Michael Escamilla, 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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Dr. Alicia Garcete is a board-certified child, adolescent, and adult psychiatrist in practice for over 12 years. Her practice focuses on medication management, recognizing  family involvement is extremely important and is an integral part of treatment. Dr Garcete has treated a wide variety of patients. Her primary focus is treating depression, anxiety disorders, ADHD, PTSD and OCD. Additionally, she can provide supportive therapy and elements of cognitive-behavioral therapy but on occasions more therapy support may be needed, and the recommendation to bring a psychotherapist on the care team may occur to provide an optimal outcome. Dr. Garcete is bilingual and provides care in both Spanish and English.

Prior to Talkiatry, Dr Garcete treated children, adolescents, and adults was at the intensive outpatient and partial hospitalization levels of care with focus on behavioral approaches in the Depression recovery and Anxiety/OCD programs.

Dr. Garcete earned her Medical Degree from the Universidad Nacional de Asuncion, Facultad de Ciencias Medicas in Paraguay. She completed her general psychiatrist residency at Maimonides Medical Center in New York. She was also a Fellow in Psychoanalysis at the Psychoanalytic Institute, Affiliate to New York University School of Medicine, and completed her child and adolescent psychiatrist fellowship at Elmhurst Hospital Center, affiliate to Mount Sinai Hospital. Dr. Garcete also held a clinical assistant professor appointment from the department of psychiatry at SUNY Downstate Medical Center.

Dr. De Paz received his medical degree from the University of Texas Medical Branch in Galveston, TX, and has been practicing for 9 years. He completed his psychiatric residency and child and adolescent psychiatry fellowship training at the University of Texas Medical Branch. After completing training, he worked at the Center for Health Care Services in San Antonio, TX. He worked with special needs children and adults who required the highest level of care both behaviorally and medically. He then continued his treatment of children and young adults at CommuniCare Health Center also in San Antonio. He served as Director of Behavioral Health for CommuniCare for 4 years. Dr. De Paz completed his undergraduate studies in Psychology and Biology at the University of Houston in Houston, TX. While having treated a wide variety of patients, his primary clinical focus has been the treatment of ADHD in children and adults, and working with special needs children and adults who may have Autism Spectrum Disorder or other Intellectual or Developmental Disabilities. Dr. De Paz's practice focuses on medication management. He offers medication management evaluations and follow-up visits. If the need arises, he works with licensed therapists to provide behavioral support.

Dr. Blanca Osorio-Candelaria is a board-certified adult psychiatrist and has been practicing for over 16 years. Her practice focuses on medication management, which she typically combines with supportive therapy in 30-minute follow-up visits. If Dr. Osorio-Candelaria feels you would benefit from working with a therapist in conjunction with medication management, she welcomes collaboration with your therapist to make for the best outcome. ‍Dr. Osorio-Candelaria is a graduate of the University of Puerto Rico School of Medicine in San Juan, PR. She completed her residency at Tripler Army Medical Center in Hawaii, followed by a fellowship in Child and Adolescent Psychiatry. Her years of experience started as a medical officer for the Army, including a deployment to Iraq. Her working experience after her military service includes working as a medical director of a community health center, a medical director of a community hospital, a medical director of an inpatient unit, and working for an Assertive Community Treatment Team (ACT) specializing in the Serious Mentally Ill population.‍Dr. Osorio-Candelaria specializes in psychopharmacology, especially tailoring individualized treatment to serve the needs of patients with a variety of conditions. She has a lot of experience in treating patients with depression, anxiety, bipolar disorders, post-traumatic stress disorders, Insomnia, and ADHD. She also has experience in treating patients with medical comorbidities.

Background  and credentials    

Dr. Christine Reyes is a bilingual Spanish-speaking adult psychiatrist with  25 years of experience. She completed her residency in Adult Psychiatry at  Saint Vincent's Hospital and Medical Center in New York City and subsequently  completed a Child Psychiatry fellowship at the University of Pennsylvania in  Philadelphia. Dr. Reyes has extensive experience practicing in outpatient and  community mental health settings.    

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Treatment approach    

Dr. Reyes provides compassionate psychiatric care using pharmacotherapy  combined with supportive psychotherapy. She specializes in treating anxiety,  depression, bipolar disorder, post-traumatic stress disorder (PTSD), and  numerous other psychiatric conditions. Additionally, Dr. Reyes emphasizes  nutritional counseling, assisting patients in achieving and maintaining a  healthy weight as part of their overall wellness plan.    

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What you can expect in a first visit    

Patients can expect a compassionate and thorough initial assessment aimed  at understanding their psychiatric symptoms, personal health goals, and  lifestyle considerations. Dr. Reyes combines medication evaluation with  supportive psychotherapy and may discuss nutritional guidance as part of a holistic  treatment plan. She prioritizes creating a supportive environment for  bilingual (English/Spanish) patients to openly discuss their mental health  concerns.    

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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.

Dr. Michele Kerbow is a board certified psychiatrist with more than 20 years of clinical experience. She completed her undergraduate training at Clemson University before continuing to the University of South Carolina School of Medicine in Columbia, SC. From there, she completed her General Psychiatry Internship and General Adult Psychiatry Residency through the University of Virginia in Roanoke. Though she has a wide array of experience in psychiatric care and psychological assessment, Dr. Kerbow has a particular interest in the treatment of Veterans' issues and trauma. Her most recent work saw her caring for both Veterans and Active Duty military through the Fayetteville VA Medical Center in Jacksonville, NC and the Naval Hospital Jacksonville in Florida. She believes strongly in the interconnectivity of mental and physical health, especially as it relates to trauma. Patients seeking psychiatric assistance will find Dr. Kerbow to be an empathetic and approachable provider. She places an emphasis on the importance of both therapy and medication management in the treatment of mental health, and has a strong history of collaboration with therapists and counselors in order to enact the best treatment plan possible.