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Kyra Fragnito, MD

Staff Psychiatrist
Languages
English
SPECIALTIES
ADHD
Anxiety
Bipolar Disorder
Depression
LGBTQIA+
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Perinatal Psychiatry
Postpartum Depression

Education and training

  • University of South Florida Morsani College of Medicine Doctor of Medicine (MD)
  • St Luke's University Hospital (Residency)
  • Regional Medical Center Bayonet Point (Residency)

Get to know

Kyra Fragnito, MD

Dr. Kyra Munzenmaier is a board-certified psychiatrist dedicated to providing compassionate, personalized mental health care. A graduate of the University of South Florida's College of Medicine and former Chief Resident at St. Luke’s in Pennsylvania, Dr. Munzenmaier brings extensive training and experience in outpatient psychiatry. She particularly enjoys helping individuals dealing with insomnia, ADHD, anxiety, OCD, mood disorders, and medical trauma. As a Perinatal Mental Health-certified expert, she advocates for women’s mental health needs and supports individuals navigating mental health concerns during pregnancy and beyond.

Dr. Munzenmaier’s treatment approach is rooted in shared decision-making, prioritizing patient goals and preferences to create customized care plans, which typically include psychotherapy in combination with medication. She often integrates evidence-based lifestyle modifications and natural treatments to optimize personal well-being. By taking a holistic view of her patients’ challenges, Dr. Munzenmaier empowers her patients to lead their most fulfilling lives.

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Marsha Wheatley, MD

Staff Psychiatrist

What has motivated Dr. Wheatley over the course of her career as a caregiver? Dr. Wheatley is a native Houstonian who grew up in a working-class community. Through curiosity and hard work, she was able to attend a university that included people of vastly different life experiences. She was molded by both communities to appreciate the commonalities of humanity. That broad exposure extended her empathetic spectrum to grasp the needs of the American diaspora.

Dr. Wheatley uses a biopsychosocial approach to evaluate the patient. She gathers patient history with a mindset that considers the neuroscience that chemically shapes mood, thoughts, and behavior. She is able to uncover factors that can inhibit psychological growth and development. She has experience in seeing how the social conditions of the “then” can influence the resiliency of the “now”. Dr. Wheatley appreciates, and is proficient in, advances in technology, but prioritizes the analog relationship between doctor and patient.

Meeting people where they are. It is an old trope, but describes how one allows a patient to set the path forward. An open-ended interview is conducted with an open mind towards resolution. When being evaluated and treated by Dr. Wheatley, a patient can expect to be met in a cordial but professional manner. Treatments are discussed and considered based on the mental state of the patient and the clinical efficacy and scientific evidence of benefit. The patient is invited to ask questions and consider whether they wish to pursue the suggested treatment plan.

Amber Gordon, PMHNP

Staff Nurse Practitioner

Amber Gordon, PMHNP-BC, is a board-certified psychiatric nurse practitioner dedicated to providing personalized mental health care. She holds a Bachelor of Science in Healthcare Administration from the University of Memphis, a Bachelor of Science in Nursing from Union University, and a nursing practice degree from the University of Tennessee Health Science Center.

With over a decade of clinical experience, Gordon has worked in a variety of settings, including psychiatry, intensive care, and dialysis. Her psychiatric experience spans inpatient and outpatient care, as well as residential and correctional facilities. She has served diverse populations, addressing a wide range of mental health conditions such as mood disorders, anxiety disorders, substance use disorders, trauma- and stressor-related disorders, and perinatal psychiatric conditions.

Gordon’s approach to mental health emphasizes the complex interplay between mental and physical well-being, lifestyle choices, and environmental factors. She integrates conventional medicine with alternative therapies, recognizing the importance of medication while also advocating for therapy, nutrition, and lifestyle changes. This holistic philosophy reflects her belief in each patient’s unique journey to mental wellness. Her therapeutic style is described as warm, empathetic, and empowering, with a strong focus on building a trusting and connected therapeutic relationship.

Thomas O'Brien, DO

Staff Psychiatrist

Dr. Thomas O’Brien holds a Bachelor of Science degree from the University of Wisconsin–Madison and earned his medical degree from Midwestern University Chicago College of Osteopathic Medicine. He completed his psychiatry residency at Loyola University Medical Center. Dr. O’Brien has experience practicing across outpatient, PHP, IOP, and inpatient settings.

He strives to create a supportive environment where patients feel heard, respected, and understood. His approach emphasizes a holistic, whole-person method to healing, guided by the patient’s own goals and values. Dr. O’Brien integrates psychotherapy with medication management, drawing on his background in psychodynamic psychopharmacology and acceptance and commitment therapy.

