Tyler Josephs, DO

Dr. Rayal Gorrepati is double board certified in both adult and geriatric psychiatry. He has been practicing for over 12 years. Dr. Gorrepati's practice focuses on medication management. Typically, he offers this in conjunction with supportive psychotherapy in 30-minute follow-up visits. However, occasionally Dr. Gorrepati may believe that additional therapy is also needed and ask that you bring a therapist into your care team to provide the best possible outcome. He received his medical degree from the American University of the Caribbean School of Medicine. His general psychiatry residency was completed at Cooper University Hospital in New Jersey. He then completed a Geriatric Psychiatry Fellowship at the University of Hawaii. After completing training, he returned to his hometown of Chicago and began working at a Federally Qualified Health Center providing care to an underserved low-income population for nearly 12 years. While at the clinic, he treated a wide range of diagnoses, the most common ones being depression, anxiety, bipolar disorder, etc. His primary clinical focus is treating adults with depression, anxiety, and bipolar disorder.

Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has practiced psychiatry for over 10 years. She has extensive experience treating critically ill patients in hospital settings. This experience allowed her to hone skills necessary to care for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs' approach to care involves providing a consistent, empathic, non-judgmental space to develop and attain shared treatment goals. She is committed to developing a partnership that is always respectful of patients' points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective, and agreeable to patients. At the same time, she is sensitive to financial or insurance coverage factors that may impact treatment. After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for its adult psychiatry residency training program. She spent the next year as a fellow in Geriatric Psychiatry before her appointment as an attending physician on Montefiore's acute psychiatric inpatient unit. During her training years, Dr. Rohs made several trips to Uganda to serve as an attending physician with the Doctors for Global Health Project. Dr. Rohs subsequently transferred to Bronx Psychiatric Center (BPC), where she treated inpatients and outpatients suffering from severe mental disorders. At BPC, she expanded her knowledge base and became an expert in advanced psychopharmacology. Dr. Rohs also spent time prior to joining Talkiatry as an attending physician at NYU Langone Hospital. Dr. Rohs specializes in treating a variety of psychiatric conditions including mood disorders, psychotic disorders, anxiety disorders, PTSD, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic and its aftermath on patients of all ages. Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.Dr. Anne Rohs is board certified in both adult and geriatric psychiatry and has been in practice for over ten years. She has an extensive background working in hospital settings treating critically ill patients. This experience has helped hone her skills in caring for individuals with complex psychiatric illnesses complicated by medical conditions. Dr. Rohs’ approach is to provide a consistent, empathic, non judgmental space to develop and attain shared treatment goals. Dr. Rohs is committed to developing a partnership which is always respectful of patients’ points of view, and she utilizes this knowledge to inform treatment plans that are safe, effective and agreeable to patients. She is sensitive to financial or insurance coverage factors that may impact treatment.

After completing residency training at Montefiore Medical Center, Dr. Rohs was invited to serve an additional year as Senior Chief Resident for their adult psychiatry residency training program. She spent the following year as a fellow in Geriatric Psychiatry before being appointed an attending physician on Montefiore’s acute psychiatric inpatient unit. Dr. Rohs subsequently transferred to Bronx Psychiatric Center, where she treated patients suffering from severe mental disorders in both inpatient and outpatient settings. As a result, she further expanded her knowledge base and became an expert in advanced psychopharmacology. Prior to joining Talkiatry, Dr. Rohs served as an attending physician at NYU Langone Hospital. She has also been an attending physician for the Doctors for Global Health Project in Uganda.

Dr. Rohs specializes in treating a variety of psychiatric conditions including schizophrenia, bipolar disorder, generalized anxiety disorder, depression, and dementia. She is attuned to the direct and indirect mental health impact of the pandemic on patients of all ages. As the Covid situation evolves, Dr. Rohs is available to see patients either in the office or via telehealth platforms.

