Provider Bios are in Alphabetical Order.
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Emily Bernstein, MD
Dr. Emily Bernstein is board certified in Adult Psychiatry through the American Board of Psychiatry and Neurology. She has two decades of experience treating a wide variety of psychiatric illnesses using both psychopharmacology and individual psychotherapy. She has worked in crisis settings, outpatient settings, and as a consulting psychiatrist on medical units in the hospital. She strives to build a trusting relationship with her patients and includes psychotherapy into medication management sessions when appropriate. Dr. Bernstein has a strong interest in mood disorders, anxiety disorders, and co-occurring substance use and mental health disorders. She also has experience and interest in managing women’s mental health throughout the pre-partum, pregnancy, and post-partum periods, as well as issues related to a woman’s life cycle. She offers medication management and psychotherapy to individuals 18 and older either in person at our Paoli, PA office or via telehealth. She is licensed in PA & NJ.
College, Medical School, Residency & Fellowship
Dr. Bernstein graduated summa cum laude with a bachelor’s degree in history from the University of Pennsylvania. She then proceeded to earn her medical degree and completed her psychiatry residency at The University of Pennsylvania’s School of Medicine.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Director of Women’s Mental Health at Rittenhouse Psychiatric Associates.
- Board Certified by the American Board of Psychiatry and Neurology.
- Licensed Physician and Surgeon in Pennsylvania
- Former Head of the Women’s Behavioral Health Program at Crozer Medical Center.
- Worked to establish the Psychiatric Residency Program at Crozer Medical Center.
- Chair of the Psychiatric Peer Review Committee at Crozer Medical Center for over 10 years.
- Member of the Medical Staff Quality Committee at Crozer Medical Center for over 10 years.
- Recognized as a “Top Doc” in Main Line Today Magazine.
- Licensed Physician in PA, NJ, DE & NY.
Paula Bu, MD
Dr. Paula Bu is a Board Certified adult psychiatrist who treats psychiatric conditions including, but not limited to, depression, anxiety, ADHD, bipolar disorder, panic disorder, and PTSD.
In addition to medication management, she is available for psychotherapy. She incorporates multiple modalities including psychodynamic therapy, cognitive behavioral therapy (CBT), and mindfulness to provide individualized treatment. She can collaborate with your existing therapist if your need at this time is primarily medication management. She works with those struggling with work-life balance, interpersonal relationships, and life transitions. She also has significant experience treating college students, members of the LGBTQ+ community, and people of color.
She has published in multiple peer-reviewed journals in gynecologic oncology, physical medicine and rehabilitation, and psychiatry, and has presented her work nationally. She supervises Psychiatry resident physicians at the University of Pennsylvania.
College, Medical School, Residency & Fellowship
Dr. Bu graduated from Harvard College with High Honors in the Comparative Study of Religion. She received her medical degree from Thomas Jefferson University with a certificate in clinical translational research. She completed her Adult Psychiatry residency training at Mount Sinai Hospital in NYC. She received additional psychotherapy training through the Preparatory Program in Psychoanalysis and Dynamic Psychotherapy at the New York Psychoanalytic Society & Institute, America’s oldest psychoanalytic organization.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Lead Clinical Physician & Hiring Director at Rittenhouse Psychiatric Associates.
- Named “Rising Star” Physician by Castle Connolly Top Doctors 2023, 2024
- Board Certified by the American Board of Psychiatry and Neurology.
- Resident Physician Supervisor at The University of Pennsylvania.
- Licensed Physician and Surgeon in Pennsylvania, New Jersey, and New York.
Lauren Carone, MA
Call Lauren Carone directly at (267) 703 – 4248
Lauren M. Carone, M.A. has dedicated over a decade to improving quality of and access to care by providing therapy and clinical supervision within the mental health and addictions field. Lauren is committed to utilizing Evidence Based Practices (EBPs) to provide individuals with the foundation to develop the skills, self-worth, and sense of empowerment necessary to break patterns of problematic thinking and embrace a deserved quality of life. As a Cognitive Behavioral Therapist, she works with individuals to develop an understanding and awareness of the ways one’s experiences color the lens through which they view themselves, others, and the future. Lauren is also trained in Prolonged Exposure Therapy and Cognitive Processing Therapy, evidence based treatments for PTSD and experienced trauma.
Lauren obtained her master’s degree in Community Counseling, graduating summa cum laude, from The College of New Jersey, and her bachelor’s degree in Psychology, graduating summa cum laude, from the University of Pittsburgh. She currently works as an Instructor for the Penn Beck Community Initiative through the University of Pennsylvania. Lauren specializes in mood disorders, anxiety, trauma, PTSD, grief and loss, emotional regulation, and substance/alcohol use disorders. She focuses on developing a collaborative and safe, yet challenging therapeutic environment and tailors treatment to individuals’ presenting needs, goals, and issues.
Karen (Yang) Chen, CRNP
Call Karen (Yang) Chen, CRNP directly at (267) 831- 4053
Karen (Yang) Chen, CRNP is a board-certified Psychiatric Mental Health Nurse Practitioner specializing in medication management for a variety of mental health disorders in adolescents (ages 18 and older) and adults, including depression, anxiety, ADHD, PTSD, PMDD, bipolar disorder, and more. Ms. Chen offers a warm, empathic, non-judgmental, and collaborative treatment approach. Her philosophy is that using psychotherapy, coping skills, and healthy lifestyle choices combined with psychiatric medications often result in the best treatment outcomes. She offers medication management, therapy, or a combination of the two. If you are only seeking medication management, she can work closely with your therapist to ensure continuity of care.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS, AND RESIDENCY:
Karen Chen, CRNP received her first Bachelors of Science degree in Clinical Psychology, graduating magna cum laude from Tufts University. This background in clinical psychology and additional training in various therapeutic modalities allows her to incorporate therapy with medication management to create a more holistic treatment approach. Ms. Chen then graduated summa cum laude with a Bachelors of Science in Nursing from the University of Pennsylvania, and later summa cum laude with a Masters of Science in Psychiatric Mental Health Nursing from the University of Pennsylvania.
