Richard Hess, MD

Dr. Elena Perea is a board-certified psychiatrist.  She completed her undergraduate training at Wake Forest University followed by medical school and residency training at The University of North Carolina at Chapel Hill (UNC).

Dr. Perea holds an adjunct academic appointment at UNC and has been involved in medical education for her entire career.  She most recently served as Residency Program Director for the Mountain Area Health Education Center (MAHEC) psychiatry residency in Asheville, NC.  She remains involved in didactic education there for both residents and medical students.

She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, bipolar disorders, post-traumatic stress disorders and obsessive compulsive and related disorders. She is a skilled psychopharmacologist and interested in the mind-body connection. She believes physical health greatly affects mental health and vice versa and loves helping patients with medical comorbidities to feel well.

Patients looking for a psychiatrist will find that Dr. Perea has a comprehensive approach to diagnosis and management of her patients. She believes in the principle that body and mind are interconnected and utilizes psychoeducation and psychotherapeutic approaches in addition to medications for total wellness.

Dr. Erica Mark is a board-certified psychiatrist with experience in both inpatient and outpatient care. She formerly served as a Staff Psychiatrist at a VA Medical Center, where she specialized in the mental health needs of veterans. Dr. Mark earned her B.S. in Biological Sciences, Summa Cum Laude, from Hampton University, received her MD from the University of Texas Medical Branch, and completed her psychiatry residency at Tulane University School of Medicine, serving as Chief Resident in 2017.

Dr. Mark fosters a warm, supportive environment where patients feel heard and respected. She values open communication and works collaboratively to set clear, personalized treatment goals. Deeply committed to service, she has supported underserved and marginalized communities through various nonprofit initiatives.

During initial sessions, Dr. Mark takes time to understand each patient’s history, concerns, and goals. She then creates individualized treatment plans aligned with each patient's unique needs and preferences. Dr. Mark encourages ongoing dialogue to adapt care plans and support long-term progress.

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. Lauren Broderick is a Harvard trained, board certified psychiatrist. She completed her medical degree at Weill Cornell Medical College of Cornell University. She then completed her adult psychiatry residency training at Massachusetts General Hospital and McLean Hospital, both teaching hospitals at Harvard Medical School. Dr. Broderick has held clinical appointments at Harvard Medical School and Duke University Medical School. At both institutions, she has been recognized for clinical excellence, receiving awards for outstanding patient care and clinical teaching. Dr. Broderick's practice uses a collaborative, evidence-based approach to understand and treat a person's psychiatric symptoms. Her sessions are usually 30 minutes. In addition to focusing on medication management, Dr. Broderick's practice also prioritizes a whole person approach, incorporating aspects of nutrition, lifestyle, mindfulness, and supportive or brief cognitive behavioral therapy into the treatment plan. Occasionally, Dr. Broderick may believe that additional therapy is also needed and ask that you see a separate therapist to provide the best outcome. She has clinical expertise in the treatment of anxiety disorders and mood disorders, specifically focusing on the clinical treatment of young adults going through early life transitions. Dr. Broderick strongly believes in providing high quality, equitable care and empowers her patients to be active players in their treatment plans to facilitate the best care possible.

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. Patricia Klaine is an attending physician working at Talkiatry. She is board certified in adult psychiatry. After completing her training in adult psychiatry, she continued her education by completing a fellowship in consultation-liaison psychiatry, which enables her to treat patients with a variety of medical comorbidities confidently. Dr. Klaine focuses on medication management. She offers this in addition to supportive psychotherapy in 30-minute follow up visits. For some patients, it may be important to bring in additional psychotherapy for well-rounded care. Dr. Klaine received her medical degree from St. George's University in Grenada, and after that, she completed her training in general adult psychiatry at Maimonides Medical Center in Brooklyn, New York. She went on to complete a fellowship in consultation-liaison psychiatry at Mount Sinai Hospital in New York. After completing her training, she worked on an inpatient psychiatric unit before deciding to transition into outpatient psychiatric care. She looks forward to a collaborative relationship with her patients.