What patients are saying
Overall rating
4.88
Average wait time
4.81
Bedside manner
4.83
“Excellent first experience
This was my first appointment with this psychiatrist, and I honestly couldn’t have asked for a better experience. Being able to speak Spanish made me feel extremely comfortable and she understood from the very beginning.
She was warm, attentive, and easy to connect with. I felt heard, supported, and never rushed. There was a genuine sense of empathy, and I felt safe opening up and expressing myself. I truly have no complaints at all an excellent experience overall. I’m very grateful to have found her and would highly recommend her to anyone looking for a compassionate and professional psychiatrist.”
Keishla M.January 28, 2026Video visit
“Dr. Nieves Alvarado managed to be both warm and professional. She asked pertinent questions and listened attentively to my responses. I recommend her with out reservation.”
Initials hiddenAugust 21, 2025Video visit
About Dr. Xiomara Nieves Alvarado
Clientele seen
Young adults (18-24)
Individuals
Adults (25-64)
Seniors (65+)
Treatment approaches
Cognitive Behavioral (CBT)
Psychodynamic
Identity
Gender
FemaleLanguages spoken
English, Spanish
Getting to know Dr. Xiomara Nieves Alvarado
Dr. Nieves-Alvarado is a board-certified psychiatrist who completed medical training at Duke University Psychiatry Program. Originally from Puerto Rico, she is fluent in both English and Spanish, which allows her to connect deeply with a diverse patient population. Her practice combines medication management with insight-oriented therapy during every visit, promoting a comprehensive approach to mental health care. She advocates for her patients to engage in therapy alongside medication management, as she believes this integrated approach leads to better outcomes and sustained improvement. Dr. Nieves-Alvarado's practice is rooted in a collaborative, team-based approach, working closely with her patients to achieve long-term mental wellness. Dr. Nieves-Alvarado earned her medical degree from the Universidad Central del Caribe School of Medicine in Bayamon, PR. Afterward, she moved to North Carolina, where she completed her residency at Duke University Hospital. During her training, she was nominated for a fellowship in psychodynamic practice by the Psychoanalytic Center of the Carolinas, showcasing her expertise in this area. She is also a dedicated advocate against childhood sexual trauma. Her diverse training includes significant experience in jail and forensic psychiatry, as well as the treatment of military veterans under the veteran affairs health care system. She has experience in medically assisted treatments (MAT) for substance use disorders, Electroconvulsive therapy (ECT), and family therapy, enabling her to care for patients with complex needs. Dr. Nieves-Alvarado treats patients across a wide age range, from young adults to the elderly. Passionate about improving access to mental health care, she joined Talkiatry to help patients facing time or transportation challenges receive the care they need.
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In-network insurances
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Education and background
Practice names
Education and training
- Medical School - Universidad Central del Caribe School of Medicine, Doctor of Medicine
- Duke University Hospital, Residency in Psychiatry
- Psychoanalytic Center of the Carolinas, Fellowship in Psychodynamic Practice
NPI number
1235690298
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.88
Wait time
4.81
Bedside manner
4.83
Your trust is our top concern, so providers can't pay to alter or remove reviews. We also don't publish reviews that contain any private patient health information. Learn more here
74 reviews
Most relevant
Set up for the first video visit could have been easier - a little tricky to figure out and I’m in IT
July 23, 2025Initials hiddenVideo visit
Extremely kind and patient! I felt like I was listened to and all my questions were answered:)!
November 13, 2024Trinity O.Verified patientVideo visit
An excellent dr a great listener about my concerns and friendly.
May 13, 2025Olga F.Verified patientVideo visit
The appointment was canceled. Her insurance was not even covered in my state. They never notified me until I called them 15 minutes after my schedule time.
February 19, 2026george B.Verified patientVideo visit
Excellent first experience
This was my first appointment with this psychiatrist, and I honestly couldn’t have asked for a better experience. Being able to speak Spanish made me feel extremely comfortable and she understood from the very beginning.