Ms. Chen has a strong research background and incorporates evidence-based treatments into her practice. Before nursing school, she worked in clinical research at the Massachusetts General Hospital’s Home Base Program, a mental health clinic for veterans and their families. Her research on PTSD, anxiety disorders, and traumatic brain injury (TBI) culminated in numerous publications, symposium presentations, and poster presentations at both national and international professional conferences. She also has experience working as a Mental Health Specialist at the Schizophrenia and Bipolar Disorders unit at McLean Hospital, a psychiatric hospital affiliated with Harvard Medical School.
After graduating as a nurse practitioner, she was accepted into one of the few psychiatric nurse practitioner residency programs available in the nation, at the Ralph H. Johnson VA Medical Center in Charleston, SC. This extra training allowed her to work in diverse clinical settings including outpatient psychiatry, inpatient psychiatry, psychiatric emergency department, consult liaison psychiatry, and substance use disorder clinic.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- American Psychiatric Nurses Association Board of Directors Scholar
- Appointed Clinical and Simulation Instructor at The University of Pennsylvania
- Licensed as Psychiatric Nurse Practitioner in Pennsylvania and New Jersey
- Board Certified in Psychiatric Mental Health Advanced Practice Nursing
- Licensed to prescribe psychiatric medications: Psychopharmacologist
- Proficient in Mandarin Chinese, but patients must speak some English.
Richard D’Amato, CRNP
Call Richard D’Amato directly at (267) 331- 4002
Richard D’Amato, CRNP is a Board-Certified Psychiatric Nurse Practitioner, with training and experience treating patients with various psychiatric disorders across the lifespan. Mr. D’Amato is trained in all areas of psychiatry including Attention Deficit Disorder, Mood Disorders (Bipolar Affective Disorder and Major Depressive Disorder), Anxiety, PTSD and Autism Spectrum Disorders (a particular focus). Mr. D’Amato brings a philosophy of holistic care, and an abiding commitment to personalized and comprehensive treatment for patients.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Richard D’Amato received his Bachelor’s of Science from Thomas Jefferson University in Philadelphia. He then received his Masters of Science in Psychiatric Mental Health Nursing at the University of Pennsylvania. Prior to his Masters, Mr. D’Amato worked in various disciplines of nursing including, crisis response, inpatient psychiatry, pediatrics and cardiology. Mr. D’Amato holds a special interest in research and treatment of Autism Spectrum Disorders, with additional training in Autism Integrated Care at the University of Pennsylvania and mentoring under Dr. Margaret C. Souders at the Children’s Hospital of Philadelphia. He is Board Certified and licensed to prescribe psychiatric medications and works as an Instructor at both The University of Pennsylvania School of Nursing and Saint Joseph’s University.
- Instructor at The University of Pennsylvania
- Instructor at Saint Joseph’s University
- Board Certified in Psychiatric Mental Health Advanced Practice.
- Licensed to prescribe psychiatric medications: PA, NJ, DE & FL (Telehealth).
- Comprehensive Care of Clients with Autism Spectrum Disorder
Tina DeMure, CRNP
Tina DeMure is a Board-Certified Psychiatric Nurse Practitioner with over 20 years of combined nursing experience. She specializes in the management of Anxiety Disorders, Depression, Bipolar Disorder, Attention Deficit Hyperactivity Disorder, and Trauma. Her experience as a Family Nurse Practitioner allows her to better understand the interplay between mental health struggles and chronic medical conditions.
Ms. DeMure treats patients ages 18 years and up in her private practice in Paoli, PA. She also provides virtual visits to individuals living throughout the state. She offers comprehensive and individualized care by working collaboratively with each patient to develop the best plan of care to achieve their goals. Her treatment approach focuses on developing relationships with her clients while accompanying and supporting them on their mental health journey. Tina believes that it is extremely important to take time with each patient and that medication management goes hand-in-hand with listening, discussions, and other interventions, such as therapy, non-pharmaceutical supplements, diet, and exercise.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Tina graduated from Indiana University with a Bachelor of Science Degree in Nursing and worked as a Registered Nurse for over a decade in a wide variety of clinical settings, including emergency departments, critical care settings, and various outpatient services. These experiences helped to broaden both her perspective and medical knowledge. In 2016, she graduated with a Master’s Degree from Duke University as a Family Nurse Practitioner and focused on Women’s Health and Addiction Medicine. This experience opened her eyes to the extreme need for mental health care providers and she then pursed her certification through Johns Hopkins University as a Psychiatric Mental Health Nurse Practitioner. She has worked primarily in outpatient clinics with a focus on underserved populations.
- Board Certified as a Psychiatric Mental Health Nurse Practitioner
- Board Certified as a Family Nurse Practitioner
- Licensed to Prescribe Psychiatric Medications
- Serving patients in Pennsylvania in-office and virtually.
- Licensed in PA, NY, DE. NJ license pending.
