Michael Escamilla, MD

Darlene Browning is a Licensed Clinical Social Worker, she is licensed in New York, New Jersey, Pennsylvania, and Delaware. She has been a Social Worker since 2001 has an undergraduate degree from John Jay College of Criminal Justice where she completed in 1992 with a B.S. in Science and majored in Criminal Justice. She then started working as a Correction Counselor with the NYC Department Corrections for few years, working with female inmates who had substance abuse problem and adolescence as well. She facilitated treatment recovery groups and psycho education . In 1998, she worked as with the Administration for Children Services while she was pursuing her Master's Degree degree from Hunter College School of Social Work where she graduated in 2001 with her MSW.

For 19 years she worked as a Discharge Planner in the hospital while attending Metropolitan Institute for Mental Health to study in the Adult Psychoanalytic Division, in 2012, Darlene decided to switch gears and began working as Behavorial Health  Care Manager , while starting her own private practice in the mist of the pandemic. Her practice is called " Live the Life you Want ", because she strongly believes that all individuals should live their own lives the way they want to and desire.

In 2022, Darlene  received a two year certificate in Integrated Trauma from the Institute for Contemporary Psychotherapy where she received training in EMDR , Somatic experiencing and  i is currently working obtaining a certification on becoming an  Accelerated Experiential Psychodynamic Psychotherapist  , which is a experiential model that seeks to alleviate patients psychological suffering by helping them process the overwhelming emotions associated with trauma, depression and anxiety.

Darlene Browning has been in the in the mental health for over 30 years.  She continues provide psychotherapy with an eclectic, person-centered, and non-judgmental approach.  Darlene Browning style provides a safe, secure, and empathetic warm environment.  Darlene quotes “ The world can be scary, cold, and insensitive place to be and there is a lot of uncertainty going around, but together we can get through it “.  Although Darlene Browning is part of the of the BIPOC community, she welcomes all Races, creeds and religion. Darlene also has experience working with LGBT community, including relationships, intimacy issues, attachment issues, career difficulties, coaching, and compassion fatigue.  Her clinical approach includes CBT, Motivational Interviewing, Psychodynamic and Trauma informed.

Your first session is all about YOU as well as the second.  Darlene allows to express your reason why you are seeking therapy and more about what you been through in life. We both will get to know other, and we will focus on what areas you want to work on.

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Dr. Ruiz is a compassionate psychiatrist specializing in adult and maternal mental health. She develops personalized treatment plans to address anxiety, depression, bipolar disorder, ADHD, OCD, PTSD, PMDD, and perinatal conditions. Her goal is to help patients reconnect with their values and live balanced, fulfilled, and meaningful lives.

Her passion for medicine began in childhood, inspired by curiosity about the mind and body. She earned an Honors Chemistry degree with  magna cum laude and completed her medical training and psychiatry residency at Texas Tech University Health Sciences Center. With a strong scientific foundation, Dr. Ruiz understands the role of medications, and embraces holistic healing through connection, gratitude, and spirituality.

Dr. Ruiz has experience in diverse clinical settings and has received national awards including the AWP International Fellowship and ADMSEP Innovations Award. She is dedicated to advancing maternal mental health screening and treatment through clinical care and education.

Dr. Ruiz combines pharmacotherapy (medication) with psychotherapy to create individualized treatment plans. Therapy provides powerful tools to manage thoughts, emotions, and behaviors that support balanced brain chemistry. Research shows that medication helps restore this balance more quickly and effectively, especially in moderate to severe cases.  

Dr. Ruiz likens medication for the brain to fertilizer for a garden. Imagine your mental health as a vibrant garden—when well-nourished, it can thrive with resilience, beauty, and balance. But when symptoms like depression, anxiety, ADHD, or mood instability take hold, they act like invasive weeds, crowding out healthy growth and making it hard to enjoy the space. Medication acts like fertilizer, strengthening the garden’s natural systems so the healthy parts can reclaim their place and flourish. Just as some gardens need only seasonal care while others require more consistent tending, medication plans are personalized to support each person’s long-term mental wellness. When the garden is healthy, there's more room to grow, connect, and fully enjoy life.

With a strong background in chemistry and pharmacology, Dr. Ruiz prioritizes educating her patients about how medications work and why they can be helpful. She believes patients should take an active role in understanding their diagnosis and treatment. Her approach emphasizes diagnostic clarity, medication management, patient education, and brief psychotherapy based on cognitive behavioral therapy (CBT) and acceptance and commitment therapy (ACT).

