Matthews specializes in medication management, working primarily with adult patients in an outpatient setting. While his primary focus is pharmacological treatment, he frequently collaborates with therapists to provide comprehensive care when indicated. He has extensive experience treating civilians, active-duty military personnel, and veterans, addressing conditions such as mood and anxiety disorders, psychosis, and trauma-related disorders.
What you can expect in a first visit
During the first visit, patients can expect a thorough psychiatric evaluation where Dr. Matthews takes time to understand their history, symptoms, and treatment goals. He provides a structured yet compassionate approach to care, discussing medication options and potential therapeutic interventions. For patients who may benefit from additional therapy, he collaborates with therapists to ensure a well-rounded treatment plan tailored to each individual's needs.
Why Talkiatry?
We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.
Shelley Sellinger, MD
Dr. Shelley Sellinger is a board-certified psychiatrist who has been in practice for 25 years. Her career has been devoted to serving both her local community as well as high-risk and underserved patients. As a pioneer and advocate for the use of telepsychiatry years prior to the pandemic, she has presented at the American Telehealth conference as well as at grand rounds. Dr. Sellinger's practice focuses on medication management as well as supportive and insight-oriented psychotherapy. She believes that a combination of therapy, as well as the use of medications, helps provide a patient with the best outcome. Her goal is to help patients live their best and most fulfilling lives. In addition to general psychiatry, she has a keen interest in mood disorders, helping creatives achieve their goals and the LGBTQ community.
Find the right fit fast
Our process was built to help you get the care you’re looking for quickly, with personalized matches and easy online booking.
What psychiatry shouldn’t be
What you get with Talkiatry
Go from searching to scheduled in minutes
Tell us about you
Enter your location, insurance details, and what kind of care you’re looking for.
Get in-network matches
We’ll show you clinicians who take your insurance, specialize in your concerns, and have availability.
Get seen quickly
Great care shouldn’t mean a long wait. Our average time to a first visit is 6 days, not weeks or months.
FAQs
How does Talkiatry work?
Talkiatry is an online psychiatry practice designed to make high-quality mental health care more accessible. We’re 100% virtual, in-network with major insurance plans, and first appointments are typically available in days.
To get started, you’ll complete a quick online assessment to tell us what you’re looking for. We’ll match you with psychiatrists who are licensed in your state, in-network with your insurance, and experienced in treating your concerns. You’ll choose the clinician you’d like to work with.
Your first visit is an in-depth evaluation where your psychiatrist will listen, provide a diagnosis, and work with you to create a treatment plan tailored to your goals and preferences. You’ll continue seeing the same clinician over time, adjusting your plan as your needs evolve. Our team is always here to help with scheduling, insurance, and questions about your care.
Do you provide therapy?
Care at Talkiatry starts with psychiatry. If you already have a Talkiatry psychiatrist, they can refer you to one of our therapists if you’ve decided together that therapy is the right next step. However, you can’t see a Talkiatry therapist if you aren’t already seeing one of our psychiatrists.
What should I do if I’m having an emergency?
Talkiatry does not provide emergency care. If you or someone you know is in crisis, please visit your nearest emergency room, call 911, or call or text the Suicide and Crisis Lifeline at 988.
How much will my visit cost?
The majority of our visits cost patients $25 or less after insurance*, but your exact out-of-pocket cost depends on your plan. The best way to get a clear estimate is to contact your insurance provider directly. Here’s what to ask them:
- Do I have mental health benefits that include outpatient psychiatry?
- Is Talkiatry in-network for my plan?
- What’s my copay or coinsurance for outpatient psychiatry visits?
- Do I have a deductible? If so, how close am I to meeting it?
- Do I have an out-of-pocket maximum? If so, how close am I to reaching it?
- Are virtual or telehealth psychiatry visits covered the same as in-person care?
- Is prior authorization required for outpatient psychiatry?
- Can you provide a cost estimate for an in-network psychiatry visit using CPT code 99204?
- Can you provide a cost estimate for an in-network psychotherapy visit using CPT code 90833?
*Includes all patient costs from 9/24-9/25: copayment, deductible, coinsurance, and $0 payments. Excludes missed appt. fees. Your medical visit costs can vary depending on insurance coverage.
What if I don’t want to take medication?
Psychiatrists are medical doctors, and medication is often part of how they treat mental health conditions. At Talkiatry, your psychiatrist will start by listening and discussing your options with you. Medication is always your choice, but if it’s not something you’re open to considering, we may not be the best fit for ongoing care at this time.
How do I know if Talkiatry can help me?
Talkiatry provides virtual, in-network psychiatric care for people struggling with mild to moderate mental health issues. Here’s what we can help with:
- Anxiety
- ADHD (attention-deficit/hyperactivity disorder)
- Bipolar disorder
- Child & adolescent care
- Depression
- OCD (obsessive-compulsive disorder)
- Pregnancy & postpartum care
- PTSD (post-traumatic stress disorder)
- Substance use disorder
Our goal is to connect you with the best possible care for you. At your first visit, your doctor will confirm whether Talkiatry is the right fit. If they recommend in-person or higher-level care, they’ll guide you to the appropriate resources.
What if my insurance changes from Cigna?
Insurance changes are common, and we’re here to help. Talkiatry is in-network with thousands of plans. If your insurance changes, reach out to a Care Coordinator to update your information and confirm your coverage by calling 833-351-TALK (8255).
Do I still take the assessment if I’m already diagnosed with OCD?
Yes. Our online assessment is an important part of how we match you with the right psychiatrist. Your first visit will include a thorough evaluation so your psychiatrist can confirm your diagnosis and tailor your treatment plan to your current needs.