Cara Gouldey, CRNP
Cara Gouldey, CRNP is a Board-Certified Psychiatric Nurse Practitioner with over ten years of direct patient care experience, including diagnosing and treating mental health disorders across the lifespan. Cara specializes in the management of Depression, Anxiety Disorders (including Generalized Anxiety, Social Anxiety, Panic Disorder, and Obsessive-Compulsive Disorder), and Attention Deficit Hyperactivity Disorder in adults and children.
Ms. Gouldey treats adults, adolescents, and children in her Center City office, offering telehealth when available. She practices from a wellness model of care that considers a whole person in their environment, utilizing medication as a part of a comprehensive treatment plan. Cara works collaboratively with patients and families to identify and achieve their goals and best outcomes with psychiatric treatment. Care is evidence-based, trauma-informed, compassionate, and identity-affirming.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Cara graduated from New York University with a degree in psychology, including research in cognition, memory, and public policy. She spent several years working both with the prestigious Institute for Contemporary Psychotherapy and in clinical research at Memorial Sloan-Kettering Cancer Center in Manhattan, gaining experience in both psychodynamic treatment modalities and cutting-edge medical and complementary therapies research. She graduated summa cum laude with awards from Adelphi University in New York with a Bachelor of Science in Nursing and was accepted into the renowned nurse residency program at the Hospital for Special Surgery in Manhattan. There, Cara worked in trauma, infectious disease, and chronic pain management with an extensive medical team, which allows her to provide comprehensive care to her patients and ease of collaboration with a diverse support team. Cara then graduated summa cum laude from the University of Pennsylvania with her Masters of Science in Nursing, and holds national Board Certification as a Psychiatric Mental Health Nurse Practitioner. She has worked primarily in community settings as a Psychiatric Nurse Practitioner, collaborating with individuals and families to provide psychiatric medication, coaching, and therapy, and has served as a clinical instructor for rising Nurse Practitioners at the University of Pennsylvania.
- Appointed Instructor at The University of Pennsylvania
- Board Certified in Psychiatric Mental Health Advanced Practice.
- Licensed to prescribe psychiatric medications.
Kimberly Joffe, CRNP
Call Kimberly Joffe directly at (215) 309 – 8406
Kimberly Joffe, CRNP is a Board-Certified Psychiatric Nurse Practitioner with training and experience diagnosing and treating patients across the lifespan. Ms. Joffe is trained in all areas of psychiatry including Attention Deficit Disorders, Major Depressive Disorder, Bipolar Disorders, Anxiety Disorders and Sleep Disorders. Ms. Joffe has a diverse background including many years of experience as an Emergency Room Registered Nurse, allowing her the ability to attend to the psychiatric need of her patients who may also have complex medical illnesses. She is also a Clinical Instructor for The University of Pennsylvania’s School of Nursing.
Ms. Joffe treats patients 18 years of age and older in her outpatient private practice in Paoli, Pennsylvania. She provides holistic, compassionate and personalized care. In addition to treating patients suffering with Anxiety, ADHD and other illnesses, she has a particular focus on mood disorders.
College, Nursing School, Masters in Psychiatric Nursing and Board Certification to prescribe psychiatric medications:
Kimberly Joffe graduated summa cum laude with a Bachelor’s in Science in Nursing from Thomas Jefferson University in Philadelphia. She then earned her Masters’ in Nursing with high marks from The University of Pennsylvania. She is Board Certified and licensed to prescribe psychiatric medications.
Post-residency Appointments & Academic Achievements:
- Instructor at The University of Pennsylvania
- Board Certified in Psychiatric Mental Health Advanced Practice Nursing
- Licensed to prescribe psychiatric medications
- Licenses in Pennsylvania and Florida
Tammy Lafferty, CRNP
Tammy Lafferty, CRNP, is a Board-Certified Psychiatric-Mental Health Nurse Practitioner, as well as a Board-Certified Adult-Gerontology Primary Care Nurse practitioner. Ms. Lafferty has worked for years as a nurse practitioner, including acute care settings, which has influenced her belief in the holistic treatment of patients. Prior to becoming a nurse practitioner, Ms. Lafferty worked as a registered nurse in multiple settings, including acute care medical/surgical nursing, travel nursing, and as a certified school nurse, which included working with children with ADHD. Ms. Lafferty specializes in the medical management and holistic treatment of a variety of mental health disorders including Mood Disorders (such as Major Depressive Disorder and Bipolar Disorder), Anxiety Disorders (including Generalized Anxiety Disorder, Social Anxiety Disorder, Panic Disorder, and PTSD), and ADHD as well as other psychiatric disorders.
Ms. Lafferty treats patients ages 18 and above in her private practice in Paoli, Pennsylvania. She is board certified to prescribe psychiatric medications. Ms. Lafferty strives to provide compassionate care and works with patients to help them achieve optimal wellness through individualized treatment plans and coordination of care with other healthcare members.
College, Nursing School, Masters in Psychiatric Nursing and Board Certification to prescribe psychiatric medications:
Tammy Lafferty, CRNP, graduated with a Bachelor of Science degree in Nursing from Widener University. She has earned a Master of Science degree in Health Education from St. Joseph’s University in Philadelphia, as well as a Master of Science degree in Nursing from Wilmington University, where she earned her certification as an Adult-Gerontology Primary Care Nurse Practitioner. Additionally, she has completed her certification as a Psychiatric-Mental Health Nurse Practitioner from Wilkes University.
She is Board-Certified and licensed to prescribe psychiatric medications.
Post-residency Appointments & Academic Achievements:
- Board-Certified as Psychiatric-Mental Health Nurse Practitioner
- Board-Certified as Adult-Gerontology Primary Care Nurse Practitioner
- Member of Sigma Theta Tau International Honor Society of Nursing
- Licensed to prescribe psychiatric medications in PA and NJ. NY license pending.
