Marla Richard, MD

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”

Dr. Kristin Ratz is a Board-Certified psychiatrist who is an expert in the diagnosis, treatment, and prevention of mental, emotional and behavioral disorders. She specializes in medication management combined with supportive therapy during 30-minute follow-up sessions. Dr. Ratz recognizes that each patient is unique and believes in an environment of collaboration, in which the patient and psychiatrist work together in order to develop the best individualized treatment plan. A California local, Dr. Ratz obtained her undergraduate education at University of California, Davis, graduating magna cum laude with a degree in Human Development. She then attended medical school at Loma Linda University School of Medicine, obtaining her Medical Doctorate. Following this, she completed her adult psychiatry residency training at the distinguished University of California, Irvine. Dr. Ratz has worked in a diverse range of healthcare settings, including county and community clinics, and is very experienced in telepsychiatry. She pays close attention to not only an individual's emotional state, but also their physical, spiritual, and social well-being, in order to provide her patients with exceptional holistic care.

Dr. Lemaire Leo Pierre is a board certified adult psychiatric provider with over 10 years of experience. He has additional years working in the medical field as a physician assistant. Dr. Pierre's practice entails medication management accompanied by supportive psychotherapy. He frequently encourages other forms of psychotherapy with a counselor to maximize treatment outcomes. After completing medical school at Central America Health Science University, he returned to New York City and completed his psychiatry residency at New York Medical College Program at Metropolitan Hospital Center. Subsequently, he moved to Minnesota and worked with Park Nicollet Health Service/HealthPartners. He had been there for 10.5 years, where he oversaw a successful psychiatric practice and helped his patients who had been struggling with their conditions. Dr. Pierre is a member of the American Board of Psychiatry and Neurology, in addition to the American Psychiatry Association and State Psychiatry Association. He also enjoys attending conferences and reading journals to learn about cutting-edge treatments so that he is updated on the most recent FDA-approved medications.

Shanika is a dedicated and compassionate board-certified Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) with over a decade of experience in the mental health field. She holds a Bachelor of Science in Nursing, a Masters in Nursing Education, and a Post-Master’s Certificate as a Family Psychiatric Nurse Practitioner. Shanika is known for her patient-centered approach, prioritizing empathy, respect, and individualized care. She is committed to building strong therapeutic relationships grounded in trust and open communication.

New patients can expect a warm, non-judgmental environment where they feel heard and supported. Shanika collaborates closely with each patient to create personalized treatment plans, helping them feel empowered in their mental health journey.

Shanika begins with a comprehensive psychiatric evaluation to understand each patient’s history, symptoms, and goals. Her treatment may include medication management, supportive therapy, and psychoeducation. She specializes in anxiety, depression, bipolar disorder, ADHD, trauma/PTSD, mood disorders, and women’s mental health. Shanika has extensive experience providing care for both adolescents and adults in outpatient settings, with a particular focus on underserved communities.

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Serena Mirchandani is a board-certified psychiatric nurse practitioner with extensive experience treating serious mental illnesses such as bipolar disorder and schizophrenia spectrum disorders. She also provides care for individuals with depression, anxiety, PTSD, OCD, autism spectrum disorder, and substance use disorders. Serena earned both a Master of Science in Nursing and a Doctorate in Nursing Practice in psychiatry from Columbia University. She completed a Nurse Practitioner Fellowship at Community Healthcare Network and worked at Bellevue Hospital for 2.5 years, providing care on an inpatient psychiatric unit for a diverse, underserved population.

Serena’s approach is grounded in open communication, evidence-based care, and deep respect for each patient’s lived experience. She prioritizes a collaborative, safe space where individuals feel heard, respected, and empowered. Her holistic style supports honest conversation, transparency in treatment options, and patient-centered goals.

Serena begins with a comprehensive assessment to understand each patient's full story—biological, psychological, and social. She then partners with patients to develop personalized, evidence-based treatment plans that align with their values and goals. She emphasizes education, transparency, and regular follow-up to support ongoing progress and informed decision-making.

Background and credentials

Dr. Moni Baidya is double board-certified in adult and geriatric psychiatry with over nine years of experience. She earned her medical degree from Manipal College of Medical Sciences and completed her psychiatry residency and geriatric fellowship training at the University of Virginia, Charlottesville. Her background includes work in nursing homes, acute rehabilitation centers, inpatient psychiatric units, and outpatient settings, providing care for diverse patient populations.

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Treatment approach

Dr. Baidya strongly believes that developing a good therapeutic rapport is essential for successful treatment. Her practice primarily focuses on medication management, often combined with supportive, psychodynamic, cognitive-behavioral (CBT), and couple’s therapy in 20–30 minute follow-up visits. She takes a holistic approach, particularly for patients with complex medical conditions that impact emotional health, collaborating with interdisciplinary teams and family members when appropriate. In addition to general adult psychiatry, she specializes in geriatric psychiatry and women’s mental health, with a primary focus on treating women with mood and anxiety disorders and geriatric patients with newly diagnosed psychiatric conditions.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive evaluation where Dr. Baidya takes the time to assess their symptoms, medical history, and treatment goals. She fosters a collaborative and supportive environment, ensuring that treatment plans are tailored to individual needs. Follow-up visits typically last 20–30 minutes, with a focus on medication adjustments and therapeutic support. If additional therapy is necessary, she may recommend integrating a therapist into the patient’s care team for the best possible outcome.

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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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