Jacob Kannarkat, MD

Darcie Farrell is an ANCC Board Certified Family Psychiatric Nurse Practitioner.  She has worked exclusively in the field of psychiatry during her forty-year nursing career.  She has worked in many care settings, including as a psychiatric Home Health Nurse and as a Certified Case Manager (CCM) in Psychiatry at Blue Cross Blue Shield. During her time at Excellus Blue Cross Blue Shield, she realized the urgent need for psychiatric nurse practitioners, so enrolled in the BSN/MSN program at the University of Rochester, graduating in 2016 with her BSN and in 2018 with her MSN.  She has strong skills and experience in Motivational Interviewing, having worked as a Motivational Counselor for a University of Rochester's Pediatric Research Program.   She has worked for the past seven years as a Nurse Practitioner in Geriatric Outpatient Psychiatry.

Darcie Farrell is a compassionate provider who is client centered. I rely on evidence-based scientific research when determining the best treatment options for clients.  

Darcie Farrell has a very relaxed process for working with patients which allows the client to provide information that is pertinent to their goals for care.  Then, together, we determine which treatment options are likely to be best for the client.

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Zakiyyah Weatherspoon is a dual-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over a decade of experience. Since 2011, she has worked in family medicine, and since 2013, she has focused on mental health care across the lifespan. Her background includes treating children, teens and adults in hospitals, private practices, and community settings.

Since 2017, Weatherspoon specialized in helping individuals manage depression, anxiety, bipolar disorder, OCD, PTSD, ADHD, ODD, eating disorders, and substance use. She uses supportive therapy, solution-focused therapy, and cognitive behavioral therapy to help clients feel heard, understood, and empowered.

Weatherspoon is passionate about breaking the stigma around mental health. She encourages her clients to speak up, get help, and take control of their mental wellness. Her approach is based on the Mental Health Recovery Model, which focuses on hope, healing, and building a life beyond diagnosis.

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Dr. Zachary Masuda earned his medical degree at Creighton University School of Medicine in Omaha and completed his Psychiatry residency at Creighton University School of Medicine in Phoenix. He went on to complete an Addiction Psychiatry fellowship at Oregon Health and Science University. During training, he was inducted into the Gold Humanism Honor Society, reflecting his commitment to compassionate care. Dr. Masuda is board-certified in general psychiatry and has experience working in outpatient, residential, and inpatient settings.

Dr. Masuda is dedicated to creating a safe, supportive, and nonjudgmental environment where patients feel heard and respected. He emphasizes open communication to establish clear treatment goals and expectations, ensuring patients are active partners in their care. His approach remains flexible, adapting as treatment evolves to best meet patient needs.

Dr. Masuda begins by gaining a thorough understanding of each patient’s history, concerns, and goals during the initial session. He then develops personalized treatment plans that align with those goals, integrating both medication management and therapeutic interventions. His balanced approach allows for individualized care tailored to support long-term recovery and overall well-being.

Ernest Smith, LPC, specializes in supporting adolescents, young adults, adults, and older adults as they navigate grief, anxiety, depression, trauma, and life transitions. With a compassionate and client-centered approach, he creates a safe, nonjudgmental space for individuals to explore their experiences and build the skills necessary for healing, growth, and resilience.

Ernest draws from a range of evidence-based modalities—including solution-focused therapy, person-centered therapy, cognitive-behavioral therapy (CBT), and dialectical behavior therapy (DBT). He tailors each session to meet the unique needs of his clients, whether helping adolescents manage emotional regulation and identity development or supporting older adults in coping with grief and life changes.

Ernest provides trauma-informed care and recovery-focused strategies that foster emotional safety, self-awareness, and long-term well-being. His goal is to walk alongside each person with empathy, understanding, and practical tools that promote lasting change and inner strength.

Kelvin is an experienced Licensed Independent Social Worker who has worked in a variety of clinical and non-clinical settings. Kelvin's years of experience include work as a case manager, mental health therapist, substance use and mental health group facilitator, a lead clinician for a school-based services program and coordinator for adventure-based programming. This experience has allowed Kelvin to serve in a variety of settings, including: schools, homes, hospitals, and outpatient clinics, as well as working with individuals from nearly every age range; anywhere from kindergarten-aged school children to adults in a nursing home and almost everywhere in between. ‍Kelvin places great importance on making treatment a unique experience for every individual, strongly believing that there is no single uniform answer to an individual's problems and solutions should be tailored to that person's specific life circumstances. Kelvin has a foundation in Cognitive Behavioral Therapy, but utilizes practices as appropriate from a variety of treatment styles, including Dialectical Behavioral Therapy, Trauma-Informed Care, Behavioral Activation, Play Therapy and many more.

Nisha Saintelus Deratus, LPC, is a proud HBCU graduate of Prairie View A&M University with a Master’s in Counseling and over eight years of experience in the mental health field. She has provided care in inpatient psychiatric hospitals, partial and intensive outpatient programs, community mental health, and private telehealth practice. Nisha supports clients facing anxiety, depression, trauma, grief, bipolar disorder, life transitions, anger management, and relationship challenges.

Nisha offers a warm, approachable, and nonjudgmental space where clients feel seen and supported. She believes in a collaborative approach to therapy, working alongside clients to identify the root of their struggles and develop a personalized plan for growth and healing. Her personable nature and tailored care help clients feel comfortable and empowered throughout the process.

In the first session, Nisha reviews teletherapy expectations and confidentiality, and conducts a psychosocial assessment to better understand your background and goals. Together, you’ll explore current challenges, create a vision for your future, and build a practical plan. Using CBT and ACT, she helps you develop tools and insights to apply between sessions for continued progress.