Sonya Mendelovich, BSW MBA
Call Sonya Mendelovich directly at (267) 888 – 2871
Ms. Mendelovich completed her Bachelor’s Degree in Social Work and a Master’s Degree in Health Administration. She participates in ongoing specialized training in the addictions and Mental Health fields. She brings over 25 years of clinical experience across a variety of settings including detoxification, inpatient hospitalization and outpatient programs offering individual and group therapy. Sonya is a trainer and speaker on the Recovery Oriented System of Care in collaboration with Philadelphia’s DBHIDS. She has developed and grown innovative service delivery models. She has provided clinical and administrative supervision to social work students, interns and professionals. She trained in Cognitive Behavioral Therapy at The Beck Institute of The University of Pennsylvania where she maintains a Certification to practice CBT (Cognitive Behavioral Therapy). She has a great deal of experience treating individuals with Mood Disorders, Anxiety Disorders, addiction and relationship struggles and life transitions (including college and graduate student mental health).
Sonya’s approach emphasizes the mutual development of goals for therapy and provision of ongoing evaluation of the therapeutic approach. Services can include individual, family and group therapy. Sonya is trained in Cognitive Behavioral Therapy, Motivational Interviewing and Solution Focused Therapy. She continues to seek ongoing updates to her skills and knowledge base. Sonya is committed to an approach emphasizing an integrative, dynamic, and holistic approach to mental health.
Elizabeth A. Milburn, CRNP
Call Ms. Milburn directly at (267) 358-6010
Elizabeth Milburn, CRNP (Liz, she/they) is passionate about helping individuals feel more like themselves and take control of their mental health conditions. She has approximately 12 years of experience in the mental health field. She has worked in private practice outpatient offices, a community mental health center, a crisis response center, and the psychological services office for students at the University of Pennsylvania. Prior to becoming Board Certified to prescribe psychiatric medications, she worked on an in-patient medical/surgical telemetry unit at The Hospital of the University of Pennsylvania, resulting in heightened knowledge about medical comorbidities and their care.
Liz treats individuals eighteen and older via telehealth in PA and NJ. She has occasional in-office availability in Center City Philadelphia and Paoli, PA.
Liz has the knowledge and ability to help patients with mood disorders (such as Major Depressive Disorder, Persistent Depressive Disorder and Bipolar Affective Disorder), anxiety disorders (such as Panic Disorder, Generalized Anxiety Disorder and Obsessive-Compulsive Disorder), ADHD and opioid use disorder. She has ample experience treating civilians experiencing PTSD and other trauma-related disorders. She also has a significant amount of experience switching antidepressant medications and tapering individuals off antidepressants and habit-forming psychiatric medications safely.
Liz works to find the best fit of treatment that brings the most benefit and the least harm, including holistic recommendations such as lifestyle changes. She has a special interest in treating undergraduate and graduate students and is an ally of the LGBTQIA+ community. She believes in health at every size. The core philosophy in her treatment is unconditional positive regard for individuals seeking her care. If clients already have therapists with whom they wish to continue to work, she will happily collaborate with them.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Ms. Milburn earned both a Bachelor’s and Master’s of Science in Nursing from the University of Pennsylvania. She graduated summa cum laude from both programs. She is Board Certified in Family Psychiatric Mental Health Nursing and is licensed to prescribe psychiatric medication, including controlled substances.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Executive Director & Lead Psychiatric Nurse Practitioner at Rittenhouse Psychiatric Associates.
- Board Certified in Psychiatric Mental Health Nursing
- Licensed to prescribe psychiatric medications: Psychopharmacologist in PA & NJ.
Juliet Muzere, DO
Call Dr. Muzere directly at (267) 876 – 5666
Dr. Muzere is double board-certified in Child and Adolescent Psychiatry as well as Adult Psychiatry through the American Board of Psychiatry and Neurology. Although she has experience working with all ages, she specializes in working with children and adolescents and enjoys working with college-aged adults. Dr Muzere’s initial session consists of a comprehensive psychiatric evaluation to determine the cause of emotional and behavioral challenges while assessing potential biological, social and psychological contributing factors. Through collaboration with the patient and family, a customized treatment plan is made incorporating evidence-based medication management and therapy. Dr Muzere also collaborates with therapists, schools and Pediatricians to optimize care of patients. She has experience working in multiple settings such as outpatient, partial hospitalization, inpatient and emergency rooms and is trained in treating mood disorders (such as depression, bipolar disorder) anxiety, ADHD, PTSD, eating disorders, autism, psychosis and disruptive behaviors.
COLLEGE, MEDICAL SCHOOL, RESIDENCY & FELLOWSHIP
Dr. Muzere received her Bachelor of Science degree from the University of Massachusetts-Amherst where she majored in Biology. She attended medical school at Rowan University School of Osteopathic Medicine in Stratford, New Jersey (formerly University of Medicine and Dentistry of New Jersey/UMDNJ- School of Osteopathic Medicine). She thoroughly enjoyed her psychiatry rotation and decided to pursue a career in this specialty. After medical school she attended Morehouse School of Medicine/MSM in Atlanta, GA for Adult Psychiatry. She was actively involved in teaching medical students and received the Arnold P Gold Foundation Humanism and Excellence in Teaching Award. She also enjoyed serving the community and used her APA/SAMHSA Minority Fellowship award to promote mental health awareness in the Atlanta community via educational activities at schools, malls and churches. Additional accolades include APA Resident Recognition Award and MSM Graduate Medical Education Resident of the Year. Following Residency, she attended The Children’s Hospital of Philadelphia to complete her Child and Adolescent Psychiatry fellowship. She enjoyed working in the inpatient setting and served as Inpatient Chief Resident. She was also a member of the American Academy of Child and Adolescent Psychiatry/AACAP and was the recipient of a Systems of Care award in which she examined outpatient providers’ attitudes and competency in screening for substance use disorders.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
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Board Certified by the American Board of Psychiatry and Neurology.