Dr. Rohs does not usually treat ADHD patients. For the small number of patients she treats who have ADHD, Dr. Rohs requires comprehensive testing, multiple follow ups, and a full medical workup before confirming a diagnosis to ensure appropriateness and safety of chosen treatment.

Dr. Buonopane is Board Certified in Adult Psychiatry by the American Board of Psychiatry and Neurology. She obtained her medical degree with Laude from the University of Rome, La Sapienza, and completed her residency in Psychiatry from Yale School of Medicine. Dr. Buonopane has extensive experience in psychopharmacology and offers state-of-the-art medication management with compassion and empathy. She practices a holistic approach, combining psychiatric medications with elements of psychotherapy and mindfulness. She offers individualized and comprehensive treatment plans which address the whole person, including lifestyle and social engagement, because the latest research findings show that both play an important role in mental and physical health. Education on mental illness and recommendations on diet and exercise are always discussed with the patients, according to the individuals' needs. Dr. Buonopane spends time listening to patients and makes plans based on clinical evidence without an authoritative approach, taking into consideration the patient's level of comfort and views because, in her experience, the best outcomes are always reached when patients fully understand and agree with the management of their conditions. Dr. Buonopane has been in practice for more than twenty years and has extensive experience in general Adult Psychiatry with a focus on mood disorder and anxiety. She has been leading clinical programs and teaching medical students, residents, and fellows in psychiatry and addiction in various clinical settings, such as private institutions and universities, including Yale School of Medicine. Prior to joining Talkiatry, Dr Buonopane had her own in-person clinical services for over ten years and telehealth services over the past four years, treating patients suffering mainly from depression, bipolar disorder, and anxiety. When working in private practice, Dr Buonopane received the Compassionate Doctor Recognition (Vitals) and the Patient's Choice Awards (Vitals), both based on patients' reviews.

Dr. Kristofer Joondeph-Breidbart is a board certified adult psychiatrist. He earned his undergraduate degree and Master's in Teaching from Boston University, followed by his medical degree from the University of Massachusetts Medical School. Dr. Joondeph-Breidbart completed his residency in general adult psychiatry at Cambridge Health Alliance, a Harvard teaching hospital. Currently, Dr. Joondeph-Breidbart serves as a staff psychiatrist at Harvard University Health Services, where he works with both undergraduate and graduate students. He has developed significant expertise in working with LGBTQ individuals through his involvement with the Gender and Sexuality Clinic at Cambridge Health Alliance and the LGBTQ Interdisciplinary Team at Harvard University Health Services. While he has extensive expertise in treating college-aged young adults, his practice also includes a broad range of patients, with a particular specialization in Obsessive-Compulsive Disorder (OCD). He is trained in Exposure and Response Prevention Therapy, a highly effective treatment for OCD. Dr. Joondeph-Breidbart takes a holistic approach to mental health care, integrating therapy into his sessions and collaborating with patients to develop individualized medication regimens that best meet their needs. His gentle and understanding approach helps create a supportive environment for his patients, fostering their mental and emotional well-being.

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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Jackie LaVe' is a board certified Psychiatric Mental Health Nurse Practitioner. She is also dually certified as a Family Nurse Practitioner. She received her master’s degree and post-master’s certificate from Vanderbilt University. Jackie has 12 years of experience as a nurse and over 7.5 years of experience as a Nurse Practitioner. Jackie is licensed to practice in Montana, Arizona and New York.

Jackie LaVe’ offers a patient centered approach, working with individuals aged 18-65. She believes in engaging patients in the decision-making process. Jackie has professional interests in treating a wide range of adult psychiatric conditions including depression, anxiety, trauma, ADHD, OCD, panic, autism and bipolar disorder.

She provides psychiatric assessments and medication management along with brief supportive psychotherapy. She believes in educating patients, so they are empowered to work together to create treatment plans that improve their health and quality of life. Jackie has additional education and experience in cognitive behavioral therapy, mindfulness and motivational enhancement. Jackie can also review if adding a therapist to your care team could improve outcomes.