She was warm, attentive, and easy to connect with. I felt heard, supported, and never rushed. There was a genuine sense of empathy, and I felt safe opening up and expressing myself. I truly have no complaints at all an excellent experience overall. I’m very grateful to have found her and would highly recommend her to anyone looking for a compassionate and professional psychiatrist.
January 28, 2026Keishla M.Verified patientVideo visit
Dr. Nieves Alvarado managed to be both warm and professional. She asked pertinent questions and listened attentively to my responses. I recommend her with out reservation.
August 21, 2025Initials hiddenVideo visit
She was kind, a great listener and above all very knowledgeable. She knew how to break down information in a way that made sense. We also came up with a good action plan that makes me feel hopeful of the future.
August 7, 2025Initials hiddenVideo visit
Had a great experience with a psychiatrist!
Less than 1 year agoInitials hiddenVideo visit
We had a great first session. She listened to all my issues and showed sympathy for the struggles im facing. Looking forward to my continued treatment with her.
May 1, 2025Paul L.Verified patientVideo visit
I had to call ZocDoc to get the link to join the call which was not supposed to happen. Dr Xiomara Nieves Alvarado promptly attended and listened to my ramblings as this was the first time we'd met. Because of this first session, she asked me to meet her again in three days for another session. This made me feel very supported as I'd waited a long time to find a psychiatrist to see. I believe this will be a good relationship and I am looking forward to receiving the help I've needed for a long time.
More than 1 year agoChristiana B.Verified patientVideo visit
I am going back. This was my first appointment. I feel like she wants to understand what is going on with me. She is open, insightful, supportive.
September 13, 2024William P.Verified patientVideo visit
This was my first virtual visit with a new provider and I was pleasantly surprised! She was very thorough, empathetic and was a great listener. It is a great relief knowing that this service has doctors that acknowledge PTSD trauma(s).
August 14, 2024Kathryn B.Verified patientVideo visit
Great first meeting to establish the relationship
August 11, 2024Initials hiddenVideo visit
Very understanding and considerate and wants to make sure she understands your story! After a bad experience previously I was happy to finally have a good one.
March 20, 2024Michelle M.Verified patientVideo visit
Great listener and very informative
February 15, 2024Grant B.Verified patientVideo visit
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How soon can I make an appointment with Dr. Xiomara Nieves Alvarado?
Generally, Dr. Xiomara Nieves Alvarado has appointments available on Zocdoc within 1 week. You can see Dr. Nieves Alvarado's earliest availability on Zocdoc and make an appointment online.
Is Dr. Xiomara Nieves Alvarado accepting new patients?
Dr. Xiomara Nieves Alvarado generally accepts new patients on Zocdoc. You can see Dr. Nieves Alvarado's earliest availability on Zocdoc and schedule an appointment online.
Does Dr. Xiomara Nieves Alvarado accept my insurance?
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Can I make an appointment with Dr. Xiomara Nieves Alvarado online?
Yes, you can make an appointment online with Dr. Nieves Alvarado using Zocdoc. It’s simple, secure, and free.
What practice does Dr. Xiomara Nieves Alvarado work with?
Dr. Xiomara Nieves Alvarado works with Talkiatry.
What are common reasons for patients to see Dr. Xiomara Nieves Alvarado?
Dr. Xiomara Nieves Alvarado frequently sees patients for Anxiety, Bipolar Disorder, Depression, Psychiatry Consultation, and Worry. You can see other visit reasons for Dr. Xiomara Nieves Alvarado on their profile.
What languages does Dr. Xiomara Nieves Alvarado speak?
Dr. Xiomara Nieves Alvarado speaks English and Spanish.
How do patients rate Dr. Xiomara Nieves Alvarado in reviews?
74 patients have reviewed Dr. Xiomara Nieves Alvarado. The overall rating for this doctor is 4.88/5. They have a 4.83/5 rating for bedside manner and a 4.81/5 rating for wait time. You can read individual reviews and ratings on their profile.