Hi, my name is Nick, and I'm a board-certified Psychiatric-Mental Health Nurse Practitioner. My interest in psychiatry began in high school, when I took a psychology elective and became fascinated by why people think, feel, and respond so differently. Two people can go through similar experiences and be affected in completely different ways, and a treatment that works well for one person may be completely wrong for another. I didn't leave that class with my career mapped out, but I had found a subject that made me want to keep learning.

That curiosity followed me to Sacred Heart University, where I studied neuroscience, and later into work as an EMT, a Psychiatric Technician at Silver Hill Hospital, and a Mental Health Worker at NewYork-Presbyterian. Those roles gave me a view of psychiatry that could never have come from a textbook — the conversations in the hallway, the frustrations that build over time, the moments when a person finally feels safe enough to say what's really going on. That experience taught me that a diagnosis may help organize information, but it never tells the full story of a person. It also taught me that trust is rarely established through one perfect conversation. It's built through consistency, honesty, follow-through, and the willingness to keep listening even when the answer isn't immediately obvious.

NewYork-Presbyterian is also where I first met Kris Generales, who was working as a psychiatric nurse at the time. We had no idea then that we'd eventually build a practice together.

I went on to earn my BSN from Pace University and my MSN from Fairfield University, both with honors, and became a board-certified Psychiatric-Mental Health Nurse Practitioner. I'm licensed to practice in New York, Connecticut, and Delaware.

My approach to psychiatry is thoughtful, collaborative, and intentionally curious. My job is not to force every concern into the first diagnosis that appears to fit. It's to slow down, ask the right questions, look for patterns, and remain willing to reconsider our assumptions when something doesn't add up. When medication is appropriate, I believe in using it carefully — more medication is not automatically better care. I also welcome questions and second opinions. A patient should never feel that asking me to explain my reasoning is disrespectful. In my view, that's exactly the kind of conversation good care requires.

Outside of work, I'm usually cooking, experimenting with a recipe that probably did not require further experimentation, working on a project around the house, or spending time with my family. And every now and then, Tucker and Skylar — my two dachshunds — may offer their professional opinion from their corner office.