Your first appointment is a supportive, in-depth conversation to share your story, challenges, and goals. Dr. Ruiz will review your medical and psychiatric history and assess symptoms using a whole-person approach that considers biological, psychological, and social factors.

Together, you’ll develop a personalized plan that may include lab work, medication, and therapy. Initial visits last 60 minutes for thorough evaluation; follow-ups typically last 20–30 minutes, focusing on medication management and brief therapy. If needed, Dr. Ruiz can refer you to in-house or community therapists for add-on therapy support.  

Throughout your care, Dr. Ruiz prioritizes shared decision making to ensure you feel informed, empowered, and supported.

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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. Michael Fiori is Board Certified in Adult Psychiatry and Addiction Medicine. He has practiced general psychiatry for 37 years, and has also sub-specialized in Addiction Psychiatry for the past 20 years. Dr. Fiori's practice emphasizes Diagnostic Clarification, which is an ongoing process. He is highly trained and experienced in the biological and psychosocial underpinnings of psychiatric problems. He typically follows diagnostic evaluations with 30-minute follow up visits for medication adjustments and brief therapy. Dr. Fiori often enjoys collaborating with outside therapists when needed. Dr. Fiori graduated from Amherst College and received his medical degree from NY Medical College. He subsequently completed his residency in psychiatry at the Mount Sinai Medical Center in NYC. He excelled in Academic Psychiatry as both a teacher and a mentor. His practice has always combined medications with evidence-based therapies to alleviate suffering and maximize functioning. In addition to his work as a Board Certified Adult Psychiatrist, he has specialized in helping patients suffering from Substance Use Disorders. Dr. Fiori is Board Certified in Addiction Medicine, and helps patients understand the interrelationships between their Substance Use Disorders and their Psychiatric illnesses.

Dr. Robert Dugger is a board-certified psychiatrist in General Psychiatry and Child & Adolescent Psychiatry. Born and raised in Miami to a Virginian father and Cuban mother, he is bilingual in English and Spanish. He earned a B.A. in Biology and Political Science from the University of Miami, a Master of Public Health in Health Policy from New York Medical College, and his M.D. from Stony Brook University School of Medicine. He completed residency and fellowship training in New York through the Northwell Health System and BronxCare Health System, where he served as Chief Fellow in Child Psychiatry. He has also worked as a researcher at institutions including Columbia University. Outside of work, he enjoys gaming, sci-fi fantasy, Brazilian Jiu-Jitsu, hiking, sailing, and sportfishing.

Dr. Dugger strives to create a supportive and respectful environment where patients feel genuinely heard and understood. He values careful listening, curiosity, and follow-through, and takes a practical, individualized approach to care. Rather than relying on one-size-fits-all solutions, he collaborates with patients to clarify goals, track progress, and focus on changes that meaningfully improve daily life.

Dr. Dugger begins by developing a thorough understanding of each patient’s history, current concerns, strengths, and goals. Early visits focus on understanding context—what is happening now, what has been tried, and what the patient hopes to change. Treatment plans are developed collaboratively and adjusted over time, with follow-up visits emphasizing steady, sustainable improvement through integrated and comprehensive care.

Dr. Akshar Brahmbhatt, DO, attended the University of Tennessee, Knoxville, where he majored in Economics before earning his medical degree from Lincoln Memorial University. He completed his psychiatry residency at the University of Tennessee Health Science Center in Memphis. He has experience in both inpatient and outpatient care and brings expertise in ADHD, depression, anxiety disorders, bipolar disorder, bipolar depression, OCD, and a wide range of psychiatric conditions.

Dr. Brahmbhatt creates a warm, collaborative environment where patients feel heard and respected. He values open communication and works with patients to set meaningful, realistic goals at a pace that feels comfortable. Using evidence-based treatments, he explains the reasoning behind each approach so patients feel informed and empowered throughout their care.

In the first session, Dr. Brahmbhatt takes time to understand each patient’s history, concerns, and goals. Together, they identify key areas of focus and build an individualized treatment plan. Follow-up sessions build on progress, address challenges, and adjust the plan as needs evolve. He works at the patient’s pace, helping them explore patterns, gain insight, and develop a sustainable path forward.