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Rittenhouse Psychiatric Associates: Child, Adolescent & Adult In-Office & Virtual Psychiatry & Psychiatric Medication Management.
We specialize in Anxiety Treatment, Depression Treatment, ADHD Treatment and Bipolar Disorder Treatment. We additionally have specialists focusing on Women’s Mental Health, Substance Abuse Disorder Treatments, LGBTQIA+ Care and Student Mental Health.
Academically oriented Psychiatric providers who trained at institutions such as The Johns Hopkins Hospital, The University of Pennsylvania and Children’s Hospital of Philadelphia (CHOP). Many of our providers have taught, or currently teach, at these or similar institutions.
Offices located in: Pennsylvania (Philadelphia, Paoli, Pittsburgh, Center Valley), New Jersey (Collingswood), New York (Manhattan), Delaware (Wilmington) & Florida (Delray Beach).
Serving: All of Pennsylvania, New Jersey, New York, Delaware, Florida and others via in-office and/or Virtual Psychiatric Appointments.
Let’s Normalize Thorough, Thoughtful and Conscientious Mental Health Care.
Appointments available within 2-3 weeks, for anxiety, depression, ADHD, bipolar disorder and other mood disorder treatment. See our Services page for a complete list of conditions.
We believe that our culture best promotes not only excellent mental health treatment, but an environment where case discussion and collaboration are encouraged, which promotes provider growth through continued medical and psychological education.
We specialize in evaluating, diagnosing and treating moderate severities of mental illness, such as anxiety disorders, mood disorders and substance use disorders.
We are a fee-for-service psychiatric practice and do not accept insurance directly. However, many patients can receive reimbursement for the majority of our fees, by submitting to their insurance company.
We do not have admitting privileges at local psychiatric hospitals, and therefore, if a patient is high risk for self-harm, is acutely suicidal or needing crisis intervention, has a history of inpatient psychiatric admissions, suicide attempts or acute psychosis, we may recommend providers with additional emergency resources outside of our practice.
This site is designed to help prospective patients determine whether we may be the best fit for their individual psychiatric treatment and to provide resources for them, when we are not. There are many options for mental health providers in Philadelphia, Pittsburgh, Allentown, Lehigh Valley, New York, Delaware and other areas that we serve. Please see our resources page for additional information on finding a provider outside of our practice, if you believe that we are not the best fit.
LGBTQIA Welcoming
Providers
Click a name to learn more about the provider.
Chris Pagnani, MD
Founder & Medical Director
Chris Pagnani, MD is the Medical Director and Founder of Rittenhouse Psychiatric Associates. He treats adolescents (18 +) and adults in his outpatient private practice of psychiatry. In addition to private practice, he is an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry and Behavioral Sciences and he supervises Interns and Psychiatric Residents at Thomas Jefferson University Hospital. Dr. Pagnani maintains medical licenses in PA, NJ, NY, DE, MD, FL and CA.
Named “Top Doctor” 2021, 2022, 2023
Paula Bu, MD
Lead Clinical Physician & Hiring Director
Paula Bu, MD treats adults (18+) in her private practice and serves as a psychiatric consultant to students at Haverford College through their Counseling and Psychological Services. She is Board Certified by the American Board of Psychiatry and Neurology and supervises Resident Physicians at The University of Pennsylvania. She has significant experience treating members of people of color, the LGBTQ+ community, and college/grad students. In addition to medication management, she is available for psychotherapy that is individualized to your needs. She serves as the Lead Clinical Physician and Hiring Director of Rittenhouse Psychiatric Associates.
Named “Rising Star” Top Doctor by Castle Connolly 2023, 2024
Emily Bernstein, MD
Director of Women’s Mental Health
Emily Bernstein, MD is a board-certified psychiatrist with 2 decades of experience treating adults (18+). She has extensive experience treating a variety of issues including mood disorders such as MDD and Bipolar Disorder, Anxiety Disorders, PTSD and ADHD. She has expertise in working with pre-partum, pregnant and post-partum women, having served as the Head of Crozer Medical Center’s Women’s Behavioral Health program. She is a graduate of The University of Pennsylvania School of Medicine and she also completed her Psychiatric Residency at The University of Pennsylvania as well. She provides medication management as well as psychotherapy via both telehealth and in-office appointments, at our Paoli, PA location. She is additionally licensed in NJ.
Karen Chen, CRNP
Karen Chen, PMHNP, treats adolescents ages 18+ and adults with depression, anxiety, ADHD, PTSD, PMDD, bipolar disorder, and more. She is also a Clinical Instructor at the University of Pennsylvania School of Nursing, and co-chair of the American Psychiatric Nurses Association’s Southeast Pennsylvania region.
