Thomas Spina, MD

Carla Delcambre is a bilingual (English/Spanish) Psychiatric Mental Health Nurse Practitioner who provides mental health care in both outpatient and inpatient settings. She works with diverse populations across the lifespan and brings a strong foundation in psychiatric assessment, diagnosis, and psychopharmacologic management. Her clinical practice is grounded in evidence-based medicine, ethical standards, and culturally responsive care to meet each patient’s unique needs.

Carla values open and honest communication and believes effective treatment is built on trust and collaboration. Her patient-centered approach places each individual’s experiences, goals, and perspectives at the heart of care. She is committed to creating a warm, supportive, and nonjudgmental environment where patients feel heard, respected, and empowered to actively participate in their mental health treatment.

Carla begins treatment by gaining a thorough understanding of each patient’s history, current concerns, strengths, and goals. Initial visits focus on comprehensive assessment and developing a shared understanding of treatment objectives. She then creates individualized treatment plans that may include medication management, psychoeducation, and ongoing evaluation, adjusting care as needs and goals evolve over time.

Taylor Jarrett, LMHC, NCC, is a psychotherapist with a Master’s degree in Clinical Mental Health Counseling. She is licensed to practice in New York, Massachusetts, and Florida, and is recognized as a National Certified Counselor.

Taylor’s therapeutic approach is person-centered and trauma-informed. She recognizes that there is no “one-size-fits-all” path to healing and strives to meet each client where they are. She draws from a range of evidence-based modalities including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Interpersonal Psychotherapy, and Psychodynamic Therapy.

Taylor believes that showing up takes courage and feels honored to walk alongside her clients on their journey of growth and self-discovery. She is dedicated to helping each individual become the best version of themselves by identifying and building upon their strengths to navigate life’s challenges with resilience and purpose

Dr. Lemaire Leo Pierre is a board certified adult psychiatric provider with over 10 years of experience. He has additional years working in the medical field as a physician assistant. Dr. Pierre's practice entails medication management accompanied by supportive psychotherapy. He frequently encourages other forms of psychotherapy with a counselor to maximize treatment outcomes. After completing medical school at Central America Health Science University, he returned to New York City and completed his psychiatry residency at New York Medical College Program at Metropolitan Hospital Center. Subsequently, he moved to Minnesota and worked with Park Nicollet Health Service/HealthPartners. He had been there for 10.5 years, where he oversaw a successful psychiatric practice and helped his patients who had been struggling with their conditions. Dr. Pierre is a member of the American Board of Psychiatry and Neurology, in addition to the American Psychiatry Association and State Psychiatry Association. He also enjoys attending conferences and reading journals to learn about cutting-edge treatments so that he is updated on the most recent FDA-approved medications.

Dr. James “Jim” Staudenmeier is a physician with a distinguished career in military and civilian psychiatry. A retired Colonel in the U.S. Army, he has served as a plenary and invited speaker at national and international conferences on topics including addiction, electroconvulsive therapy, hypnotherapy, and quality improvement. He is a Certified Healthcare Executive, holds a master’s degree in preventive medicine and biometrics, and has published in peer-reviewed journals. His clinical background includes pain management, addiction psychiatry, child and adult psychiatry, and academic appointments at multiple universities.

Dr. Staudenmeier values collaboration and encourages patients to ask questions, clarify expectations, and identify their primary concerns from the start. While medication management is part of care, he emphasizes insight, goal setting, and skill building. He integrates hypnotherapy, guided imagery, relaxation, and meditation to support wellness, pain management, sleep, anxiety, and addiction, tailoring treatment to each patient’s needs.

Dr. Staudenmeier takes a flexible, whole-person approach, combining medication management with evidence-based therapies such as CBT, CPT, motivational interviewing, and family-based interventions. He works comfortably with children, adults, families, service members, Veterans, and individuals facing life transitions, including end-of-life concerns. His goal is to help patients develop practical tools for lasting mental, emotional, and spiritual well-being.

Dr. Leslie Davis became a psychotherapist because she believes that mental health shapes and influences various aspects of life. Mental health is considered vital! She has been a Doctor of Social Work since 2021 and a Licensed Clinical Social Worker since 2019, with experience supporting children, adolescents, young adults, and adults with concerns such as trauma, substance abuse, intimate partner violence, depression, anxiety, PTSD, mood disorders, marital issues, and more. She has extensive experience in various settings including inpatient, outpatient, partial hospitalization (PHP), intensive outpatient (IOP), school settings, community-based settings, and emergency departments.‍Dr. Leslie Davis does not see her role as a therapist as needing to "save the world” or "empower” clients. Instead, she believes in working alongside clients to help them identify tools within themselves and community resources to successfully achieve their goals. The types of therapy offered include, but are not limited to, Cognitive-Behavioral Therapy (CBT), Culturally Sensitive Therapy, Dialectical Behavior Therapy (DBT), Motivational Interviewing, Multicultural Therapy, Person-Centered Therapy, and Solution-Focused Therapy. Alongside the use of evidenced-based practices and culturally informed care, Dr. Leslie Davis has developed a proven approach for helping clients (a) identify the root cause of their challenges and (b) create a tailored plan that leads to measurable progress.

Dr. Nieves-Alvarado is a Board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population.

Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness.

Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma.

Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs.

Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.  

In addition to her clinical practice, Dr. Nieves-Alvarado remains involved with her alma mater’s Behavioral Health Department, contributing to academic education and maintaining a connection with the next generation of medical professionals. She continues to seek ongoing improvement in her field, remaining engaged with medical associations including North Carolina Psychiatric Association, American Psychiatric Association, and Alpha Omega Alpha national medical honor society. Dr. Nieves-Alvarado is committed to working hand-in-hand with her patients to achieve mental wellness.”