Jeffrey Niles, DO

Ashley Sharp is a Licensed Professional Counselor with Mental Health Service Provider designation, who has experience working in multiple settings within the mental health field including private practice counseling, school-based counseling, and in a behavioral health hospital. This has allowed Ashley to work closely with individuals of various demographics and a wide spectrum of mental health conditions. Ashley obtained her undergraduate degree in psychology from Bryan College in Dayton, TN, and her graduate degree in clinical mental health counseling from Richmont Graduate University in Chattanooga, TN. Ashley has been working in the mental health field for 4 years and focuses on mood and anxiety disorders, as well as personality disorders, challenges in relationship dynamics, and difficult life transitions such as grief and divorce. Ashley tailors her treatment modalities for the greatest benefit of the individual, being considerate of the background and needs of each client. Ashley uses an eclectic approach to therapy founded in Cognitive Behavioral Therapy and incorporates elements of Dialectical Behavior Therapy such as mindfulness, distress tolerance, and emotional regulation.

Dr. Amanda Carrera-Alvarez is double board-certified in Psychiatry and Consultation-Liaison Psychiatry. She received her medical degree from Universidad Central del Caribe in Puerto Rico, completed a 1-year Internship in Internal Medicine at the Ramon Ruiz Arnau University Hospital in PR, and went on to complete Residency in Psychiatry at Lincoln Medical and Mental Health Center in the Bronx. Dr. Carrera-Alvarez then completed a 1-year Fellowship in Consultation Liaison at St. Luke's and Roosevelt Medical Centers in New York City, further acquiring proficiency in caring for patients with complex medical and psychiatric comorbidities. After completing training, Dr. Carrera worked briefly as a Psychiatric Consultant for patients admitted to medical units and as an Electroconvulsive Therapy Psychiatrist to patients in the Inpatient Psychiatric Units, in Woodhull Hospital in Brooklyn. During this time and through training, she worked part-time/moonlighted in the Margaret Cochran Corbin VA Campus located on NYC and eventually moved to work there permanently in the roles of Outpatient Psychiatrist, Consultant Psychiatrist to outpatient medical specialties, and ECT Psychiatrist. More recently she held the position of Acting Program Manager and Outpatient Psychiatrist to the VA Mayagüez Outpatient Clinic in Puerto Rico. Dr. Carrera-Alvarez focuses on medication management while also implementing elements of supportive, psychodynamic, and cognitive behavioral therapy within each session to fully address individual needs. At times, Dr. Carrera-Alvarez may recommend a therapist for additional and/or more specialized therapy. Dr. Carrera-Alvarez is experienced in treating a wide range of psychiatric conditions including depression, bipolar disorder, anxiety, PTSD, OCD, among others.

Dr. Kerstin Asquith is a board-certified psychiatrist at Talkiatry. She has extensive experience working with a wide range of diagnoses and patient populations, with particular interest in treating depression, anxiety, PTSD, and OCD. She also has additional training in college mental health. Dr. Asquith believes in the importance of getting to know each of her patients and the unique issues that bring them into treatment. Her approach involves collaborating with patients to create personalized treatment plans and considering both medication and non-medication methods.

Dr. Asquith is from California and completed her undergraduate studies at the University of California, Davis. She obtained her medical degree from Creighton University School of Medicine and then trained at Stanford University's Adult Psychiatry Residency Program. She subsequently completed a fellowship in student mental health at Stanford University. Most recently, Dr. Asquith worked as an outpatient psychiatrist at The Permanente Medical Group. In her free time, she enjoys traveling, trying new foods, and spending time with friends and family.

Dr. Meena Shah is a board-eligible psychiatrist and has been practicing for over 16 years. She specializes in child and adolescent psychiatry. Dr. Shah's practice focuses on medication management in conjunction with supportive and emotionally focused therapy in 30-minute follow up visits. Dr. Shah believes in the importance of building a therapeutic relationship with her patients and families to help achieve their emotional goals. Dr. Shah completed her residency training through Richmond University Medical Center with NY Medical College and completed her fellowship at Brookdale University Medical Center in Brooklyn, NY. Dr. Shah has extensive experience with the child and adolescent population and worked with foster care programs as well as juvenile residential facility programs .Dr. Shah served as Children's Associate Medical Director at Directions for Living Mental Health Clinic and went on to become Medical Director at Sequel Care of Florida. In addition, Dr. Shah also received her Master's degree in Hyperbaric Medicine. She completed her undergraduate studies at the University of Florida with a major in psychology. Dr. Shah's primary clinical focus has been treating children, and young adults with ADHD, mood disorders, anxiety, and helping them establish coping skills to overcome any life obstacle.

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.

Dr. Natalie Cummings is a board-certified adult psychiatrist, and board-eligible geriatric psychiatrist. She obtained her medical degree from the University of North Carolina at Chapel Hill, and completed her residency training in psychiatry at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. She then went on to complete her geriatric psychiatry fellowship at Icahn School of Medicine at Mount Sinai Beth Israel. During her fellowship, Dr. Cummings participated in Mount Sinai's Visiting Doctors Program, providing patient-centered and compassionate care to homebound elder adults in New York City. She also received training at Coler Rehabilitation and Nursing Care Center on Roosevelt Island during her fellowship, and presented at the American Association for Geriatric Psychiatry annual meeting. During her training, Dr. Cummings gained extensive experience providing psychiatric care to various patient populations in multiple patient care settings, including in the outpatient clinic, inpatient unit, and emergency department. Following her training, Dr. Cummings worked at New York Presbyterian's Gracie Square Hospital, serving first in the position of float psychiatrist, providing care to patients on every inpatient psychiatric unit (including the young adult/college student program, Orthodox Jewish program, psychotic disorders program, crisis-stabilization program, dual focus program, and Asian Psychiatry program), before transitioning to an established psychiatric attending for the older adult program. During her time at Gracie Square Hospital, Dr. Cummings received the Physician of the Year Award, and served as a Clinical Assistant Professor of Psychiatry at Weill Cornell Medicine. She worked closely alongside staff psychologist, social workers and nurses to provide multidisciplinary, collaborative care to patients suffering from a variety of mental health conditions. Dr. Cummings primarily focuses on medication management and supportive psychotherapy, but has extensive training in utilizing various therapy modalities, including cognitive behavioral therapy, interpersonal therapy, reminiscence therapy, and psychodynamic psychotherapy. When appropriate, Dr. Cummings will refer for more extensive psychotherapy and/or collaborate with your established psychotherapist for comprehensive care. Dr. Cummings strongly believes that addressing psychosocial and interpersonal factors (including relationship health, economic stressors, social isolation and loneliness) is as essential as pharmacologic management in treating mental health conditions. She has particular experience and interest in treating older adults and those suffering from memory disorders, but provides treatment for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, obsessive-compulsive disorders, trauma-related disorders and substance use disorders. Dr. Cummings is a member of the American Psychiatric Association and American Association for Geriatric Psychiatry.