Richard D’Amato, CRNP
Richard D’Amato, CRNP is a Board-Certified Psychiatric Nurse Practitioner, with training and experience treating patients with various psychiatric disorders across the lifespan. Areas of focus include Adult Autism, Adult ADHD, College Mental Health, Anxiety & Depression. He is licensed in several states, including PA, NJ, DE and FL.
Tina DeMure, CRNP
Tina DeMure, CRNP is an Adult Board Certified Psychiatric Nurse Practitioner with over 20 years experience in the medical field. She received her Masters as a Psychiatric Mental Health Nurse Practitioner from The Johns Hopkins University, and her Family Nurse practitioner degree from Duke University. She is licensed to prescribe Psychiatric Medications to individuals living throughout Pennsylvania, New York, Delaware and NJ (pending as of fall ’24). She treats patients struggling with Anxiety, Depression, Bipolar Disorder and ADHD. Her office is in Paoli, PA and virtual visits are also available.
Cara Gouldey, CRNP
Cara Gouldey, CRNP is a Board-Certified Psychiatric Nurse Practitioner, who offers telehealth and in-person treatment for adults and adolescents in the Center City Philadelphia office. She is accepting new patients at this time. Cara is trained across the spectrum of psychiatric diagnoses, and she specializes in the management of depression, anxiety (generalized anxiety, social anxiety, panic disorder, obsessive-compulsive disorder), and ADHD.
Kimberly Joffe, CRNP
Kimberly Joffe is a psychiatric nurse practitioner who treats ages eighteen and up in her outpatient private practice of psychiatry in Paoli, PA. She is currently a clinical preceptor for psychiatric nurse practitioner students for The University of Pennsylvania. In addition to outpatient private practice, Kim also works at Chester County Hospital, a Penn Medicine entity, treating patients with a wide array of psychiatric emergencies in addition to psychiatric illness with medical comorbidities.
Tammy Lafferty, CRNP
Tammy Lafferty, CRNP is dual Board Certified as a Psychiatric Mental Health Nurse Practitioner and an Adult-Gerontology Primary Care Nurse Practitioner. She provides holistic treatment to her patients and can treat individuals with various medical comorbidities. She is licensed in both PA and NJ. NY license Pending.
Sonya Mendelovich, BSW, MBA
Elizabeth A. Milburn, CRNP
Executive Director & Lead CRNP
Elizabeth, a two-time graduate of the University of Pennsylvania, has approximately a decade of experience in the mental health field. She provides a holistic approach, and treats patients aged 18 and up via telehealth in PA and NJ. She has special interest in treating students and members of the LGBTQIA+ community. She serves as the lead Psychiatric Nurse Practitioner and Executive Director of Rittenhouse Psychiatric Associates.
Juliet Muzere, DO
Dr. Muzere is dual board-certified in Child and Adolescent Psychiatry (her focus) and Adult Psychiatry as well. Dr. Muzere works with the child and family to determine the cause of emotional and behavioral challenges and assess potential biological, social, and psychological contributing factors. She collaborates with the child and family to create an individualized treatment plan incorporating evidence-based medication management and therapy. She also collaborates with therapists, schools, and Pediatricians to optimize care of patients. She is licensed in both Pennsylvania and New Jersey.
Nicole Palaio, MS, LPC
Chandani Patel, MA, LPC
Jessica M. Plocher, CRNP
Director of Staff Mentorship & Onboarding
Jessica M. Plocher, CRNP has over a decade of experience working in the mental health field, including working as a mental health resource specialist at Massachusetts General Hospital (MGH) 2003-2008, working at The Johns Hopkins Hospital for the Department of Psychiatry and Behavioral Sciences in both clinical and supervisor roles and serving as an Instructor at The University of Pennsylvania. In addition to her private practice at Rittenhouse Psychiatric Associates, she serves as the practice’s Director of Staff Mentorship & Onboarding.
Angelo Rannazzisi, Psy.D
Angelo Rannazzisi, Psy.D. is a Licensed Clinical Psychologist in Pennsylvania. Dr Rannazzisi utilizes evidence-based treatments to help guide patients towards positive change and address a range of emotional, behavioral and adjustment problems. Specifically, Dr Rannazzisi treats adults and adolescents utilizing a combination of Motivational interviewing and Cognitive Behavioral Therapy. A subset of his practice is focused on the non-pharmacological management of ADHD for college and graduate students & adults.
Dr. Rannazzisi is now scheduling for individuals living in PA, NJ, AL, AR, AZ, CO,CT, DE, GA, ID, IL, IN, KS, KY, ME, MD, MN, MO, NE, NV, NH, NC, OH, OK, TN, TX, UT, VA, WA, DC, WV & WI, via additional licensing through PYSPACT.
