About Integrative NP
in Psychiatry

Board-certified psychiatric care with an integrative perspective.

How We
Practice Psychiatry

Evidence-based care informed by clinical
experience and integrative insight.

Integrative NP in Psychiatry provides psychiatric services for individuals starting at age 6. Our approach considers biological, psychological, and lifestyle factors to guide treatment recommendations aligned with current standards.

We work as a clinical team committed to attentive care, thoughtful decision-making, and consistent follow-up, ensuring each person receives treatment that reflects their needs and goals.

Meet the Founder
and CEO

Nichole McLeod, PMHNP‑BC

Nichole McLeod brings more than 20 years of experience in mental health, including emergency psychiatry, outpatient care, and integrative assessment. She leads the practice with a focus on clinical precision, meaningful patient connection, and a commitment to high-quality psychiatric care.

Meet Our Clinical Team

Professionals behind your psychiatric care.

Cindy McConnell

Director of Provider Recruitment
Provides evaluations and medication management with a supportive clinical approach.

Kendra Choinski, PMHNP‑BC

Director of Clinical Outreach
Offers evidence-based psychiatric care for adults.

Manar Salah, PMHNP‑BC

Director of Provider Experience and Culture
Delivers comprehensive evaluations and ongoing follow-up.

Carrie LoDestro, PMHNP‑BC

Psychiatric Nurse Practitioner
Provides care for individuals starting at age 6 and adults.

Madison Cox, PMHNP‑BC

Psychiatric Nurse Practitioner
Supports adolescents and adults through evaluation and medication management.

What Defines Our Care

Key components of our clinical approach.

60-Minute Evaluations
Designed to understand symptoms, history, and contributing factors with depth.
Visit Length Options
Medication management visits can be shorter or extended depending on clinical needs.
Integrative Psychiatry
Lab testing and supplement strategies are used when clinically appropriate.
Care Starting at Age 6
We provide psychiatric services beginning at age 6, adapting recommendations to each stage of life.
Advanced Care Options
Spravato is available for individuals who meet criteria for treatment-resistant depression.

Care Across Ages

Psychiatric services for individuals
beginning at age 6.

We offer care for people at different stages of life, tailoring treatment recommendations to each person’s needs and presentation. We aim to provide safe, effective care that respects each individual’s developmental stage and clinical needs.

How Care Works

From evaluation to ongoing visits.

Initial Evaluation

A full psychiatric assessment to understand symptoms and contributing factors.

Treatment Planning

Medication recommendations and integrative options aligned with clinical needs.

Follow-Up Visits
Ongoing monitoring, adjustments, and clinical guidance.

Our Clinical
Approach

A method grounded in
psychiatric standards.

We consider biological, psychological, and lifestyle factors when making treatment recommendations. Our approach includes medication management, integrative options, and Spravato when clinically indicated, supporting meaningful improvement and long-term stability.

Our Lancaster Offices

Our Lancaster Offices

In-person care with statewide
virtual availability.

We provide psychiatric services at our Lancaster offices, offering both in-person appointments and virtual care across New York State.

Our locations are designed to provide a comfortable, professional environment for individuals seeking psychiatric support.

Ready to Take the
Next Step?

Reach out today to schedule your initial evaluation, then
book future visits anytime through our online portal.