Tiffany Farmer Vickers, PMHNP

Dr. Jacob Webbert is double board-certified in Psychiatry and Addiction Psychiatry. He earned his medical degree from the Lake Erie College of Osteopathic Medicine in Erie, PA, and completed his psychiatry residency at Albany Medical Center in Albany, NY. He then pursued fellowship training in Addiction Psychiatry at Dartmouth-Hitchcock Medical Center in Lebanon, NH. Dr. Webbert has extensive experience across telehealth, outpatient psychiatry, and substance use disorder treatment programs, providing comprehensive care tailored to a wide range of patient needs.

Dr. Webbert takes a supportive, non-judgmental approach to care, prioritizing open communication and trust in the treatment process. He works with patients to set realistic, meaningful goals that align with their values and promote lasting improvement in mental health. His patients can expect a collaborative partnership where they feel heard, respected, and empowered to take an active role in their care.

Dr. Webbert begins by listening carefully to each patient’s unique story, concerns, and goals. From there, he develops a personalized treatment plan that may include therapy, medication management, or a combination of both. He collaborates with patients over time, adjusting the treatment plan as needed to best support progress and recovery, with the shared aim of building resilience and achieving sustainable wellness.

Dr. Rachel Klein received her medical degree from the UCLA School of Medicine and completed her residency training at Harbor-UCLA. She went on to complete a Consultation Liaison fellowship at Yale New Haven Hospital. Dr. Klein has served as a Consultation Liaison psychiatrist providing psychiatric care to patients across hospital settings and in emergency rooms. She has also worked in community health, delivering outpatient psychiatric care to a diverse range of patients.

Dr. Klein provides care in a supportive, non-judgmental, and empathetic manner. She works collaboratively with patients to identify goals and treatments that are effective, safe, and minimize the risk of dependence. Her approach emphasizes education about mental health and the use of non-pharmacological strategies to enhance wellbeing. She values treating the whole person and considers physical health as an integral part of understanding emotional distress.

Dr. Klein begins by understanding each patient’s history, concerns, and goals during the initial session. She takes time to establish an accurate diagnosis, sometimes gathering additional information from trusted friends or family members when helpful. She develops individualized treatment plans aligned with each patient’s goals, provides education about medications and their side effects when indicated, and closely monitors progress over time.

Dr. Bailey is a board certified psychiatrist, specializing in medication management and psychotherapy. He enjoys the opportunity to help patients better understand their diagnosis and how biological, psychological and social interventions can be applied to live a more fulfilling life.  

As a recipient of the Army Health Professions Scholarship Program, Dr. Bailey earned his medical degree from the Edward Via College of Osteopathic Medicine in Blacksburg, Virginia followed by residency at Walter Reed National Military Medical Center in Bethesda, MD.  

After completing residency, Dr. Bailey served at Brooke Army Medical Center in San Antonio, TX where he held several positions including Chief of Inpatient Behavioral Health Services. He also completed operational assignments, most notably a nine-month deployment to Iraq for which he was awarded the Meritorious Service Medal. Dr. Bailey enjoys teaching and has held academic appointments at Long School of Medicine and Uniformed Services University of the Health Sciences.

Dr. Deringer is a psychiatrist with board certification in general psychiatry and addiction psychiatry. She earned her M.D. from the University of Michigan Medical School, and she completed her psychiatry residency and addiction psychiatry fellowship training at New York University. She has previously held faculty roles at New York University School of Medicine and Harvard Medical School. She has been involved in training the next generation of psychiatrists through her past work on the Program Director team for the MGH-McLean Psychiatry Residency Program. She has expertise in treating adults with mood disorders, anxiety disorders, substance use disorders, personality disorders, trauma, and ADHD.

Dr. Deringer cares deeply about understanding each patient's unique experience.  She recognizes that mental health symptoms are impacted by an individual's biological make-up, social situation, and their individual way of interacting with others in the world.  She will assess all of these factors and work with you to develop an appropriate treatment plan to help you feel better and meet your goals.  She incorporates supportive psychotherapy into all of her patient meetings; this may include discussions of the role of nutrition, exercise, and sleep habits in your overall well-being.

Dr. Deringer will begin the evaluation process with a thorough one-hour session in which we will discuss your current symptoms, your prior treatment history, your medical history, and your goals for treatment.  At the end of that session, she will begin to formulate her diagnostic impression and treatment recommendations.  Sometimes, the evaluation process may require more than one session, and it may be helpful for Dr. Deringer to gather information, with your permission, from prior treatment or to collaborate with your therapist if you have one.  Dr. Deringer will work with you on a medication treatment plan, if clinically indicated, to help you manage your symptoms and achieve your treatment goals.

Dr. Arballo is board-certified psychiatrist who completed medical school at Lake Erie College of Osteopathic Medicine. He received residency training at University of Texas Health - San Antonio where in addition to clinical training was appointed resident chair of the Quality Improvement and Patient Safety Committee.

Since graduation he has been a staff psychiatrist and the military unit director at Cumberland Hall Hospital providing comprehensive care to child, adolescent, adult, and geriatric patients.

Dr. Arballo provides evidence-based medication management and psychotherapy to address mental health conditions. He is a strong advocate for patient autonomy, quality improvement and psychoeducation.

Dr. Pipalia is board-certified in both adult psychiatry and internal medicine. Since graduation from residency, he gained specialized experience in treating veterans with terminal illness, specifically Amyotrophic Lateral Sclerosis (aka Lou Gehrig's Disease), at the VA Medical Center in Portland, OR. He combines both psychotherapy and medication treatment to provide holistic care that addresses not only your mental health but also the parts of your life that surround and are deeply intertwined with your mental health. When more intensive psychotherapy is warranted, he collaborates with an experienced psychotherapist to serve you better. With his experience of internal medicine, he is also comfortable with navigating complex medical issues that may interact with your mental health. Dr. Pipalia is a graduate of St. George's University School of Medicine. He completed a combined Psychiatry & Internal Medicine residency training program at East Carolina University. He went on to complete a fellowship in Clinical Informatics at Oregon Health & Science University, learning how to use modern digital technologies and patient data to improve patient care. His academic activities include a presentation he has given multiple times on Illness Identity, teaching other clinicians how having an illness can change how we perceive our place in the world and how to help patients manage their relationship with illness.