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Licensed Physician and Child, Adolescent and Adult Psychiatrist in Pennsylvania and New Jersey.
- Completed a 2-Year Family Therapy Program via The Philadelphia Child and Family Training Center, Inc
Chris Pagnani, M.D.
Chris Pagnani, MD is the founder of Rittenhouse Psychiatric Associates and serves as the Medical Director of the practice. He treats adolescents (18+) and adults in his outpatient private practice of psychiatry. In addition to private practice, he serves as an Instructor at The Johns Hopkins Hospital for the Department of Psychiatry (since 2012) and he supervises Psychiatric Residents and young physicians at Thomas Jefferson University Hospital (also since 2012). He provides comprehensive and individualized care for his patients. He is trained in all areas of adult psychiatry including mood disorders, anxiety disorders, Adult Attention Deficit Hyperactivity Disorder and discreet office-based treatment of addiction. He offers psychiatric evaluations and medication management. He is also able to see patients once for an evaluation, who if appropriate, can be transferred to another provider within Rittenhouse Psychiatric Associates for follow-up. He is licensed in PA, NJ, FL, MD, DE, FL and CA.
He has a strong medical background and often sees individuals who have had multiple diagnosis and/or medical comorbidities that would benefit from a thorough re-evaluation and second opinion. He will work with other providers to coordinate care (including physicians, therapists, dietitians etc.).
College, Medical School, and Residency
Dr. Pagnani graduated from Vanderbilt University where he was awarded the top student in his major and track. He then attended Jefferson Medical College and upon completion was awarded the Bodine Research Award, given to one student each year for their dedication to research. He has published four medical manuscripts and been involved in roughly a dozen abstracts and poster presentations. He has collaborated with researchers at Vanderbilt University, Thomas Jefferson University, The Duke University School of Medicine and the Assiut University Hospital in Egypt. He has presented his research both nationally and internationally.
Following medical school, Dr. Pagnani focused his energy on clinical psychiatry. He completed residency at The Johns Hopkins Hospital and was asked by the chairman of the Department of Psychiatry and Behavioral Sciences to serve as Chief Resident, which he did during his final year of training. While at Johns Hopkins his training included specialized inpatient units and outpatient clinics for mood disorders (Major Depressive Disorder [MDD] and Bipolar Affective Disorder [BPAD]), anxiety disorders (Generalized Anxiety Disorder [GAD], Obsessive Compulsive Disorder [OCD] and Panic), addiction and others.
Post-residency Appointments & Academic Achievements
- Appointed Instructor at The Johns Hopkins Hospital School of Medicine where he has lectured medical students on psychopharmacology. 2012 to present.
- Supervisor at Thomas Jefferson University Hospital for the Department of Psychiatry and Behavioral Sciences for residents training in psychiatry. 2012 to present.
- Named “Top Doc” by Suburban Life Magazine of Philadelphia: 2021, 2022, 2023, 2024
- Board Certified by the American Board of Psychiatry and Neurology. 2012 to present.
- Licensed Physician and Surgeon in PA, NJ, NY, MD, DE, FL and CA.
- Licensed to provide discreet outpatient treatment for opiate dependence and addiction.
- Founder and Medical Director of Rittenhouse Psychiatric Associates – Collaborator with all Nurse Practitioners at all locations.
Chandani Patel, MA, LPC
Call Chandani Patel, MA, LPC directly at (267) 805 – 1302
Chandani Patel, MA, LPC is a licensed clinical therapist in Pennsylvania providing individual therapy to individuals (18+) for a variety of psychological issues including depression, anxiety, low self-esteem, PTSD/traumatic stress, life transitions, cultural adjustment, attachment, and relational distress. She has experience in a variety of settings including inpatient, schools, in-home, as well as outpatient clinics.
Chandani appreciates diversity and believes in providing culturally competent care to all individuals. Chandani understands the courage it takes to reach out for help and strives to create a safe and non-judgmental space for patients to explore their challenges, process their thoughts and emotions, and experience inner healing.
Clinically, Chandani utilizes a variety of evidenced based treatments including Cognitive Behavioral Therapy (CBT), Motivational Interviewing(MI), Rational Emotive Behavior Therapy (REBT). She also uses psychodynamic and mindfulness techniques to help patients gain insight into their lives and improve their quality of life.
Chandani earned a Bachelor’s Degree in Family and Child Development with a minor in Psychology and Master’s degree in Clinical Mental Health Counseling from Liberty University in Virgina.
-Proficient in Hindi and Gujarati
Nicole Palaio, MS, LPC
Nicole Palaio, MS, LPC is a licensed clinical therapist in Pennsylvania. Nicole is passionate about working with adolescents and adults using evidence-based therapeutic techniques, including: Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing (MI), and Trauma-informed interventions to assist with improved emotion regulation, interpersonal and communication skills, self-concept, and self-worth. Nicole specializes in working with people who are struggling with anxiety, depression, self-esteem, mood disorders, relationships, trauma and PTSD, peer issues, school issues and ADHD. Nicole uses a strengths-based and person-centered approach to identify an individual’s strengths and supports as aids in managing mental health. She incorporates wellness strategies to assist clients in promoting a well-balanced life emotionally, socially, spiritually, physically, mentally, and sexually.
