Zachary Masuda, MD

Dr. Patel is a distinguished psychiatrist with over 24 years of experience. He completed his psychiatric residency at the University of South Dakota School of Medicine, where he served as chief resident and earned the Outstanding Resident of the Year award. He then pursued a fellowship in Consultation-Liaison Psychiatry at Harvard Medical School/Beth Israel Deaconess Medical Center.

He is triple Board certified in Adult Psychiatry, Consultation-Liaison Psychiatry, and Sleep Medicine and also holds certification in Behavioral Neurology and Neuropsychiatry from the United Council for Neurological Subspecialties. These credentials reflect his expertise in psychiatry, neurology, and the management of complex psychiatric conditions in medically ill patients.

Dr. Patel has worked in diverse settings including inpatient units, psychiatric consult services, outpatient clinics, and nursing homes. He is skilled in neuromodulation treatments such as Electroconvulsive Therapy (ECT) and Transcranial Magnetic Stimulation (TMS).

In addition to clinical practice, he has served leadership roles of chairman of a psychiatric department, medical director of a behavioral health service line in a regional health system, and founder/CEO of a private psychiatric and TMS clinic. Dedicated to ongoing professional growth, Dr. Patel remains at the forefront of psychiatric advancements in psychiatric care, earning a reputation as a respected leader in the field.

Dr. Patel combines deep knowledge of neurobiology, behavioral health, and the mind-body connection to offer a collaborative, evidence-based, and holistic approach to care. He integrates diet, exercise, yoga, meditation, and lifestyle modifications with psychotherapy and medication management.

His approach emphasizes active listening, curiosity, compassion, and even humor—creating a warm and supportive environment. By encouraging patients to integrate their unique life experiences into their treatment, he fosters ownership, empowerment, and active participation in the healing process.

During your first visit, Dr. Patel will review your symptoms, medical and psychiatric history, past treatments, substance use, psychosocial factors, and family history. He will discuss treatment options—including risks and benefits—and determine if his expertise and the telehealth platform are the right fit for your needs. Your safety is his top priority.

Follow-up visits focus on monitoring progress, adjusting treatments, maintaining stability, and supporting your motivation to achieve your fullest potential.

Patricia Grendell is a board-certified Psychiatric-Mental Health Nurse Practitioner who provides mental health care using a personalized, holistic approach. Patricia specializes in psychiatric evaluation and medication management along with psychotherapy and integrative interventions. Prior to receiving education and training in Nursing at New York University and Case Western Reserve University, Patricia earned a Master of Social Work from Boston College with a focus on health and mental health.  

Patricia specializes in working with adults experiencing a wide range of acute and chronic stressors and mental health symptoms. Patricia tailors' treatment to the goals, needs, and comfort level of each individual at her or his own pace. Patricia builds connections with patients so that they feel heard and understood, and partners with each individual to determine the most appropriate treatment strategies that maximize comfort, safety, and positive results.  

Over the past ten years as a Nurse Practitioner in outpatient and inpatient environments, Patricia has helped patients improve and overcome conditions including depression, anxiety, OCD, PTSD, ADHD, and insomnia. Using a combination of medication management, individual therapy, and psychoeducation, Patricia develops individualized treatment plans centered around patients’ priorities and safety to achieve improvements in health and quality of life.

Dr. Moskowitz (she/her) is a board certified adult psychiatrist. She earned her medical degree from Albert Einstein College of Medicine and completed her psychiatry residency at the University of Arizona. She has extensive experience treating a wide range of mental health conditions, including depression, anxiety, ADHD, bipolar disorder, PTSD, OCD, and psychotic disorders. Dr. Moskowitz is especially passionate about working with transgender and other LGBTQ+ patients, offering inclusive, identity-affirming care tailored to each individual’s experience and needs.

Dr. Moskowitz takes a warm, collaborative approach grounded in empathy and trust. She believes in meeting patients where they are and working together to build a therapeutic relationship that supports healing, self-understanding, and personal growth. Patients can expect a nonjudgmental, respectful environment where their goals and concerns are genuinely heard and addressed.

Dr. Moskowitz integrates elements of psychodynamic, supportive, and cognitive-behavioral therapy into her work and offers medication management when appropriate. She emphasizes a personalized treatment plan for each patient, designed to align with their unique values, history, and goals. Her process includes thorough assessment, open dialogue, and flexible adjustments as needs evolve over time.

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Dr. Gulati is a board-certified adult psychiatrist who has been in practice for over 10 years. She has worked in inpatient units, private practice, and community mental health, as well as served as Chief Medical Officer of a large psychiatric hospital. In 2018 she was awarded the Charleston Choice Award for Best Psychiatrist in Charleston, South Carolina. She currently resides in South Florida. Dr. Gulati's practice centers around treating the whole patient: mind, body, and spirit. She believes the judicious use of psychiatric medications, coupled with psychotherapy and alternative treatments such as meditation and yoga, can bring about transformative changes in the lives of those suffering from depression, anxiety, and other mental conditions and life issues. Dr. Gulati graduated with Honors in Psychology from The University of Florida, received her medical degree from The University of South Alabama School of Medicine, completed a clinical postdoctoral research fellowship at Boston University School of Medicine, and completed her Psychiatry residency training at The University of North Carolina. She is currently obtaining her MBA. After residency, she worked as a psychiatric hospitalist at Trident Medical Center in Charleston and has also worked in private practice. Most recently she served as Chief Medical Officer for an 80-bed psychiatric hospital, Coral Shores Behavioral Hospital in Stuart, FL. In addition to general adult psychiatry, Dr. Gulati received extensive training in one of the nation's largest women's mood disorder programs at The University of North Carolina Chapel Hill and enjoys treating peripartum and postpartum mood and anxiety disorders. She is also well trained in addiction medicine and received additional training in buprenorphine use for opioid addiction.

Dr. Anil Joseph (AJ) Kulangara completed additional training in Psychiatry at the University of Washington after working primarily in women’s health, primary care, and military medicine as a Battalion Surgeon in the United States Army.  Following his military service, he trained in Psychiatry and served the mental health needs of our Veteran population. He is excited to now bring his unique expertise and experiences to Talkiatry, as well as his additional training in Women’s Mental Health, Reproductive and Perinatal Psychiatry, PTSD, and trauma-informed ADHD evaluation and treatment.

Dr. AJ’s approach focuses on behavioral change, with medication management and supportive therapies serving as important (and often essential) adjuvants to optimizing mental health.

During your first meetings with Dr. AJ, you should expect a thorough evaluation of your clinical and social histories, as well as some introductory psychoeducation.  Following that screening, anticipate a discussion about his approach to your condition and an initial treatment plan.  Please feel free to bring up any questions or concerns at any time during this process, and note-taking is highly encouraged!

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Ashley is an ANCC board-certified Psychiatric Mental Health Nurse Practitioner with over a decade of experience in Psychiatry. She has worked in inpatient and outpatient settings, crisis centers, and psychiatric emergency rooms. Ashley is deeply committed to working collaboratively with individuals to enhance their well-being, creating a personalized care plan tailored to each person’s unique needs.

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Her approach integrates medication management, supportive psychotherapy, and lifestyle interventions. As a prescriber specializing in psychopharmacology, Ashley provides comprehensive medication management while utilizing a shared decision-making model. She actively involves clients in their treatment planning, discussing various options to determine the most effective path forward.

During the initial session, Ashley prioritizes establishing a comfortable, open environment where clients feel at ease. She will review medical and psychiatric history, discuss treatment goals, and explore different therapeutic options based on individual preferences. Ashley encourages questions throughout the process to ensure a collaborative and supportive treatment experience.