Jennifer Garner, PMHNP

Dr. Natalie Cummings is a board-certified adult psychiatrist, and board-eligible geriatric psychiatrist. She obtained her medical degree from the University of North Carolina at Chapel Hill, and completed her residency training in psychiatry at the University of Miami Miller School of Medicine and Jackson Memorial Hospital. She then went on to complete her geriatric psychiatry fellowship at Icahn School of Medicine at Mount Sinai Beth Israel. During her fellowship, Dr. Cummings participated in Mount Sinai's Visiting Doctors Program, providing patient-centered and compassionate care to homebound elder adults in New York City. She also received training at Coler Rehabilitation and Nursing Care Center on Roosevelt Island during her fellowship, and presented at the American Association for Geriatric Psychiatry annual meeting. During her training, Dr. Cummings gained extensive experience providing psychiatric care to various patient populations in multiple patient care settings, including in the outpatient clinic, inpatient unit, and emergency department. Following her training, Dr. Cummings worked at New York Presbyterian's Gracie Square Hospital, serving first in the position of float psychiatrist, providing care to patients on every inpatient psychiatric unit (including the young adult/college student program, Orthodox Jewish program, psychotic disorders program, crisis-stabilization program, dual focus program, and Asian Psychiatry program), before transitioning to an established psychiatric attending for the older adult program. During her time at Gracie Square Hospital, Dr. Cummings received the Physician of the Year Award, and served as a Clinical Assistant Professor of Psychiatry at Weill Cornell Medicine. She worked closely alongside staff psychologist, social workers and nurses to provide multidisciplinary, collaborative care to patients suffering from a variety of mental health conditions. Dr. Cummings primarily focuses on medication management and supportive psychotherapy, but has extensive training in utilizing various therapy modalities, including cognitive behavioral therapy, interpersonal therapy, reminiscence therapy, and psychodynamic psychotherapy. When appropriate, Dr. Cummings will refer for more extensive psychotherapy and/or collaborate with your established psychotherapist for comprehensive care. Dr. Cummings strongly believes that addressing psychosocial and interpersonal factors (including relationship health, economic stressors, social isolation and loneliness) is as essential as pharmacologic management in treating mental health conditions. She has particular experience and interest in treating older adults and those suffering from memory disorders, but provides treatment for a variety of psychiatric conditions including depression, anxiety, bipolar disorder, obsessive-compulsive disorders, trauma-related disorders and substance use disorders. Dr. Cummings is a member of the American Psychiatric Association and American Association for Geriatric Psychiatry.

Maria-Anne Duncan, LCSW-R holds the position of psychotherapist at Talkiatry. She has over twenty years of experience working with individuals, families, and groups addressing symptoms of anxiety, depression, and trauma. Before joining Talkiarty, Ms. Duncan worked as a Director of Clinical Services for a not-for-profit in the Hudson Valley Region of New York State. Prior to that, Ms. Duncan worked for a local hospital in the psychiatric department providing treatment to the Inpatient and Outpatient units. She has held several positions as a clinician and program director. Additionally, Ms. Duncan has taught parenting classes, Mental Health First Aid and provides training on Trauma-Informed Care. Ms. Duncan started her career as a clinician in a Crime Victims' Assistance Program funded by New York State. Through this experience she began to explore the effects of trauma on individuals, their families, and the community. Ms. Duncan has been trained in both EMDR (Eye-Movement Desensitization and Reprocessing) and SE (Somatic Experiencing). She utilizes these body-focused therapies to help her clients be released from years of painful energies locked in their systems. Ms. Duncan received her Bachelor's Degree from Marist College and her Master's from Fordham University. She has been trained to supervise Social Work Students in their field placements. Ms. Duncan appeared in the Vassar College student-developed training video, "He said, She said" which is used to train peer sexual assault counselors. In April of 2022, she became a trainer for LivingWorks "SafeTALK" program. Additionally, Ms. Duncan has a trained therapy dog, Monkey, who goes with her to local hospitals and nursing homes to provide comfort and affection.

