Natalie Cummings, MD

Dr. Abby Reineck currently serves as an outpatient child and adolescent psychiatrist. She has been practicing for 13 years. Dr. Reineck's practice primarily offers medication-management services in conjunction with either supportive or eclectic therapy. Follow-up appointments average 30 minutes, but may be more or less. Occasionally, Dr. Reineck believes the addition of a therapist is needed and will request you bring a therapist into your care team. This will be asked of individuals if she believes it will lead to an improved clinical outcome. Reineck received her medical degree from Boonshoft School of Medicine at Wright State University, located in Dayton, OH. She completed her psychiatry residency and child and adolescent fellowship at Dartmouth-Hitchcock Medical Center, in Hanover, NH. After completing her training, Dr. Reineck moved to Brattleboro, VT, where she became an attending psychiatrist at The Brattleboro Retreat, working on both the child and adolescent inpatient units. The Brattleboro Retreat's location was such that it served a large number of patients from nearby states, which included New Hampshire, Massachusetts, Connecticut, and New York. However, it also served as the only psychiatric inpatient facility for children and adolescents in the entire state of Vermont. Dr. Reineck also worked as the lead psychiatrist on the inpatient, adult, dual-diagnosis unit. This unit provided care for individuals struggling with addiction and mental-health related issues, some of whom required medically supervised detoxification. After roughly five years, Dr. Reineck moved from Vermont to Erie, PA. She began working at a residential treatment facility for child and adolescent patients who required care in a highly supervised and highly structured setting. Dr. Reineck also began serving as a child and adolescent psychiatrist for patients enrolled in a school-based partial-hospitalization program. Dr. Reineck gradually transitioned from these roles into strictly outpatient work. She worked as an outpatient psychiatrist in Butler, PA, where she treated child, adolescent, and adult patients. Dr. Reineck eventually narrowed her scope of practice to providing psychiatric treatment for only outpatient children and adolescents. She did so out of facilities located in Erie and Meadville, PA. Drr. Reineck completed her undergraduate studies at Ohio University. While Dr. Reineck has experience treating a wide variety of patients, her primary focus has been treating children and adolescents with a vast array of presenting concerns.

Dr. William Richie is an adult General and Forensic Psychiatrist. He earned his undergraduate and medical degrees from the University of Missouri Kansas City, completed his psychiatry residency at Howard University Hospital in Washington, DC, and later served as a Major in the United States Air Force. After his service, he returned to Howard as Chief of the Inpatient Psychiatric Service and completed fellowship training in Forensic Psychiatry at LSU Medical Center. Dr. Richie specializes in personality and dissociative disorders, pre-trial evaluations, and is especially interested in Men’s Mental Health.

Dr. Richie brings decades of clinical and academic experience to his practice. He believes that the foundation of effective care lies in a strong, respectful patient-psychiatrist relationship. His interpersonal and dialectical approach fosters collaboration, trust, and deeper understanding.

Dr. Richie takes time to listen carefully, ask thoughtful questions, and offer meaningful feedback. He works closely with each patient to develop a personalized treatment plan that supports long-term well-being and meaningful progress.

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Dr. Megan Tusken is a board-certified adult psychiatrist. She received her undergraduate degree from Brown University and her medical doctorate at the University of Chicago Pritzker School of Medicine. Prior to joining Talkiatry, Dr. Tusken completed residency training in general psychiatry at the University of Texas Southwestern Medical Center. Dr. Tusken provides evidence-based, patient-centered care and considers a trusting doctor-patient relationship integral to helping her patients achieve their treatment goals. During training, Dr. Tusken gained extensive experience in inpatient, consult, emergency room, and outpatient practice settings with culturally and socioeconomically diverse patient populations. She also elected to acquire additional experience with specific patient populations, including patients with treatment-resistant depression, substance use disorders, and sleep disorders, as well as LGBTQ+ individuals and older adults. Tusken's treatment approach is collaborative and holistic. She provides medication management for a variety of mental health conditions, with particular interest in mood and anxiety disorders. In addition to psychopharmacologic interventions, she firmly believes in the mind-body connection, and she incorporates psychotherapeutic techniques into her visits to provide the best, individualized care for each patient.

Dr. Natalie Armijo is a board-certified adult psychiatrist with over twenty years of experience. She completed medical school, internship and residency at the University of New Mexico. She has worked for private HMOs and government facilities. Her private practice combines conventional treatment with nutrition and physical activity to support total health.

Dr. Armijo treats patients, ages 18 to 64, who have conditions related to anxiety, depression, trauma and ADHD with medication and supportive therapy. Her clinical interests include integrative medicine and nutritional psychiatry.

Your first visit with Dr. Armijo will range from thirty minutes to one hour and is designed to collect and clarify information about you. Topics will include your current symptoms, previous mental health treatment, medical conditions, substance use and family history. She will review treatment options, including their risks and benefits. At the end of the visit, she will let you know if her clinical experience and the limitations of an online platform are compatible with your needs. Your safety is her priority.

Follow-up visits range from twenty to thirty minutes and will initially focus on how you are responding to treatment. As your condition stabilizes, she will help you.

- Organize a long-term mental health

- Develop discipline to accomplish your goals

- Evaluate your progress

- Maintain motivation to reach your highest potential

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Dr. Stephanie Negrey is a board certified psychiatrist. She completed her undergraduate degree in Biology and History at Fordham University in the Bronx and then attended medical school at the Renaissance School of Medicine at Stony Brook University. She completed her residency at Wright State University in Dayton, Ohio as a member of the United States Air Force. Dr. Negrey served as an active duty psychiatrist; her duties included medical director of the mental health clinic at a special operations base as well as a program manager for the Air Force substance use program.

Dr. Negrey has experience treating a wide range of ages and diagnoses, with particular emphasis on personality disorders, depression, anxiety, and post traumatic stress disorder. She integrates supportive and psychodynamic therapies into her medication management appointments with a goal of achieving improvement through a holistic approach. Dr. Negrey will work with patients to reach their goals for their mental health care while also providing a compassionate and collaborative environment.

Dr. Alexa Hall is a board-certified adult psychiatrist with extensive training and experience across inpatient, partial hospitalization, intensive outpatient, and outpatient psychiatry settings. She earned her medical degree from Saint Louis University School of Medicine and completed her psychiatry residency at Harvard South Shore. Through her clinical work with the Harvard Medical School system and the Boston VA Healthcare System, Dr. Hall developed expertise in caring for diverse patient populations. She has also served as Medical Director for multiple psychiatry practices, overseeing services such as outpatient medication management, Spravato, IV Ketamine, and Transcranial Magnetic Stimulation (TMS). Outside of work, she enjoys cooking and spending time with her family.

Dr. Hall provides a supportive, non-judgmental environment where patients feel heard, respected, and understood. She takes a collaborative approach, working in partnership with patients to set and achieve individualized wellness goals. Her practice emphasizes whole-person care, integrating both mental and physical well-being into each treatment plan.

Dr. Hall begins by listening closely to understand each patient’s history, experiences, and concerns. From there, she collaborates with patients to identify their personal treatment and wellness goals. She develops individualized treatment plans tailored to these goals, focusing on supporting meaningful progress and long-term well-being.