Find a psychiatrist in Fresno, CA — covered by insurance

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Jamie Miskell is a Board Certified Psychiatric Mental Health Nurse Practitioner. She earned her Master of Science degree from the University of Louisville. She also possesses a Master of Arts degree in Clinical Psychology from the University of Hartford. She is committed to empathic and lasting relationships with her clients.

Nice to meet you!

If you’ve been dealing with depression, anxiety, panic, sleep problems, or mood swings, you may feel worn down, stuck, or unsure what to try next. You want relief, but also clear answers, practical options, and someone who takes your concerns seriously. I work with young adults, adults, and seniors who are ready to better understand what’s happening and take steady steps toward feeling more balanced and in control of their mental health.

Hi, I'm Carina! I'm a board-certified Psychiatric NP with years of experience in mental health care, including working as a Psych RN before becoming an NP. I support teens, adults and older adults who are struggling with anxiety, depression, trauma, mood changes, stress and life transitions. My goal is to help you feel heard, understood and supported every step of the way!

I believe that meaningful mental health care starts with trust, compassion, and genuine connection. Over the past 15 years, I have worked across a variety of healthcare settings, including trauma nursing, emergency nursing, and nurse leadership roles, caring for individuals and families during some of life's most challenging moments. These experiences have reinforced my belief that every person deserves to be treated with dignity, empathy, and respect.

My commitment to mental health care is also shaped by personal experience. Like many people, I have witnessed the impact of mental health challenges in my own life and among loved ones, which has deepened my understanding of the courage it takes to seek help. I strive to create a welcoming, judgment-free space where clients feel comfortable discussing difficult thoughts, emotions, and life experiences.

Hi, I’m Mercy Nyeche, DNP, PMHNP-BC. I’m a board-certified Psychiatric Mental Health Nurse Practitioner dedicated to helping adults regain clarity, confidence, and emotional balance.

Reaching out for support can feel overwhelming especially when you’re used to being the strong one for everyone else. Whether you’re navigating anxiety, depression, burnout, life transitions, or feeling stuck in patterns that no longer serve you, you don’t have to do it alone.

My approach is compassionate, collaborative, and evidence-based. I take time to truly listen, understand your goals, and create a personalized treatment plan that fits your life, not just your symptoms.

Please note that I do not provide disability paperwork, leave of absence documentation, FMLA forms, legal letters, school accommodation letters, or other administrative forms. The only documentation I provide is a work excuse note for the date of your appointment and, when clinically appropriate based on my evaluation and professional judgment, up to three (3) days off from work. If you require any of the services or documentation listed above, I kindly ask that you schedule with another provider who offers those services. Thank you for your understanding and for helping ensure that your healthcare needs are matched with the appropriate provider.

Alex is a Doctor of Nursing Practice and Board-Certified Psychiatric Mental Health Nurse Practitioner. He brings over 10 years of experience and received his education with honors from UCLA and CSULB. He is an expert in the assessment and treatment of ADHD, Depression, Anxiety, and more.

My passion is helping individuals find healing, balance, and inner strength. With compassion and care, I support clients as they navigate life’s challenges, building resilience, self-awareness, and emotional well-being along the way.‍I provide evidence-based treatment tailored to each person’s needs, drawing on mindfulness, trauma-informed approaches, and personalized care plans. My goal is to create a safe and supportive space where clients can reconnect with themselves and develop the tools for lasting wellness.

20 year plus experience in varied mental health venues -- private office, inpatient and outpatient hospital settings, clinic-based case management.

I’m a dual board-certified Family Nurse Practitioner and Psychiatric Mental Health Nurse Practitioner with over 18 years of experience in healthcare. My background in both physical and mental health has shaped the way I practice: I believe in caring for the whole person, not just a diagnosis or a list of symptoms. I work with adults experiencing concerns such as anxiety, depression, mood changes, stress, mental health concerns related to perimenopause and menopause, and difficulty navigating life transitions. I take an open-minded, compassionate approach and want my clients to feel heard, understood, and comfortable being themselves. I am committed to providing thoughtful mental health care that recognizes the important connection between physical health, emotional well-being, lifestyle, and environment.

I am currently accepting patients and next day appointments are available. I provide evidence-based psychiatric medication management for ADHD, anxiety, depression, and related concerns for adults, adolescents, and children (age 6+). Many of my patients are students, professionals, and parents seeking practical solutions that improve concentration, mood, and daily functioning. My approach is collaborative, structured, and goal-oriented. I also provide objective psychological testing (Pearson) for ADHD, mood, autism, and personality concerns including Connors, Brown, BASC, ASRS, Vineland, and Millon.

With over 12 years of psychiatric experience across inpatient and outpatient settings, I aim to provide care that is both clinically thorough and practical for real life. My goal is to help you experience meaningful symptom improvement, better daily functioning, and greater confidence in managing your mental health.

If mutually decided to prescribe controlled substances such as stimulants, then a controlled substances agreement will need to be signed.