Marnie Stefan, MD

Margaret Ngumi, MSN, APRN, FNP-C, PMHNP-BC, is a dual board-certified Psychiatric Mental Health and Family Nurse Practitioner with over 20 years of experience in healthcare. She began her career as a Family Nurse Practitioner and later pursued a post-master’s certification in psychiatry to address the growing need for accessible mental health services. Margaret has extensive experience in both inpatient and outpatient settings, treating conditions such as depression, anxiety, PTSD, mood disorders, and substance use disorders.

She takes a collaborative, patient-centered approach to care, creating a safe and supportive environment where individuals feel heard and empowered. With a strong emphasis on holistic care, Margaret considers all aspects of a patient’s well-being—including lifestyle, relationships, and overall health. Whether through medication management, therapy, or lifestyle modifications, she is committed to helping patients achieve meaningful and lasting improvements in their mental health.

Margaret begins with a comprehensive psychiatric evaluation to understand each patient’s history, concerns, and goals. She then works closely with them to develop a personalized care plan that may include medication, therapy, and evidence-based lifestyle interventions. She prioritizes open communication, patient education, and ongoing collaboration to ensure treatment remains effective and evolves with each patient’s needs. Through her compassionate and evidence-based approach, Margaret is dedicated to helping individuals find balance and improve their overall quality of life.

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Margaret Mary Reyes, MSN, APRN, PMHNP-BC, is a board-certified Psychiatric Mental Health Nurse Practitioner committed to delivering patient-centered and compassionate mental health care. A proud Florida native, she earned her Bachelor of Science in Nursing (BSN), Master of Science in Nursing (MSN), and post-master’s certification in Psychiatric Mental Health Nursing from Florida Atlantic University (FAU). Her academic research focused on improving outcomes for women living with Premenstrual Dysphoric Disorder (PMDD).

Margaret has advanced practice experience in both inpatient and outpatient psychiatric settings. She has treated individuals with a wide range of mental health conditions, including psychotic disorders, bipolar spectrum disorders, depressive and anxiety disorders, trauma-related disorders, attention deficit disorders, personality disorders, substance use and co-occurring disorders, eating disorders, suicidality, homelessness, and severe mental illness (SMI) within the criminal justice system. Her clinical background also includes acute care experience in oncology, medical-surgical, telemetry/cardiac step-down, intensive care, nursing research, and consultation-liaison psychiatry.

She takes an integrative and comprehensive approach to mental health care, combining medication management with evidence-based complementary and alternative interventions. Her practice is grounded in the understanding of the mind-body-spirit connection and the gut-brain axis. Margaret incorporates supportive therapy, motivational interviewing, and mindfulness-based cognitive techniques to support her patients’ overall well-being.

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Dr. Meyen graduated from the University of Missouri School of Medicine and completed her psychiatry residency training at Harvard South Shore. She completed a fellowship in geriatric psychiatry through Massachusetts General Hospital in Boston, MA. Dr. Meyen was employed by the Department of Veteran Affairs for 10 years prior to joining Talkiatry. She is board certified in both adult and geriatric psychiatry. She specializes in depression, anxiety, PTSD, bipolar disorder, OCD, ADHD, and many other mental health disorders.

Dr. Meyen is a Harvard trained, board certified, adult psychiatrist who specializes in creating individually tailored treatment plans for patients using high quality evidence and up-to-date clinical guidelines. She has a passion for shared decision making, which means empathetic listening to each patient, and making a customized plan that supports their individual values and preferences.  

When meeting with a patient for the first time, Dr. Meyen carefully reviews current symptoms, past history, patient values/preferences. She works with the patient to develop individual treatment goals. Dr. Meyen values developing a trusting relationship with each patient and wants each patient to feel heard and valued.

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Dr. Aidin Ashoori brings clinical experience from diverse settings including outpatient clinics, inpatient units, and emergency departments. He earned his medical degree from Columbia University College of Physicians & Surgeons and completed his psychiatry training at The University of North Carolina at Chapel Hill.

Dr. Ashoori works with individuals of all ages and cultural backgrounds. He has treated a wide range of conditions including depression, anxiety/OCD, bipolar disorder, trauma-related disorders, ADHD, and other psychiatric concerns. Outside of clinical practice, he is also a passionate musician who plays piano and composes music for media. Learn more at www.aidinashoori.com.

Dr. Ashoori uses a holistic, biopsychosocial approach tailored to each patient's unique background and needs. He integrates evidence-based pharmacotherapy with insight-oriented psychotherapy, aiming to foster self-awareness and long-term change. His patient-centered philosophy emphasizes a collaborative, respectful therapeutic alliance.

Dr. Gregory Arthmann recently passed the ABPM Addiction Medicine board exam. Dr. Arthmann is an ABPN board‑certified psychiatrist who received his medical degree from the University of Sint Eustatius. He completed two years of Internal Medicine residency at WellSpan York Hospital in Pennsylvania prior to completing his Psychiatry residency training at East Carolina University in North Carolina.

Dr. Arthmann has over 10 years of experience practicing psychiatry and has treated a broad spectrum of acute and chronic psychiatric disorders. He utilizes a patient-centered, biopsychosocial approach to psychiatry, primarily focusing on psychopharmacological interventions that align with each patient’s unique treatment goals and clinical needs. His practice style centers around medication management with adjunctive supportive therapy tailored to individual needs. Depending on each patient’s circumstances, he may recommend additional support from individual, family, or group counselors and therapists to achieve optimal outcomes.

During an initial visit, patients can expect a thorough and collaborative discussion focused on their symptoms, treatment goals, and clinical needs. Dr. Arthmann will evaluate the patient’s condition to determine appropriate medication interventions and discuss personalized treatment recommendations. Typical follow-up visits are approximately 20–30 minutes in length. Depending on the severity and complexity of a patient’s situation, referral for additional counseling or therapy may be suggested.

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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