Nicole received Bachelor’s Degrees in Crime, Law & Justice and Psychology at Penn State before earning her Master’s Degree in Community and Trauma Counseling from Philadelphia University. She has completed and been certified as a trainer for Pennsylvania’s Mandated Reporter Training Program and Practice Self-Regulation (PS-R).
- Individual and Couples Therapy Appointments Available.
Jessica M. Plocher, CRNP
Call Ms. Plocher directly at (267) 358-6009
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.
Ms. Plocher treats adolescents (eighteen and older) and adults in her outpatient private practice of psychiatry. She provides comprehensive and individualized care for her patients. She is trained in all areas of adult psychiatry including mood disorders (such as Major Depressive Disorder and Bipolar Affective Disorder), Anxiety disorders (such as Panic Disorder, Generalized Anxiety Disorder and Obsessive Compulsive Disorder) and Adult ADHD. She tailors treatment to the individual’s specific difficulties and needs, and she will work closely with your therapist to coordinate care.
Areas of focus include college and graduate student mental health (psychiatric evaluation, diagnosis and second opinions. She is Board Certified to prescribe psychiatric medications.
College, Nursing School, Masters in Psychiatric Nursing and Board Certification to prescribe psychiatric medications:
Jessica M. Plocher, CRNP received her first Bachelor’s Degree from Brandeis University. She then received a second Bachelor’s of Science from The John’s Hopkins University School of Nursing and was inducted into the Honors Society of Nursing. After several years serving in both clinical and supervisor roles at The Johns Hopkins Hospital for the Department of Psychiatry, she obtained her Masters of Science in Psychiatric Mental Health Nursing at the University of Pennsylvania. She has been Board Certified and licensed to prescribe psychiatric medications and is also an Instructor at The University of Pennsylvania.
Post-residency Appointments & Academic Achievements
- Director of Staff Mentorship & Onboarding at Rittenhouse Psychiatric Associates.
- Appointed Instructor at The University of Pennsylvania, where she has taught psychiatric mental status examinations and other topics pertaining to adult mental health.
- Board Certified in Psychiatric Mental Health Nursing.
- Licensed to prescribe psychiatric medications: Psychopharmacologist in Pennsylvania, New Jersey & Florida (Telehealth).
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, emphasizing how thoughts, actions and circumstances contribute to emotional distress within a therapeutic relationship that is collaborative, empathetic, and respects patients’ autonomy.
Dr Rannazzisi received his Psy.D. in clinical psychology from Philadelphia College of Osteopathic Medicine (PCOM). He has trained at the Center for Cognitive Therapy at the University of Pennsylvania and completed his doctoral internship at PCOM’s Center for Brief Therapy.
His previous academic positions include Clinical Assistant Professor of Psychiatry and Human Behavior at Thomas Jefferson University. He is currently a Clinical Instructor at Philadelphia College of Osteopathic Medicine. He has presented at national conferences for the Collaborative Family Healthcare Association and the American Association for the Treatment of Opioid Dependence. Dr Rannazzisi is a member of the Association for Behavioral and Cognitive Therapies as well as the Motivational Interviewing Network of Trainers.
He has also met all requirements for the Authority to Practice Interjurisdictional Telepsychology (APIT) and is able to provide telepsychology under the authority of PSYPACT in the following participating states (client must be located in one of these states at the time of service): Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Washington, D.C., West Virginia, and Wisconsin.
Rachel Reis, CRNP
Call Ms. Reis directly at (267) 687- 0900
Rachel Reis, CRNP, has over a decade of experience providing compassionate, evidence-based care to patients and their families, helping them achieve mental and physical wellness and ultimately, optimal quality of life. Her experiences as a provider in outpatient psychiatry and as a nurse in inpatient and emergency psychiatry, critical care and healthcare epidemiology, have served to provide Ms. Reis with an intimate understanding of the human experience and a genuine, empathic approach to the treatment of psychiatric conditions. Furthermore, her role as clinical educator at the University of Pennsylvania, School of Nursing serves to broaden her clinical database and stay current with the latest evidence in psychiatric treatment.
Ms. Reis treats adults in her outpatient private practice working in partnership with patients and their families to provide comprehensive psychiatric care. She is trained in the treatment of a multitude of psychiatric conditions including, but not limited to, Mood disorders (such as Major Depressive Disorder and Bipolar Affective Disorder), Anxiety disorders (such as Panic Disorder, Generalized Anxiety Disorder and Obsessive Compulsive Disorder), ADHD and Eating Disorders. Treatment plans are jointly created between Ms. Reis and her patients and care planning and implementation is sought to be inclusive of all members of the treatment team including therapists and other relevant providers.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Rachel Reis, CRNP received her first Bachelor of Science Degree in Biopsychology, graduating from Philadelphia University Summa Cum Laude. She then received a Bachelor of Science in Nursing, Magna Cum Laude, from the University of Pennsylvania, while working in the field of developmental disabilities epidemiology. Following provision of nursing care in the hospital setting, Ms. Reis obtained her Masters of Science Degree in Psychiatric Mental Health Nursing from the University of Pennsylvania and has since been Board Certified as a Psychiatric-Mental Health Nurse Practitioner. She holds current licensure to prescribe psychiatric medications in Pennsylvania and has served as a clinical educator at The University of Pennsylvania.
- Appointed Instructor at The University of Pennsylvania
- Board Certified in Psychiatric Mental Health Advanced Practice.
