Emily Deringer, MD

Ashlyn Tellers is a board-certified Psychiatric Mental Health Nurse Practitioner. She earned her nursing degree with an emphasis in psychiatry in 2020 from the University of Arizona. With over twelve years of experience, she has cared for mental health patients across long-term care, inpatient, residential, and outpatient settings.

Ashlyn specializes in treating adults with depression, anxiety disorders, bipolar disorder, ADHD, and OCD through medication management and supportive therapy. She emphasizes patient education and works collaboratively to build therapeutic and safe treatment plans. She encourages open discussions about past mental health history and current stressors to help identify root causes and develop healthy coping strategies. When appropriate, she refers patients to therapists for more specialized care.

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Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Ellis is a graduate of Robert Wood Johnson Medical School in Piscataway, NJ. He completed his psychiatric residency at Cooper Hospital/University Medical Center in Camden, NJ, where he served as Chief Resident his senior year. Dr. Ellis has served as Assistant Medical Director of the community mental health center of Gloucester County for 28 years, providing care to a diverse population. Additionally, Dr. Ellis maintained a private practice for 15 years, treating individuals and their families with ongoing collaboration with therapists and other health care providers

Dr. Tyler Alderette is a board-certified psychiatrist with experience treating patients in outpatient and telehealth settings. He earned his medical degree from the American University of the Caribbean School of Medicine and completed his psychiatry residency at Larkin Community Hospital in Miami, Florida. His clinical interests include depression, bipolar disorder, anxiety disorders, ADHD, trauma-related conditions, psychotic disorders, and substance use concerns. Dr. Alderette provides evidence-based medication management integrated with psychotherapy-informed care and is committed to staying current with advances in psychiatric treatment to ensure safe and effective care.

Dr. Alderette strives to create a warm, nonjudgmental, and respectful environment where patients feel comfortable sharing their experiences. His approach is collaborative and patient-centered, working closely with patients to set clear goals and select treatments aligned with their values. He takes a whole-person approach, considering mental health alongside sleep, relationships, medical conditions, culture, and life stressors, and provides affirming, inclusive care for patients of all ages and backgrounds.

Dr. Alderette begins with a comprehensive evaluation to understand each patient’s history, current concerns, and personal goals. Treatment plans are individualized and may include medication management along with supportive therapy, cognitive behavioral therapy (CBT), and motivational interviewing. Follow-up visits focus on progress, side effect management, and ongoing adjustments, with an emphasis on education, open dialogue, and long-term stability.

Background and credentials

Dr. Stefan is a psychiatrist with extensive experience in outpatient care, inpatient care, and assertive community treatment. She has served as a medical director for large institutions, overseeing the treatment of individuals with complex mental illnesses. Born and raised in Puerto Rico, she is fluent in both English and Spanish. She earned her medical degree from the University of Puerto Rico School of Medicine and completed her psychiatry residency at the University of Florida, where she received recognition for her skills as a psychotherapist.

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Treatment approach

Dr. Stefan is deeply committed to patient-centered care, adapting her role to the individual needs of each patient. She believes in treating the whole person, rather than just a diagnosis, recognizing that each patient has unique psychosocial circumstances. She has a strong foundation in psychotherapeutic interventions and is dedicated to providing engaging, compassionate, and meaningful therapy in every patient interaction. With over 10 years of experience as a psychiatrist, she has worked extensively in telemedicine since 2013, ensuring that remote care is as effective and personal as in-person visits.

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What you can expect in a first visit

Patients meeting Dr. Stefan for the first time can expect a comprehensive and holistic evaluation that considers their symptoms, personal history, and life circumstances. She takes the time to build strong therapeutic relationships, fostering a caring and engaging environment where patients feel understood and supported. Whether through telemedicine or in-person care, she prioritizes personalized treatment plans that integrate medication management and psychotherapy, ensuring the highest quality of care tailored to each patient’s needs.

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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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Dr. Cheng is a board-certified psychiatrist who provides medication management alongside supportive therapy. She takes an individualized, patient-centered approach, creating comprehensive treatment plans tailored to each person's needs. With an approachable and caring demeanor, she helps patients address both immediate concerns and underlying stressors. Dr. Cheng believes in evidence-based practices while maintaining sensitivity to each patient's unique mental health journey.