We welcome your interest in New River
Valley Community Services' Psychiatric Services.
devoted to the
- which include various
practice psychotherapy, but they are also doctors—that
is, they have earned a medical degree. Our team also
includes nurse practitioners that are
education and training in the diagnosis and management
of common psychiatric illnesses. This expertise allows
the psychiatric team to more profoundly understand the
medical scope of a patient’s trouble and prescribe
medications if it is an appropriate treatment.
The psychiatric team at
NRVCS provides a comprehensive array of
recovery-oriented mental health and chemical dependency
services. The team includes a medical director, 3
full-time adult psychiatrists, 2 part-time child and
adolescent psychiatrists and 2 full-time nurse
practitioners. NRVCS also contracts with other
physicians and nurse practitioners from time to time to
augment our services.
Psychiatric Services at NRVCS adhere to
core mission of the agency and are based on principles
- Recovery Orientation
- Professional Standards of treatment
Most of the services are provided in conjunction with
our colleagues who provide psychotherapy, case
management and mental health support services. Our
doctors do not always prescribe medication. The
doctor/NP will see a patient for an initial evaluation,
after which he or she will recommend medication
treatment only if it is appropriate. Generally,
patients are expected to follow up with counseling
services or case management/mental health supports in
between doctor/NP visits.
Referrals are accepted through our ACCESS service by
calling 540-961-8400. If you are already seen by another
provider in the agency and would like to see a
psychiatrist or NP then please talk to that person or
your therapist/case manager.
MEET OUR TEAM
J. Bobby Miglani, M.D., FAPA: Medical Director:
Dr Miglani is a graduate of Christian Medical College in
India. He finished his internship at University of
Vermont and completed psychiatry residency at University
of Virginia School of Medicine, Roanoke - Salem
Psychiatric Medicine Program.
Rose-Thornton, RN: Teresa is
coordinator for NRVCS Psychiatry Service and manages the
operations of the team of case managers, nurses and care
coordinators attached to the Psychiatric Service.
Tickle-Bond, APRN-C, PMHNP:
Ms. Tickle-Bond is a graduate of nurse practitioner
program of Vanderbilt University. Prior to joining NRVCS
she worked in the inpatient unit of Lewis Gale
M.D.: Dr Cooke is a graduate
of MD program at University of New Mexico. She finishes
a triple board residency in general psychiatry,
child/adolescent psychiatry, and pediatrics at
University of Kentucky.
Frieben, M.D.: Dr Frieben is a
graduate of University of Rochester Medical School. She
finished her residency at University of Wisconsin and
University of Virginia.
MSN, FNP: Ms Sandoe is a
graduate of Radford University BSN program. She
obtained her MSN from University of Virginia and later
did her Post-masters Family Nurse Practitioner degree at
Virginia Commonwealth University/Medical College of
Virginia. She has 25 years of experience in nursing with
practice in nursing education and family medicine.
M.D.: Dr DeLapp is a graduate
of Eastern Virginia Medical School and he finished
residency at University of Virginia School of Medicine,
Roanoke - Salem Psychiatric Medicine Program. He also
has masters in Exercise Physiology from Old Dominion
M.D.: Dr Joshi finished her
medical schooling at Dayanand Medical College in India
and graduated psychiatric residency from Carilion Clinic
program in Roanoke, VA.