- Licensed to prescribe psychiatric medications.
Thomas Scary, MD, MA
Thomas Scary, M.D, M.A. is a Board Certified Psychiatrist who treats adolescents (18+) and adults as part of his practice at Rittenhouse Psychiatric Associates. He provides comprehensive care to his patients, including medications when indicated, and utilizes a variety of therapy modalities. If a patient has a therapist already, he is available for medication management. Likewise, he may recommend that patients see a separate therapist if he believes that will ensure optimal treatment for his patients.
Dr. Scary is comfortable seeing patients with medical comorbidities, multiple psychiatric diagnoses, and comorbid substance use disorders. He has a special interest in mood disorders, including bipolar disorder, and is trained in all other areas of adult psychiatry, including anxiety disorders, ADHD, and medication-assisted treatment (MAT) for substance use disorders. He is willing to see consultations for second opinions. As part of a comprehensive care model, Dr. Scary will work with your healthcare team, including other doctors, therapists, etc., to ensure the highest level of care.
COLLEGE, MEDICAL SCHOOL AND RESIDENCY TRAINING:
Dr. Scary graduated from New York University, where he simultaneously studied music and the pre-medical curriculum. He then attended the Lewis Katz School of Medicine at Temple University, where he completed a four-year dual degree program, receiving both his M.D. and an M.A. in Urban Bioethics.
After medical school, Dr. Scary completed his adult psychiatry residency at Tufts Medical Center in Boston, serving as Chief Resident of the outpatient department in his final year. His robust training included work in various inpatient units, consultations to medical wards, and emergency room psychiatry, as well as outpatient work treating patients with depression, anxiety and panic disorders, bipolar disorder, OCD, ADHD, PTSD, and substance use disorders. He has experience working with a diverse patient population, including patients of various cultural backgrounds, LGBTQ+ patients, and patients in various stages of gender-affirming treatment.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Board Certified by The American Board of Psychiatry and Neurology
- Licensed Physician and Surgeon in PA, NJ, NY, DE and MA.
- Licensed to provide discreet outpatient treatment for opiate dependence and use disorders.
- Supervises Physicians for the Department of Psychiatry at Temple University Hospital.
Loretta Sernekos, PhD, CRNP
Call Dr. Sernekos directly at (267) 607 – 5264
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. 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. Her appointment as a Senior Lecturer, teaching pharmacology and pathophysiology at the University of Pennsylvania School of Nursing allows her to stay current with evidence-based diagnosis and treatment of psychiatric conditions, as well as other medical conditions.
Dr. Sernekos treats adolescents (18 and older) and adults in her outpatient private practice. She is trained in a range of psychiatric conditions including, but not limited to, Mood disorders (such as Major Depressive Disorder and Bipolar Disorder), Anxiety disorders (such as Panic Disorder, Generalized Anxiety Disorder and Obsessive Compulsive Disorder) and ADHD. She has a special interest in the treatment of Anxiety and Mood disorders that arise from the experience of living with a chronic medical condition. Prior to becoming a Registered Nurse, she taught stress management and relaxation techniques to numerous patients suffering from chronic pelvic pain.
COLLEGE, DOCTORATE, NURSING SCHOOL, MASTER’S IN ADULT GERONTOLOGY PRIMARY CARE ADVANCED PRACTICE NURSING, POST-MASTER’S IN PSYCHIATRIC-MENTAL HEALTH ADVANCED PRACTICE NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Loretta Sernekos, CRNP received her first Bachelor of Arts Degree in Economics, graduating from Stockton University with Highest Honors. She then received a PhD in Political Science from Rutgers University. She later received a Bachelor of Science Degree in Nursing, graduating Summa Cum Laude, from Thomas Jefferson University. After working as a Registered Nurse in both acute and sub-acute physical rehabilitation facilities, Dr. Sernekos earned her Masters of Science Degree in Adult-Gerontology Primary Care Advanced Practice Nursing at the University of Pennsylvania. As she treated primary care patients as a nurse practitioner in an outpatient setting, Dr. Sernekos recognized that she needed training in psychiatry. She subsequently earned a Post-Master’s Certificate in Psychiatric-Mental Health Advanced Practice Nursing from the Johns Hopkins University. She maintains dual Board Certification as a Psychiatric-Mental Health Nurse Practitioner and as an Adult-Gerontology Primary Care Nurse Practitioner. She holds current licensure to prescribe psychiatric medications in Pennsylvania and is on the faculty of the University of Pennsylvania School of Nursing.
Post-residency Appointments & Academic Achievements:
- Senior Lecturer at The University of Pennsylvania School of Nursing, Certified Nurse Educator (CNE).
- Recipient of the prestigious University of Pennsylvania Provost Award in 2023
- Board Certified as Psychiatric-Mental Health Nurse Practitioner.
- Board Certified as Adult-Gerontology Primary Nurse Practitioner.
- Licensed to prescribe psychiatric medications.
Kristine Spano, Psy.D. – Director of Clinical Psychology and Psychological Assessments
Call Dr. Kristine Spano directly at (267)-499-4193
Kristine V. Spano, Psy.D. treats adults (18+) in her private practice located in Philadelphia. She specializes in treating a host of psychological issues including anxiety, depression, and difficulty navigating work and relationship stress. She draws on her cognitive behavioral training as well as her trauma training to integrate Western psychotherapeutic principles (Cognitive behavior therapy, Stoicism) and Eastern principles (i.e., mindfulness, sensorimotor therapy).
