James Lee Jr., MD

Dr. Triston Wong is a board-certified adult psychiatrist who emphasizes a collaborative approach and strong therapeutic alliance in the treatment of psychiatric conditions. Though his practice focuses on medication management, Dr. Wong advocates for a holistic approach to treatment. He may incorporate elements of various psychotherapies, including supportive, cognitive-behavioral (CBT), and insight-oriented therapy. At times, Dr. Wong may believe that additional therapy is needed for the best outcome and recommend that you bring a dedicated therapist into your care team. Dr. Wong completed his undergraduate studies at Tulane University. He received his medical degree from Louisiana State University New Orleans School of Medicine, then completed his residency training in general psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA. Dr. Wong has experience working with patients of widely varying backgrounds and socioeconomic statuses. He works primarily with adult patients struggling with depression, anxiety, trauma, and grief. ‍

Dr. Kat Atadjanova is a board-certified psychiatrist dedicated to providing holistic and compassionate care for individuals navigating mental health challenges. She earned her MD from Tulane University School of Medicine and completed a combined residency in Internal Medicine and Psychiatry at Tulane. With experience in both fields, she is especially comfortable caring for patients with medical comorbidities and takes an integrative approach to treatment.

Dr. Atadjanova values collaboration and believes that treatment works best when patients are active participants in their own care. She is committed to creating a safe, supportive environment where patients feel heard and respected. Her approach combines evidence-based medication management with psychotherapy and lifestyle guidance, tailoring each treatment plan to the unique needs and goals of the individual.

In her work, Dr. Atadjanova begins by taking time to understand a patient’s history, strengths, and challenges. From there, she develops a personalized plan that may include medication, therapy, or supportive interventions. She emphasizes shared decision-making, patient education, and holistic strategies—such as nutrition, exercise, and sleep hygiene—to help patients achieve sustainable improvements in their mental health and overall well-being.

Margaret Ngumi, MSN, APRN, FNP-C, PMHNP-BC, is a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner with over 20 years of experience in healthcare. She began her career as a Family Nurse Practitioner and later pursued a post-master’s certification in psychiatry to address the growing need for accessible mental health services. Margaret has extensive experience in both inpatient and outpatient settings, treating conditions such as depression, anxiety, PTSD, mood disorders, and substance use disorders.

She takes a collaborative, patient-centered approach to care, creating a safe and supportive environment where individuals feel heard and empowered. With a strong emphasis on holistic care, Margaret considers all aspects of a patient’s well-being—including lifestyle, relationships, and overall health. Whether through medication management, therapy, or lifestyle modifications, she is committed to helping patients achieve meaningful and lasting improvements in their mental health.

Margaret begins with a comprehensive psychiatric evaluation to understand each patient’s history, concerns, and goals. She then works closely with them to develop a personalized care plan that may include medication, therapy, and evidence-based lifestyle interventions. She prioritizes open communication, patient education, and ongoing collaboration to ensure treatment remains effective and evolves with each patient’s needs. Through her compassionate and evidence-based approach, Margaret is dedicated to helping individuals find balance and improve their overall quality of life.

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Dr. Megan Marumoto provides holistic and personalized care as an integrative psychiatrist board-certified in General Psychiatry, Child & Adolescent Psychiatry, Integrative Medicine, and Lifestyle Medicine. She takes a root cause approach to treating mental health conditions as a certified Functional Medicine practitioner. Dr. Marumoto treats a wide range of mental health conditions in children, adolescents, and young adults, including ADHD, anxiety, depression, phobias, OCD, and trauma-related conditions. Patients may expect a comprehensive assessment with evidence-based treatment focusing on nutrition and healthy lifestyle interventions as well as medication management in 20�30-minute sessions. She enjoys working collaboratively with therapists and health coaches to achieve the best outcomes. She also provides supportive therapy and other therapies when indicated. She received her medical degree from the John A Burns School of Medicine and completed her Psychiatry Residency and Child & Adolescent Psychiatry fellowship at the University of Hawaii. Wishing to provide comprehensive care beyond medication management and therapy, Dr. Marumoto completed a second fellowship in Integrative Medicine at the University of Arizona. She has over 20 years of clinical experience working with military and civilian populations.

Dr. Earl De Guzman is a psychiatrist who values therapeutic partnership, working with patients to balance symptom relief with meaningful self-exploration. He earned his BS in Psychology from the University of California, Davis, and his MD from Ross University School of Medicine. He completed his psychiatry residency at Los Angeles County + University of Southern California Medical Center and a consultation-liaison psychiatry fellowship at Stanford University Medical Center. He is triple-board-certified in psychiatry, consultation-liaison psychiatry, and addiction medicine, and holds psychoanalytic psychotherapy training certification from the Psychoanalytic Center of California. Currently, he is a psychoanalyst-in-training at the New Center for Psychoanalysis. His expertise spans medication management, supportive therapy, and psychodynamic therapy.

Dr. De Guzman takes a collaborative, patient-centered approach, creating a warm and nonjudgmental environment. He listens deeply, asks thoughtful questions, and encourages honest exploration of symptoms and underlying patterns. He values authenticity, curiosity, and respect for each patient’s unique experiences. While symptom relief is important, his goal is to foster self-understanding and long-term growth. He works best with patients open to collaboration and motivated for change, whether through medication management, therapy, or both.

Dr. De Guzman begins with a consultation phase to ensure a good fit, listening carefully to understand each patient’s challenges and goals. Together, he and his patients build a working alliance by clarifying difficulties, identifying realistic changes, and exploring deeper patterns. When appropriate, he prescribes medication thoughtfully, aiming to support therapy rather than replace it. Each session integrates supportive and psychodynamic elements, combining medication review with therapeutic dialogue. Treatment plans are regularly revisited, allowing flexibility and growth, with the ultimate aim of empowering patients toward lasting change.

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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