Rachel Reis, CRNP
Thomas Scary, MD, MA
Thomas Scary, MD, MA is an Adult Psychiatrist who is Board Certified by the American Board of Psychiatry and Neurology. He received his bachelors from NYU, his medical degree from Temple University, and he trained in Psychiatry at Tufts Medical Center, serving as Chief Resident among his peers. He supervises young physicians at Temple University for the Department of Psychiatry, and he treats patients for mood disorders, anxiety disorders, ADHD and other psychiatric struggles at Rittenhouse Psychiatric Associates.
He is licensed in NJ, PA, NY, DE & MA. He is fluent in Spanish.
Loretta Sernekos, PhD, CRNP
Loretta Sernekos, PhD, CRNP, is an Advanced Senior Lecturer at The University of Pennsylvania and the 2023 recipient of the prestigious University of Pennsylvania Provost award, given to one lecturer University Wide in all of the Health Science departments at Penn (Schools of Medicine, Nursing, Dentistry and Veterinary Medicine) each year. In addition to teaching, she provides holistic, empathic, and evidence-based care to her patients at Rittenhouse Psychiatric Associates. Her prior experience as a nurse practitioner in outpatient primary care informs her thinking regarding psychiatric conditions and their relationship to the whole person’s physical and emotional health. She practices evidence-based care in the diagnosis and treatment of psychiatric conditions, as well as other medical conditions.
Kristine V. Spano, PSY.D.
Director of Clinical Psychology & Psychological Assessments
Kristine V. Spano, Psy.D. is a Licensed Clinical Psychologist in Pennsylvania. Dr. Spano treats clients 18 years of age and up, in her private practice at Rittenhouse Psychiatric Associates. As a Cognitive Behavioral Therapist, her primary goal is to help clients understand the interdependency of thoughts, feelings and behaviors. Along with CBT, she utilizes mindfulness-based and trauma-informed interventions that emphasize the mind-body connection. In addition to private practice, she serves as a Member at Large on the Board of Directors for the Philadelphia Psychology Network AND is The Director of Clinical Psychology & Psychological Assessments at Rittenhouse Psychiatric Associates.
Dr. Spano is now scheduling for individuals living in PA, NJ, AL, AR, AZ, CO,CT, DE, GA, ID, IL, IN, KS, KY, ME, MD, MN, MO, NE, NV, NH, NC, OH, OK, TN, TX, UT, VA, WA, DC, WV & WI, via additional licensing through PYSPACT. She is additionally fully licensed in New York.
Elizabeth Wray, CRNP
Elizabeth Wray, CRNP, is a Board-Certified Psychiatric Mental Health Nurse Practitioner, with experience treating patients of all ages. Prior to becoming a nurse practitioner, Ms. Wray worked as a registered nurse in multiple settings, including a psychiatric emergency department, psychiatric inpatient facility, and psychiatric medical/surgical unit. This unique combination of experience has shaped Ms. Wray’s practice in the holistic treatment of Mood Disorders (such as Major Depressive Disorder and Bipolar Disorder), Anxiety Disorders (including PTSD and Generalized Anxiety Disorder), as well as ADHD and other psychiatric disorders. Ms. Wray is licensed in PA, NY, NJ and DE.
Samantha Wyckoff, MD
Director of Addiction Services
Samantha Wyckoff, MD is the Director of Addiction Services at Rittenhouse Psychiatric Associates. She is a board-certified psychiatrist through the American Board of Psychiatry and Neurology and is fellowship-trained in Addiction Psychiatry. She supervises both Jefferson and Temple Psychiatric residents and fellows in the treatment of substance use disorders. She has expertise in treating co-occurring mental health and substance use disorders and utilizes medication-assisted treatment (MAT) for substance use disorders when appropriate. She provides medication management appointments and is accepting new clients for both telehealth and in-office visits at our Rittenhouse, PA location, and is on faculty at Thomas Jefferson University Hospital, for the Department of Psychiatry.
Gracie Yeo, MD
Director of Child & Adolescent Psychiatry
Dr. Yeo is an American Board of Psychiatry and Neurology board certified psychiatrist who specializes in both Child & Adolescent Psychiatry as well as Adult Psychiatry. She offers evidence-based treatment that is individualized to the unique needs of each patient with psychotherapy and medication management. She has experience working with all ages from school aged children to older adults, often coordinates with other providers to ensure comprehensive and integrated care, and is proficient in treating medically complex patients and those who suffer from multiple psychiatric diagnoses.