Dr. Spano is a licensed psychologist in the state of Pennsylvania. She earned her doctoral degree in Clinical Psychology from the Philadelphia College of Osteopathic Medicine. Prior to her work as a psychologist, she had a career in education, working at The Pingry School in New Jersey, where she simultaneously earned her masters in counseling at Rutgers University. Dr. Spano also has experience in industry, having managed the Analyst and Associate programs for Citigroup from 2007 to 2008.
Dr. Spano currently serves as a consultant to local organizations and schools, and is The Director of Psychotherapy at Rittenhouse Psychiatric Associates. She is an active member of the Philadelphia Society of Clinical Psychologists (PSCP). She earned her B.A. in Classics from Drew University.
She has also met all requirements for the Authority to Practice Interjurisdictional Telepsychology (APIT) and is able to provide telepsychology under the authority of PSYPACT in the following participating states (client must be located in one of these states at the time of service): Alabama, Arizona, Arkansas, Colorado, Connecticut, Delaware, Georgia, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Maryland, Minnesota, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, Ohio, Oklahoma, Pennsylvania, Tennessee, Texas, Utah, Virginia, Washington, Washington, D.C., West Virginia, and Wisconsin.
She is additionally fully licensed in New York.
- Appointed Director of Clinical Psychology & Psychological Assessments at Rittenhouse Psychiatric Associates
- Serves as a Member at Large on the Board of Directors for the Philadelphia Psychology Network.
Samantha Wyckoff, MD – Director of Addiction Services
Call Dr. Wyckoff directly at (484) 616 – 1100
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 psychiatric residents and addiction fellows at both Jefferson Hospital and Temple University. 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.
College, Medical School, Residency & Fellowship
Dr. Wyckoff graduated from Tulane University Magna Cum Laude with a Bachelor’s Degree in Sociology. She then completed her Medical Degree (MD) at Tulane University’s School of Medicine. She completed her Adult Psychiatry Residency training at Montefiore Medical Center / Albert Einstein College of Medicine in New York City, where she served as Chief Resident of the Psychiatric Emergency Room during her final year of training. She then completed her Fellowship specialty training in Addiction Psychiatry at Weill Cornell Medical Center.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Board Certified by the American Board of Psychiatry and Neurology in Adult Psychiatry.
- Fellowship trained in Addiction Psychiatry at Weill Cornell Medical Center.
- Supervises Psychiatric Residents and Addiction Fellows for Jefferson University Hospital and Temple University Hospital, Departments of Psychiatry.
- Licensed Physician and Surgeon in Pennsylvania & New York.
- Director of Addiction Services at Rittenhouse Psychiatric Associates
Elizabeth Wray, CRNP
Call Ms. Wray directly at (267) 553 – 5063
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 treats patients ages 18 and up in her private practice in Paoli, Pennsylvania. She is board certified to prescribe psychiatric medications. Ms. Wray’s practice is focused on empowering patients to reach their goals through individually tailored treatment plans and coordination of care with other relevant members of your healthcare and wellness team.
COLLEGE, NURSING SCHOOL, MASTERS IN PSYCHIATRIC NURSING AND BOARD CERTIFICATION TO PRESCRIBE PSYCHIATRIC MEDICATIONS:
Elizabeth Wray, CRNP graduated with a Bachelor of Science in Nursing from Drexel University in Philadelphia. She then earned her Masters of Science in Nursing from Wilkes University. She is Board Certified and licensed to prescribe psychiatric medications.
Post-residency Appointments & Academic Achievements:
- Board Certified in Psychiatric Mental Health Advanced Practice Nursing
- Licensed to prescribe psychiatric medications in PA, NJ, NY and DE
Gracie Yeo, MD
Call Dr. Yeo directly at (267) 843 – 4867
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. She often coordinates with other providers (school counselors, teachers, therapists, family physicians) to ensure comprehensive and integrated care. She is proficient in treating medically complex patients and those who suffer from multiple psychiatric diagnoses. She is trained in all areas of psychiatric disorders (Mood Disorders like Depression, Anxiety, PTSD, ADHD, Impulse Control, Eating Disorders, ASD comorbidities, and neuropsychiatric disorders).
College, Medical School, Residency & Fellowship
Dr. Yeo received her Bachelor’s degree from Haverford College. She then did a post-baccalaureate program at Georgetown University and obtained her Medical Degree from SUNY Upstate Medical University in Syracuse, NY. During medical school, she worked closely with women and children victimized by domestic violence and sexual trauma. She went on to complete her residency in Adult Psychiatry at Thomas Jefferson University Hospital in Philadelphia, PA where she continued to develop her understanding for treating children and their caretakers. She was selected for the Child and Adolescent Psychiatry Fellowship at Thomas Jefferson in conjunction with Nemours/A.I. duPont Hospital for Children. During her last year of fellowship, Dr. Yeo served as Academic Chief of her program. Her special interest is in perinatal psychiatry and helping families create and strengthen safe and healthy relationships with their children. Dr. Yeo is a member of the American Academy of Child and Adolescent Psychiatry, American Psychiatric Association, Pennsylvania Medical Society, and the Psychoanalytic Center of Philadelphia.
POST-RESIDENCY APPOINTMENTS & ACADEMIC ACHIEVEMENTS:
- Board Certified by the American Board of Psychiatry and Neurology.
- Licensed Physician and Surgeon in Pennsylvania and New Jersey.
- Collaborator with nurse practitioners who treat patients younger than 18 years old at Rittenhouse Psychiatric Associates.
- Director of Child and Adolescent Psychiatry at Rittenhouse Psychiatric Associates.
- Proficient in Korean, but patients must speak some English.