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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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Taking a "less is more" approach to medication, Dr. Mullin focuses on minimizing prescriptions while still addressing all of a patient’s needs. His goal is to help patients eventually rely more on therapeutic skills than medication. He views treatment as a partnership—balancing his expertise in psychiatry with each patient's lived experience.

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Although Dr. Stoddard specializes in medication management of psychiatric conditions, supportive psychotherapy is often incorporated into his visits, as he believes a combined approach leads to a more robust treatment response. Additionally, he aims to enhance wellness through discussion of lifestyle modifications that emphasize quality sleep, a healthy diet, and regular exercise.

Initial appointments consist of a psychiatric evaluation and discussion of evidence-based treatment options. If telehealth is deemed to be an appropriate modality and pharmacotherapy is recommended, discussion will consist of selecting a suitable medication to address target symptoms while minimizing adverse effects. Follow-up visits focus on assessing treatment response and adjusting regimens to optimize outcomes.

Avjola Hoxha, MD

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Dr. Avjola Hoxha, MD, has experience practicing in both outpatient and inpatient settings. She earned her medical degree from the University of South Carolina School of Medicine and completed her psychiatry residency and Child and Adolescent fellowship at the University of Florida. She is board-certified and passionate about providing comprehensive, patient-centered care.

Dr. Hoxha values open communication and works collaboratively with patients to set individualized treatment goals. She creates a warm, supportive environment where patients feel heard, respected, and empowered throughout their care.

During the initial session, Dr. Hoxha thoroughly explores each patient’s history, concerns, and goals. She ensures patients fully understand treatment options and develops individualized plans aligned with their goals, always respecting patient autonomy and fostering a collaborative approach to care.

Lorangelly Rivera, MD

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Dr. Lorangelly Rivera is board-certified in Adult psychiatry and has been practicing for over 5 years. Dr. Rivera focuses on medication management and brief psychotherapy utilizing techniques from cognitive behavioral therapy, psychodynamic therapy, and supportive therapy in 30-minute appointments. When appropriate, Dr. Rivera may recommend additional psychotherapy with a psychologist as part of the treatment plan. She is fluent in both Spanish and English and is passionate about working with the Latinx population. She completed her bachelor's degree in Cellular Molecular Biology from Metropolitan University, San Juan, Puerto Rico, and her postgraduate work at the National Cancer Institute in Bethesda, Maryland. Dr. Rivera received her medical degree from Ponce Health Sciences University School of Medicine, Ponce, Puerto Rico. She completed her residency training in psychiatry at the University of Rochester Medical Center. After completing her training, she began working for Lifespan Physician Group where she became program director for Lifespan Latinx Mental Health Services and served as Staff Psychiatrist at Rhode Island Hospital and The Miriam Hospital. She holds a faculty position in The Warren Alpert Medical School of Brown University, Department of Psychiatry and Human Behavior as a Clinical Instructor. ‍

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Nereida Gonzalez-Berrios, MD

Staff Psychiatrist

Background and credentials

Dr. Nereida Gonzalez-Berrios is a general psychiatrist fluent in English and Spanish. She earned her bachelor’s degree in Microbiology from the University of Puerto Rico and her medical doctorate from Ponce School of Medicine (now Ponce Health Sciences University). She completed her General Psychiatry Training Program at the University of Puerto Rico Medical Sciences Campus, graduating in 2008. After practicing privately in Puerto Rico, she relocated to Texas, where she worked for over five years at the Michael E. DeBakey VA Health System, providing mental health care to veterans. She has also gained extensive experience in telemedicine, working both within the VA system and as a locum tenens provider.

Treatment approach

Dr. Gonzalez-Berrios has extensive experience treating a wide range of psychiatric conditions, including mood disorders, anxiety disorders, psychotic disorders, intellectual impairment, ADHD, eating disorders, PTSD, and personality disorders. She integrates traditional psychiatric treatment with a holistic wellness approach, drawing on her background as a motivational speaker, wellness coach, certified personal fitness trainer, nutrition coach, and weight-loss specialist. Her approach emphasizes improving overall mental and physical well-being through personalized treatment plans that incorporate psychiatric care, wellness strategies, and lifestyle modifications.

What you can expect in a first visit

Patients can expect a comprehensive psychiatric evaluation where Dr. Gonzalez-Berrios carefully assesses their symptoms, medical history, and personal wellness goals. She takes a collaborative and patient-centered approach, ensuring that treatment is tailored to each individual’s mental and physical health needs. As an experienced telemedicine provider, she offers accessible and flexible mental health care, combining medication management and holistic wellness strategies to help patients achieve lasting well-being.

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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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