*THIS PROVIDER CANNOT PRESCRIBE CONTROLLED SUBSTANCES FOR NH PATIENTS* Doctor Phillip Sullivan is a staff psychiatrist at Talkiatry. He is board certified in both adult psychiatry and child and adolescent psychiatry. His interest in psychiatric treatment was originally triggered by the humanistic writings of Abraham Maslow, Carl Rogers, and Rollo May. As he earned his medical degree and started post-graduate psychiatric training, he went on to learn psycho-pharmacological, cognitive-behavioral, and psychodynamic treatment approaches. He combines these perspectives in diagnosing and treating psychiatric conditions including depression, bipolar spectrum disorders, anxiety, stress and trauma related disorders, adjustment problems, maternal mental health, OCD, ADHD and other disorders. His practice focuses on supportive pharmacological treatment, and he sees listening and empathy as essential elements of the treatment process. He strives to provide a comfortable experience in which doctor and patient work together to understand the presenting problems, develop a treatment plan, reduce symptoms, and optimize functioning. Doctor Sullivan supports and encourages concurrent psychotherapy and will work collaboratively with therapists to optimize the best treatment results. Doctor Sullivan received his MD degree from Brown University Alpert School of Medicine. After completing a medical-surgical internship, he went on to a residency in adult psychiatry and a fellowship in child and adolescent psychiatry at Harvard Medical School's Massachusetts Mental Health Center. He has held academic appointments at Harvard Medical School and the University of New England School of Osteopathic Medicine. In the 36 years following completion of his training, he has worked as the medical director of a mental health center on the under-served Eastern Shore of Maryland, as the medical director of a child and adolescent psychiatric inpatient unit, as a staff psychiatrist at New Hampshire's Dartmouth Hitchcock Clinic, and as the medical director of child and adolescent psychiatric services at Concord New Hampshire's mental health center. Before joining Talkiatry, he served for 18 years as the chief of psychiatry at Southern New Hampshire Medical Center where he also spent three years as the hospital's chief of staff.

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.

Background and credentials

Dr. Nilesh Tannu is a board-certified psychiatrist by the American Board of Psychiatry and Neurology. He earned his medical degree from B.J. Medical College in Pune and completed his adult psychiatry residency at the University of Texas Medical School at Houston, where he served as chief resident. During his training, he received awards from the Society of Biological Psychiatry, the American Academy of Addiction Psychiatry, and the American Psychiatric Institute for Research and Education. He has been practicing General Psychiatry and Consultation-Liaison Psychiatry for the past seven years at Texas Medical Center in Houston, Texas. Additionally, he has served as an assistant professor of psychiatry at the Texas Medical Center, working at UT Physicians Clinics and Memorial Hermann Hospital. He is also a member of the Editorial Board for BMC Genomics Journal.

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Treatment approach

Dr. Tannu follows the bio-psycho-social model to provide evidence-based psychopharmacologic treatment. He integrates supportive therapy and cognitive-behavioral therapy (CBT) modalities into his practice to create personalized and comprehensive treatment plans. He is committed to mental health care, education, and helping patients achieve optimal functioning in their personal and professional lives. His clinical expertise includes ADHD, anxiety disorders, depressive disorders, bipolar disorder, psychotic disorders, insomnia, eating disorders, and complex medical comorbidities.

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What you can expect in a first visit

During the first visit, patients can expect a comprehensive assessment where Dr. Tannu takes the time to understand their symptoms, treatment history, and personal goals. He employs a collaborative approach to develop a tailored treatment plan that may include medication management and therapy interventions. His focus is on evidence-based care, ensuring that patients receive treatments that are scientifically backed and aligned with their individual needs.

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Why Talkiatry?

We’re a virtual mental health practice that makes it easy to find great care. We combine quality and convenience to help you thrive—faster. Our providers, like this one, are highly trained experts who specialize in medication management and collaborate with you on a treatment plan that fits your needs and comfort level.

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Sandra is a Licensed Mental Health Counselor in the state of New York with extensive experience working in the mental health field. Sandra attended both undergraduate and Graduate school in Queens, New York, studying and obtaining degrees in Psychology and Mental Health Counseling. Sandra has been practicing for over a decade as a Clinical Mental Health Counselor, in diverse settings ranging from community outpatient clinics to academic settings and private practices. She has worked with individuals, families, and groups, with a wide variety of situational, behavioral and emotional mental-health conditions as well as those who have experienced relational and other traumas. Sandra is trauma-trained and working with her delivers a warm and inviting atmosphere, blending different techniques with talk-based therapy to connect to the needs of each person. Sandra's work has recently focused on treatment of anxiety disorders, relationship issues and complex family dynamics, life-transitions and stress management. Sandra helps clients work on chronic maladaptive patterns that keep them feeling unwell or stuck in life situations. Her work leads to symptom relief, emotional stability, goal attainment, and improved relationships.