Xiomara Nieves-Alvarado, MD

Dr. Merna Guirguis is a general psychiatrist known for her patient-centered and accessible approach. She blends compassion with evidence-based care, creating a supportive environment where patients feel heard. Her practice integrates psychiatric medication management with psychoeducation, empowering patients to make informed decisions about their treatment.

Dr. Guirguis emphasizes collaboration and transparency. She listens carefully to each patient’s concerns, encourages questions, and works to build a trusting therapeutic relationship. Her style is approachable and adaptable, ensuring patients feel comfortable sharing their experiences and actively participating in their care.

She begins by reviewing each patient’s history, concerns, and goals to craft personalized treatment plans. Dr. Guirguis combines current clinical needs with long-term wellness objectives, adjusting care collaboratively over time. When appropriate, she may recommend additional therapy to complement medication management and optimize outcomes.

Dr. Jennifer Hailey is a board-certified psychiatrist in Psychiatry. She completed her undergraduate training at Michigan State University followed by medical school at Nova Southeastern University College of Osteopathic Medicine. She has completed a residency in psychiatry at Michigan State University. Dr. Hailey has worked in many different settings including private hospitals, jails, military treatment facilities and private practice. She enjoys educating her fellow providers who specialize in psychiatry as well as other areas of medicine. She has a genuine interest in treating a vast array of psychiatric disorders including depression, anxiety, post-traumatic stress disorders, obsessive compulsive and personality disorders. She also has experience in treating patients with medical comorbidities and has training in issues related to women's health.

Amanda Rivera, PMHNP, is a board-certified Psychiatric Mental Health Nurse Practitioner through the lifespan, certified by the ANCC in 2020. She earned a Bachelor of Science in Psychology with a biology minor from Clarkson University, followed by a Bachelor of Science in Nursing and a Master of Science in Nursing from St. John Fisher College. Amanda has over 15 years of experience in mental health, beginning in 2010 as a Therapy Aide at Rochester Psychiatric Center. She has practiced across inpatient hospitals, state psychiatric facilities, outpatient community clinics, correctional settings, group homes, and telehealth/private practice. She works with patients ages 16 and older and is highly experienced in trauma, mood and anxiety disorders, ADHD, autism, psychotic and personality disorders, substance use, and parenting challenges. She values working with families to strengthen the family unit.

Amanda values open communication and collaborates with patients to establish clear, meaningful treatment goals. She provides a warm, supportive environment where patients feel heard, respected, and empowered to take ownership of their mental wellness. Treatment is individualized, with medication decisions guided by a careful balance of safety and symptom relief. Appointments are conversational in nature, allowing care to be more personalized as patients share openly.

Amanda begins each visit by ensuring privacy and safety, then explores the concerns prompting care before gathering a biopsychosocial history through collaborative discussion. She provides education throughout sessions to help patients understand diagnoses and lived experiences. Medication options are discussed based on comfort level and clinical need. Follow-ups are scheduled at the end of each visit, with frequency adjusted as stability is achieved.

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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. Thomas Spina is an adult psychiatrist who began his practice at Talkiatry after completing his psychiatry residency at the Eastern Long Island branch of Stony Brook University, where he treated a diverse patient population. Dr. Spina received his undergraduate degree from St. John's University in Queens where he studied Philosophy. Initially interested in a career in law, Dr. Spina decided to change gears and pursue a career in medicine after watching a relative struggle with her diagnosis of Diabetes Mellitus. Dr. Spina then completed medical school at Tel Aviv University in Israel, where he fell in love with psychiatry during his clerkship at Ichilov medical center. During that rotation, he came to appreciate how each patient has his or her own unique story, regardless of their diagnosis. Dr. Spina favors a holistic and integrative approach to psychiatry, combining medication management with supportive therapy, elements of cognitive behavioral therapy, while remaining open to other treatment modalities depending on the needs of his patients. When more focused therapy is indicated, Dr. Spina may recommend that his patient work with a provider specializing in a particular modality of therapy as part of their treatment. Dr. Spina treats adult patients with mood disorders including major depressive disorder and bipolar disorder, anxiety spectrum disorders, OCD, PTSD and specific phobias. In his spare time, Dr. Spina enjoys a variety of hobbies, including Brazilian Jiu-Jitsu, running, baseball, and exploring new eateries and shops.

Angelica Luciano, PMHNP, has been dedicated to health care for over 22 years. Her journey began in 2003 when she enlisted in the Air Force as a medic and later served as a nurse in the Department of Defense. She earned her bachelor’s degree in Nursing from Indiana State University, was commissioned as a Nurse Officer in the U.S. Public Health Service, and went on to complete her master’s at Gonzaga University. Inspired by her work as a psychiatric RN, Angelica pursued her calling in mental health and became board certified as a Psychiatric-Mental Health Nurse Practitioner in 2017.

Angelica provides care through a warm, direct, and nonjudgmental style. She takes a biopsychosocial approach, recognizing the interplay of biological, psychological, and social factors in mental health. By combining psychopharmacology, patient education, and brief supportive therapy, she offers care that is accessible, collaborative, and authentic. Patients can expect to feel heard, respected, and actively involved in their treatment decisions.

Angelica begins with a comprehensive consultation to understand each patient’s history, concerns, and goals. This may take several appointments before finalizing a treatment plan. Plans may include lab work, collaboration with a patient’s broader health care team, and involvement of supportive family members if desired. Her goal is to create individualized care tailored to patient needs while ensuring comfort, advocacy, and trust. She emphasizes that patients are never defined by a diagnosis but valued as whole individuals.