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Alejandra Vivas Carbo, MD

Staff Psychiatrist
Languages
English
Spanish
SPECIALTIES
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
PTSD/Trauma
LGBTQIA+

Education and training

  • The University of Vermont Larner College of Medicine (Doctor of Medicine)

Get to know

Alejandra Vivas Carbo, MD

Dr. Alejandra Vivas is board-certified in adult psychiatry and board-eligible in child and adolescent psychiatry. She completed her general psychiatry residency at Montefiore Medical Center and a child and adolescent fellowship at Mount Sinai School of Medicine. Dr. Vivas brings extensive experience from outpatient, emergency, and telepsychiatry settings. She has advanced training in CBT, Motivational Interviewing, and Psychodynamic Therapy. Fluent in English and Spanish, she is committed to culturally sensitive, individualized care.

Dr. Vivas fosters a warm, respectful, and professional space where patients feel seen and empowered. She values open communication and builds collaborative relationships to align treatment with each person’s values, goals, and lifestyle. Her approach is integrative and flexible, grounded in evidence-based methods to support lasting, meaningful change.

Dr. Vivas begins with a thorough evaluation to understand each patient’s history and goals. She creates customized treatment plans that may include therapy, medication, or both. Drawing on CBT, Motivational Interviewing, and Psychodynamic Therapy, she adapts care to meet evolving needs, aiming to relieve symptoms, foster resilience, and support long-term well-being.

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Anastasia Ruiz, MD

Staff Psychiatrist

Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

Mary Birse, PMHNP

Staff Nurse Practitioner

Mary Birse is a board-certified Psychiatric Mental Health Nurse Practitioner (ANCC) with over 20 years of nursing experience. She graduated magna cum laude with a BSN from Florida Atlantic University and earned her MSN from the University of Florida. She completed a Psychiatric NP Residency at the VA in Charleston, SC. Mary has worked in a variety of settings including the West Palm Beach VA Medical Center, the Palm Beach County Firefighter’s Clinic, various outpatient telehealth platforms, and a child and adolescent inpatient facility. She was also an adjunct professor at Palm Beach State College.

Mary believes in empowering patients through education and collaboration so they can play an active role in their mental health journey. She works to create a warm and welcoming space where patients feel safe, heard, and understood. Whether the treatment path includes therapy, medication, integrative approaches, or a combination, she ensures that the plan reflects the patient's needs and goals.

Mary takes a thorough and holistic approach to care. She spends time understanding each patient’s history and past treatments—what has or hasn’t worked—and listens carefully to their current concerns and future goals. By factoring in lifestyle and preferences, she works with patients to build thoughtful, individualized treatment plans.

Miranda Morgan, DO

Staff Psychiatrist

Dr. Miranda Morgan is a board-certified psychiatrist licensed in New York and Texas. She is a Diplomate of the American Board of Psychiatry and Neurology and a member of the American Psychiatric Association. She earned her undergraduate degree in Psychology from The University of Texas at San Antonio and her medical degree from the Alabama College of Osteopathic Medicine. She completed her residency in psychiatry at Texas A&M University - Temple/Baylor Scott & White Hospital, where she was Recruitment Chief Resident.

Dr. Morgan is passionate about collaborative care and telemedicine, and has held positions in primary care mental health and collaborative care settings. She previously worked as staff psychiatrist at the Department of Veterans Affairs, and held an academic appointment as Clinical Instructor for the Department of Psychiatry at New York University Grossman School of Medicine.

Dr. Morgan describes her practice style as, “patient-centered, compassionate care tailored to each individual's unique mental health needs. As a psychiatrist, I am dedicated to helping my patients overcome their mental health challenges and achieve their goals.

Cindy Rossetti, MD

Staff Psychiatrist

Dr. Cindy Rossetti is board certified in Adult Psychiatry. She has been practicing for over 13 years. Dr. Rossetti received her medical degree from The University of Arkansas for Medical Sciences in Little Rock. She completed her general psychiatry residency at the University of Kentucky in Lexington where she was chief resident. She worked at Eastern State Hospital in Kentucky treating severe and persistent mental illness. She spent most of her post-graduate time providing outpatient care in a rural and underserved area of Arkansas. Dr. Rossetti offers both medication management and therapy together in 30- and 45-minute follow-up visits. Dr. Rossetti enjoys treating adults of all ages. Her areas of interest include ADHD, Depression, Anxiety, and Autism in adults. She enjoys addressing areas such as personal growth, stress management and self-care. Her treatment is patient-centered and geared toward individual healing and wellness.

Puja Kumar, MD

Staff Psychiatrist

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.

Robert Whelpley, MD

Staff Psychiatrist

Background and credentials

Dr. Robert Whelpley, M.D., is board-certified in both Child and Adolescent Psychiatry and Adult Psychiatry. He completed his undergraduate studies at Binghamton University and earned his medical degree from Upstate Medical University in Syracuse, New York. He then went on to complete his residency and fellowship training at the University of Rochester. Throughout his career, he has worked with patients and families across the lifespan in inpatient, outpatient, and emergency psychiatric settings.

Treatment approach

Dr. Whelpley believes in collaborative care, working closely with treatment providers, patients, and families to ensure that mental health concerns are addressed as a team. His approach integrates talk therapy techniques, including motivational interviewing, cognitive-behavioral therapy (CBT), mindfulness, and supportive psychotherapy, alongside medication management. He customizes treatment to maximize each patient’s mental health and overall wellness, sometimes incorporating a therapist into the care plan when beneficial.

What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Whelpley takes time to understand their symptoms, background, and treatment goals. His approach is patient-centered and team-oriented, ensuring that care is personalized and collaborative. He works with patients to develop a treatment plan that balances medication management with therapeutic interventions, fostering long-term mental wellness.

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.

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Specialties
Medication Management
ADHD
Anxiety
Bipolar Disorder
Depression
PTSD/Trauma
LGBTQIA+
States
New York
Florida
Languages
English
Spanish
Takes insurance
Virtual visits
years experience