Kristofer Joondeph-Breidbart, MD

Background and credentials

Dr. Tyler Josephs is a staff psychiatrist at Talkiatry. He earned his medical degree from Kansas City University in 2017 and completed his psychiatric residency at the University of Kansas Medical Center in 2021. During his residency, he served as Chief Resident at both the University of Kansas Medical Center and the Kansas City VA Medical Center. Most recently, Dr. Josephs worked at the Kansas City VA Medical Center, where he was the psychiatric director of the outpatient mental health clinic and served as Psychiatry Executive for behavioral health services.

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Treatment approach

Dr. Josephs believes in a holistic approach to mental health treatment, integrating medication management, supportive psychotherapy, and collaboration with therapists and support staff. He tailors treatment to each patient's unique needs, ensuring a comprehensive and individualized approach to care. His expertise includes treating a variety of psychiatric diagnoses, such as depression, anxiety disorders (including OCD), ADHD, and PTSD.

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What you can expect in a first visit

In a first visit, patients can expect a thorough evaluation, where Dr. Josephs takes the time to understand their medical history, symptoms, and treatment goals. He emphasizes open communication and collaborative decision-making, ensuring that patients feel heard and supported. Based on this initial assessment, he will develop a personalized treatment plan, which may include medication management and referrals to therapy or other supportive services as needed.

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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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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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Dr. Nidhi Sharoha is a double board certified psychiatrist in Psychiatry and Consultation Liaison Psychiatry. She completed her undergraduate training at Stony Brook University followed by medical school at New York Institute of Technology College of Osteopathic Medicine. She has completed both a Residency in Psychiatry and Fellowship in Consultation Liaison Psychiatry at Nassau University Medical Center.

Dr. Sharoha has held academic appointments at Stony Brook University Hospital, practicing as a consultant psychiatrist and Associate Director of Consultation Liaison Psychiatry Fellowship. “Dr. Sharoha has accrued experience and expertise in Perinatal Psychiatry through her training in CL psychiatry. Currently, Dr. Sharoha is serving as President Elect of Long Island District Branch  of APA. She  has formerly served as Associate Director of Clinical Education here at Talkiatry.” She has contributed to education, training and supervision of trainees and physicians throughout her career.   She continues to stay up to date with current psychiatric knowledge.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders, and obsessive compulsive and related disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health. Patients looking for a psychiatric provider will find that Dr. Sharoha has a gentle approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected, which allows her to provide comprehensive care to all of her patients.

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.

Mariah Ide is a Licensed Clinical Mental Health Counselor who has a passion for helping people see their true potential. Mariah earned her master's degree in mental health counseling from Stetson University in Deland, Florida, and also graduated with a bachelor's degree in psychology and criminology from the University of Florida located in Gainesville, Florida. Mariah has experience with children, adolescents, and adults. Mariah has worked in school, hospital, and outpatient based settings. She has clinical practice experience with mood disorders, self esteem issues, gender identity, crisis intervention, family issues and trauma, with a certification in complex trauma. In addition to counseling, Mariah has also worked in case management and has a unique perspective behind resource utilization. She has worked on countless projects in the community to promote mental health awareness. Mariah believes in advocacy for her clients as well as the mental health field, and hopes to promote acceptance and decrease stigma related to mental health and mental health treatment. Mariah takes a person-centered approach with her clients and believes in meeting the clients where they are. Mariah hopes to empower her clients by giving them a safe environment to explore and learn more about themselves without judgment. She sees the importance in looking at the whole picture when working with a client. Mariah hopes to create rounded goals to promote long term success, and help the client feel more balanced overall. She uses solution focused and cognitive behavioral interventions to help clients build a tool box of skills that can help them cope with daily life. Mariah wishes to help her clients reach their full potential, while hopefully making them laugh once in a while during the process.

Dr. Niles (he/him) holds the position of Staff Psychiatrist at Talkiatry. He has four years of experience in outpatient psychiatry and is board-certified for adult psychiatry. He has received training in the use of cognitive behavioral therapy, supportive therapy, motivational interviewing, psychodynamic therapy, and dialectical behavioral therapy skills. He uses his training in therapy in tandem with medicine management to provide holistic, person-centered care. During his undergraduate studies at the University of Pittsburgh, while completing his pre-medical classes, he also pursued certification in the history and philosophy of medicine. Additionally, he studied the effect of culture and ethics on healthcare. He earned a Bachelor of Science in Psychology with a minor in Chemistry. He attended medical school at the West Virginia School of Osteopathic Medicine. His psychiatry residency training was completed at Charleston Area Medical Center. While in residency, he worked to improve cultural awareness in the outpatient setting. Dr. Niles is interested in treating patients with a wide variety of diagnoses. He treats mood disorders, anxiety disorders, trauma-related disorders, personality disorders, OCD, comorbid addiction, mild eating disorders, neurodevelopmental disorders such as autism spectrum disorder, and more. He also strives to provide care that affirms LGBTQIA+ identities and underwent additional training in transgender mental healthcare.