Gira Borad, MD

Karen Tonner, MSN, PMHNP-BC is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over eight years of experience providing psychiatric care in outpatient and community mental health settings. She works with patients across the lifespan and treats a broad range of mental health conditions, including depression, anxiety disorders, attention-deficit/hyperactivity disorder (ADHD), obsessive-compulsive disorder (OCD), and post-traumatic stress disorder (PTSD).

Karen primarily provides medication management in conjunction with supportive therapy, using evidence-based practices to help patients achieve symptom relief and improved functioning. Her approach to care is holistic, person-centered, and collaborative, emphasizing shared decision-making and individualized treatment planning. She strives to create a welcoming, approachable, and supportive environment where patients feel comfortable being themselves and actively participating in their care. She believes that understanding each patient’s unique experiences, goals, lifestyle, and strengths is essential to effective mental health treatment.

Karen earned her Bachelor of Science in Nursing from Kennesaw State University and her Master of Science in Nursing from the University of Alabama at Birmingham. She is dedicated to continuing education to remain current with psychiatric research and is committed to delivering compassionate, high-quality care that helps patients feel heard, respected, and empowered.

Nan Ambrosy is a PMHNP with over 23 years of experience in outpatient and inpatient settings, caring for patients across the lifespan with a wide range of diagnoses. She earned her Doctor of Nursing Practice from Graceland University and holds master’s and post-graduate certificates from Wichita State University. She is ANCC board-certified as both an Adult Psychiatric Clinical Nurse and Lifespan Psychiatric Nurse Practitioner.

Nan uses a patient-centered approach with shared decision-making, fostering strong therapeutic relationships. She focuses on the whole person, emphasizing a balanced lifestyle that includes physical health, sleep, nutrition, exercise, social connections, and spirituality.

She begins with a thorough biopsychosocial assessment and collaborates with patients to set treatment goals. Using clinical judgment and diagnostic criteria, she develops individualized plans, discussing evidence-based treatment options such as therapy and medications. Follow-ups include ongoing monitoring to assess progress and refine goals as needed.

Dr. Rayal Gorrepati is double board certified in both adult and geriatric psychiatry. He has been practicing for over 12 years. Dr. Gorrepati's practice focuses on medication management. Typically, he offers this in conjunction with supportive psychotherapy in 30-minute follow-up visits. However, occasionally Dr. Gorrepati may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best possible outcome. He received his medical degree from the American University of the Caribbean School of Medicine. His general psychiatry residency was completed at Cooper University Hospital in New Jersey. He then completed a Geriatric Psychiatry Fellowship at the University of Hawaii. After completing training, he returned to his hometown of Chicago and began working at a Federally Qualified Health Center providing care to an underserved low-income population for nearly 12 years. While at the clinic, he treated a wide range of diagnoses, the most common ones being depression, anxiety, bipolar disorder, etc. His primary clinical focus is treating adults with depression, anxiety, and bipolar disorder.

Getting to know meDr. Kishan Peddanna is a board-certified general psychiatrist with experience treating patients across the lifespan. He attended The Ohio State University for his undergraduate studies and earned his medical degree from the University of Cincinnati. Dr. Peddanna completed his residency in General Psychiatry at The Ohio State University and a fellowship in Child and Adolescent Psychiatry at Nationwide Children’s Hospital.

Dr. Peddanna values continuity of care and collaboration, working with patients toward long-term improvements while building meaningful connections. His approach is grounded in shared decision-making, ensuring treatment plans align with each patient’s goals. He has extensive experience managing conditions such as ADHD, mood disorders, and anxiety.

Dr. Peddanna’s practice focuses on medication management complemented by supportive psychotherapy. He uses evidence-based assessments and interventions to guide individualized treatment planning, fostering a care experience that is both effective and patient-centered.

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Dr. Gamberino is a board certified adult psychiatrist who has been in practice for over 25 years. He has always been fascinated by how the brain works, especially in the setting of stress, anxiety, and trauma. He completed his training at the Pennsylvania State University College of Medicine MD/PhD program and earned his PhD in Neuroscience. He subsequently completed a Residency in Adult Psychiatry including an Anxiety Disorder Research Fellowship at the University of Florida. Dr. Gamberino had a private practice for over 10 years with a focus on providing psychotherapy integrated with pharmacological management. He worked for 25 years with adult and geriatric Veterans at Department of Veterans Affairs with focus on treating PTSD, as well as a full range of anxiety and mood disorders including 7 years of providing care through telehealth treatment. Dr. Gamberino also has 10 years of experience working with adolescents in the juvenile justice system.

Dr. Gamberino is experienced and comfortable treating a wide variety of psychiatric conditions including PTSD, mood disorders such as major depression and bipolar disorder, and all anxiety disorders such as generalized anxiety disorder, social phobia, panic disorder, and OCD. He enjoys sharing knowledge with patients to help them better understand the origins of their symptoms and a range of strategies to manage them.

Dr. Gamberino utilizes a non-paternalistic approach respecting the autonomy of his patients while helping them gain insight into their presenting problems utilizing a collaborative shared decision making approach to help reduce symptoms and optimize functioning. His practice combines evidence-based medication management with psychotherapy utilizing elements of supportive, cognitive behavior, and insight-oriented therapy. Dr. Gamberino utilizes a patient, caring approach, meeting patients where they are to empower them with making changes that lead toward improvement and optimization of their wellness.