Dr. O’Brien focuses on understanding each patient as a whole to create individualized treatment plans. This begins with a comprehensive history during the initial session to identify biopsychosocial factors. Treatment is then tailored to align with the patient’s unique goals and values, promoting meaningful progress.

Tiffany Chaille, PMHNP

Staff Nurse Practitioner

Tiffany Chaille is a board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP) with nearly a decade of clinical practice and over 15 years of experience working in behavioral health. Her background includes inpatient and outpatient psychiatry, crisis-focused care, community mental health, integrated pain and psychiatry care, and telepsychiatry. She has a growing interest in functional and integrative approaches to mental health. Tiffany earned her Master of Science in Nursing as a PMHNP from Indiana University and her Bachelor of Science in Nursing from Indiana State University.

Tiffany believes mental health care is most effective when patients feel comfortable, supported, and truly heard. She takes a calm, compassionate, and nonjudgmental approach, meeting patients where they are. Her care focuses on practical, real-life treatment plans while considering sleep, stress, medical factors, and lifestyle influences. She values collaboration and aims for patients to feel informed, involved, safe, and confident throughout their care.

Tiffany begins by getting to know the person beyond the symptoms and understanding what brought them to care. She works collaboratively to develop individualized, realistic treatment plans using evidence-based medication management. Ongoing follow-up, thoughtful adjustments, clear communication, and a whole-person approach guide her work, with an emphasis on consistency and long-term support.

Andrew Miller, MD

Staff Psychiatrist

Dr. Andrew Miller is a board-certified psychiatrist with extensive experience treating patients across Indiana. He earned his undergraduate degree in Biology with a minor in Chemistry from Indiana University, followed by his Doctorate of Medicine and residency training in psychiatry. He went on to complete a fellowship in child and adolescent psychiatry and maintains active involvement in professional organizations, including serving as past president of the Indiana Council of Child and Adolescent Psychiatry. Outside of medicine, Dr. Miller values time with his wife and two children and enjoys sports, Lego building, and supporting Indiana athletics.

Dr. Miller believes in building a collaborative therapeutic relationship grounded in respect and open communication. He strives to create a safe, supportive environment where patients of all ages—children, adolescents, and adults—feel heard and understood. He works to balance medical expertise with patient preferences, encouraging shared decision-making and honoring each individual’s goals in treatment.

Dr. Miller begins with a thorough evaluation to gain a complete understanding of each patient’s history, strengths, and challenges. From there, he develops a personalized treatment plan that may include therapy, medication management, and integration of other supportive resources. He is committed to ongoing follow-up, adjusting care as needed, and helping patients move toward lasting improvement in their mental health and overall well-being.

Tahira Akbar, MD

Staff Psychiatrist

Dr. Tahira Akbar specializes in adult psychiatry, she completed her four years of residency training at Bergen New Bridge Medical Center in Paramus NJ and additional two years of geriatric psychiatry fellowship from SUNY Downstate Medical Center in Brooklyn, NY. During her final year of the of residency training, she was appointed as the chief of research. She utilized her extensive research experience to guide and mentor her fellow residents. Under her supervision the program submitted maximum number of research papers and presented medical posters to various psychiatric platforms including American Psychiatric Association.

Dr. Akbar was introduced to tele-psychiatry during the second year of her fellowship due to the COVID-19 pandemic. She appreciated that tele-psychiatry allowed her to continue to serve her patients in the comfort of their own homes. During the challenging times of social distancing, she recognized the importance of collaborative care involving family members, social workers, medical team, and therapist to work together in the best interest of her patients while protecting their privacy and individuality.

Dr. Akbar has excellent communication skills, she believes that an open communication is essential for any relationship to prosper especially that of doctor-patient relationship. She provides a comforting environment for her patients to be able to express their needs and encourages feedback while preparing their individual treatment plan. She is experienced in providing psychiatric care to all age groups while her clinical interest focuses on taking care of adults and geriatric population. Dr. Akbar emphases on medication management utilizing a multidisciplinary methodology when treating each patient based on their requirements and tailoring treatment appropriately.

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Specialties
ADHD
Anxiety
Bipolar Disorder
Depression
LGBTQIA+
Obsessive-compulsive disorder (OCD)
PTSD/Trauma
Perinatal Psychiatry
Postpartum Depression
States
Pennsylvania
Ohio
Languages
English
Takes insurance
Virtual visits
years experience