Nina Jaffarzad, MD

Nan Ambrosy is a PMHNP with over 23 years of experience in outpatient and inpatient settings, caring for patients across the lifespan with a wide range of diagnoses. She earned her Doctor of Nursing Practice from Graceland University and holds master’s and post-graduate certificates from Wichita State University. She is ANCC board-certified as both an Adult Psychiatric Clinical Nurse and Lifespan Psychiatric Nurse Practitioner.

Nan uses a patient-centered approach with shared decision-making, fostering strong therapeutic relationships. She focuses on the whole person, emphasizing a balanced lifestyle that includes physical health, sleep, nutrition, exercise, social connections, and spirituality.

She begins with a thorough biopsychosocial assessment and collaborates with patients to set treatment goals. Using clinical judgment and diagnostic criteria, she develops individualized plans, discussing evidence-based treatment options such as therapy and medications. Follow-ups include ongoing monitoring to assess progress and refine goals as needed.

Thomas Ittoop, MD is a psychiatrist with experience practicing in both academic and community settings. He earned his medical degree from Central Michigan University and completed his psychiatry residency at Baylor College of Medicine. His clinical work is grounded in thoughtful, patient centered care that combines medical rigor with a deep respect for the complexity of each individual’s life.

Dr. Ittoop fosters a warm, collaborative environment grounded in genuine human connection. He values exploring the deeper patterns that shape emotional life and the meaning beneath symptoms. Patients can expect transparency, clear communication, and shared decision making that honors their strengths, goals, and long-term well-being while helping them cultivate resilience and greater self-understanding.

Treatment begins with a thorough evaluation exploring symptoms, personal and family history, personality patterns, and the changes patients hope to achieve in their lives. From there, Dr. Ittoop works with each patient to develop a personalized treatment plan that includes thoughtful psychiatric medication management, supportive psychotherapy, and ongoing follow up. While he frequently works with patients experiencing anxiety and related conditions, his practice does not include prescribing benzodiazepines such as Xanax, Ativan, or Klonopin. Care instead focuses on evidence-based treatments that support lasting stability and deeper psychological understanding.

Dr. Nicholas Sahagian is a Psychiatrist in Colorado who has been practicing since 2023. He completed his MD and Adult Psychiatry Residency at the Chicago Medical School at Rosalind Franklin University and earned his BA in Neuroscience at Skidmore College. Dr. Sahagian has experience managing a broad array of complex psychiatric diagnoses in patients of diverse socioeconomic, cultural, and clinical backgrounds. Outside of work, he enjoys hiking, biking, skiing, playing guitar, reading, and collecting board games.

Dr. Sahagian offers psychiatric medication management while also incorporating elements of cognitive behavioral therapy, motivational interviewing, internal family systems, and lifestyle interventions. He believes that every patient is unique, and he works to create a supportive environment where individuals feel heard and empowered in their care.

Grounded in the biopsychosocial model, Dr. Sahagian takes a collaborative, patient-centered approach. He partners with patients to develop personalized treatment plans that integrate biological, psychological, and social factors, with the goal of guiding them along their path to improved wellness.

Dr. Macdonnell is a double-boarded psychiatrist with over 25 years of experience in adult psychiatry and geriatric psychiatry. Dr. Macdonnell focuses on treating individuals with medication management. Supportive and interpersonal therapy is incorporated as needed. When additional therapy or longer sessions are necessary to enhance the individual's treatment, she invites a therapist to become a member of your care team. Dr. Macdonnell attended undergraduate school at Manhattan School of Music earning a bachelor's and master's degree in violin performance and musicology. She then attended the City University of New York � Hunter College campus majoring in premedical sciences. Dr. Macdonnell attended Albert Einstein College of Medicine in the Bronx, New York, earning a degree in MD. She completed an internship in internal medicine before entering psychiatry residency at New York-Presbyterian Hospital � Westchester Division. After completing her residency, she stayed for an additional year, completing a fellowship in geriatric psychiatry. She was promoted to Attending Psychiatrist and Unit Chief of the Geriatric Partial Hospital Program. After two years in academic psychiatry, she entered private practice in New York and Connecticut for 8 years. She then served 2 years in the National Health Service providing outpatient care to an underserved area in central Florida. Moving to Georgia, she has worked in private practice and academic psychiatry at Mercer University College of Medicine before moving on to Veterans' care at Atlanta VA and Carl Vinson VA Medical Center. While Dr. Macdonnell has a wide range of experience, she focuses on general adult psychiatry.

Dr. Ernesto Gonzalez is a board certified adult psychiatrist. He completed his undergraduate training at Yale University and received his medical degree from the University of Pennsylvania School of Medicine. He completed his residency training at the Cambridge Health Alliance/Harvard Medical School Adult Psychiatry Training Program. Dr. Gonzalez prefers a holistic approach that takes the time to know the whole patient, incorporating biological, psychological, social, and cultural perspectives in crafting a comprehensive, individualized, treatment plan. He practices medication management combined with supportive therapy, typically delivered within 30 minute sessions. Elements of psychodynamic, dialectical behavior and cognitive-behavioral therapy will also be incorporated into sessions based on a patient's individual needs. If additional therapy is needed, Dr. Gonzalez will recommend the addition of an individual therapist to the patient's treatment team. Having dedicated his career to adult outpatient psychiatry, Dr. Gonzalez has worked with patients from a wide range of ages, cultures, ethnicities, and social settings across the New York City area. His primary focus is working with patients with depression, anxiety, ADHD, and PTSD. He also values working with people adjusting to changes in their lives, whether it be grieving the loss of a loved one, changes in employment, relationships, or adjusting to changes that come with age. Prior to joining Talkiatry, Dr. Gonzalez was an Assistant Professor at the NYU Grossman School of Medicine and served as Director of the Adult Outpatient Psychiatric Department, Assertive Community Treatment (ACT) Team, and Collaborative Care Departments at Woodhull Hospital in Brooklyn, New York. He also had a small practice near his home. Dr. Gonzalez has also had a lifelong interest in meeting new people and experiencing different cultures. This interest has taken him as far away as the townships of Cape Town, South Africa and as close as his local diner, and it edifies the work he does with patients.

Dr. Tammara Davis is a board-certified adult psychiatrist with over 15 years of experience treating patients across inpatient, outpatient, emergency, and telepsychiatry settings. She earned her medical degree from the University of Tennessee Health Science Center, completed her psychiatry residency at St. Elizabeths Hospital in Washington, DC, and holds a B.S. from Xavier University of Louisiana.

Dr. Davis previously served as a Primary Care–Mental Health Integration psychiatrist at the Veterans Health Administration, where she helped expand access to care in community-based clinics. She is an active member of the Black Psychiatrists of America, where she advances advocacy and equity in mental health care. While she has treated a wide variety of patients from all walks of life, her clinical focus has been on improving access to quality mental healthcare for historically marginalized communities.

Dr. Davis specializes in mood and anxiety disorders, including depression, PTSD, and perinatal mental health. Her approach is holistic, integrative, and patient-centered—grounded in cultural humility and collaborative care. She does not prescribe benzodiazepines, focusing instead on evidence-based strategies that support long-term wellness. While treating a wide variety of patients, Dr. Davis’ clinical focus has been on adults from marginalized and/or minoritized communities.

Dr. Davis begins care with a consultation to ensure a strong fit and shared treatment goals. Dr. Davis is committed to creating a safe, trusting space where patients feel empowered and in control of their healing. She recognizes that not all patients require medication and integrates culturally affirming support when therapy and education are more appropriate.

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