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Exxceed Wellness, Inc.
4 specialtiesSunnyvale, CA • 2 locations4.69
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.69
Wait time
4.73
Bedside manner
4.67
Insurances accepted
99% of patients have successfully booked with these insurances
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Blue Cross Blue Shield of Massachusetts
Blue Cross Blue Shield of Georgia
UnitedHealthcare
Blue Shield of California
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Exxceed Wellness, Inc.
100 S Murphy Ave, Suite 200, Sunnyvale, CA 94086
All provider availabilityToday, Apr 23 – Wed, May 6
Insurances accepted
99% of patients have successfully booked with these insurancesAetnaBlue Cross Blue Shield of MassachusettsBlue Cross Blue Shield of GeorgiaUnitedHealthcareBlue Shield of California
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Exxceed Wellness, Inc.
Exxceed Wellness — TMS Therapy Specialist in California
Advanced TMS Treatment for Depression and OCD in the Bay Area
Exxceed Wellness specializes in Transcranial Magnetic Stimulation (TMS) therapy, an FDA-cleared treatment for depression and obsessive-compulsive disorder (OCD) that have not responded fully to medication or traditional therapy.
At our Bay Area clinic, we provide in-person TMS treatment designed to restore brain activity in regions responsible for mood regulation, motivation, focus, and emotional resilience.
For many patients who have tried multiple medications without relief, TMS offers a new path forward. This advanced therapy targets specific brain circuits involved in depression and obsessive-compulsive symptoms, helping the brain regain healthier patterns of activity.
In addition to TMS therapy, Exxceed Wellness provides comprehensive psychiatric care and virtual mental health services throughout California. Our services include ADHD evaluation, medication management, therapy, and practical support for executive function challenges that affect daily life.
Our approach combines medical expertise with evidence-based treatment strategies designed to help patients regain stability, clarity, and quality of life.
Whether you are struggling with treatment-resistant depression, persistent anxiety, intrusive thoughts related to OCD, chronic burnout, cognitive fatigue, or ADHD-related focus difficulties, our goal is to provide treatment that restores balance and helps you function at your best.
Many individuals who seek TMS therapy also experience overlapping conditions such as ADHD, anxiety, or executive dysfunction. Because of this, we take a comprehensive and individualized approach to care, ensuring that all relevant factors affecting mental health are addressed.
Why Patients Choose Exxceed Wellness for TMS Therapy
Patients choose Exxceed Wellness because we provide specialized care focused on advanced, evidence-based treatment options for depression and OCD.
Our clinic offers FDA-cleared TMS therapy delivered in a structured, supportive medical environment. Unlike medications that circulate throughout the body, TMS therapy directly targets the brain regions involved in mood regulation. This allows patients to receive treatment without the systemic side effects commonly associated with antidepressant medications.
Patients also benefit from personalized treatment planning. Each individual receives a psychiatric evaluation to determine whether TMS therapy is appropriate, and treatment protocols are tailored to their specific symptoms and clinical history.
We also offer integrated mental health care that includes psychiatric medication management, therapy, and ADHD evaluation when appropriate. This integrated model allows us to treat the full spectrum of conditions that often occur together.
Many patients appreciate that they can receive TMS therapy in person at our Bay Area clinic while continuing psychiatric care through secure telehealth appointments across California.
Our goal is to provide advanced treatments that are both scientifically grounded and personalized to each patient’s needs.
Conditions We Treat
Exxceed Wellness treats a wide range of mental health conditions using a comprehensive, brain-based approach.
The primary conditions treated with TMS therapy include treatment-resistant depression, major depressive disorder, and obsessive-compulsive disorder.
Treatment-resistant depression refers to depression that has not improved after trying multiple antidepressant medications or therapy approaches. For individuals in this situation, TMS therapy can offer a powerful alternative treatment option.
Obsessive-compulsive disorder can also respond to specialized TMS protocols designed to target the neural circuits involved in intrusive thoughts and compulsive behaviors.
In addition to these primary conditions, we also treat anxiety disorders, ADHD, executive dysfunction, chronic stress, burnout, emotional dysregulation, and cognitive fatigue.
Many patients with ADHD experience additional symptoms such as anxiety, depression, and difficulty regulating emotions. These overlapping conditions can complicate treatment if they are not addressed together. Our clinic provides comprehensive evaluations so that treatment plans reflect the full clinical picture.
Patients who come to us for depression treatment may also discover that untreated ADHD or executive dysfunction is contributing to their struggles with productivity, motivation, and emotional regulation.
By addressing both mood disorders and attention-related conditions, we help patients develop a treatment plan that supports long-term improvement.
Understanding TMS Therapy
Transcranial Magnetic Stimulation (TMS) is a non-invasive brain stimulation therapy that uses targeted magnetic pulses to stimulate specific areas of the brain.
These magnetic pulses activate neural circuits involved in mood regulation, motivation, and cognitive control.
Research has shown that individuals with depression often have decreased activity in certain regions of the prefrontal cortex. TMS therapy stimulates these regions, helping restore more normal patterns of brain activity.
Over the course of treatment, this stimulation can strengthen neural pathways associated with positive mood, improved energy, and better emotional regulation.
TMS therapy has been extensively studied and is FDA-cleared for the treatment of major depressive disorder and obsessive-compulsive disorder.
One of the key advantages of TMS therapy is that it is medication-free. Because the treatment works directly on the brain rather than circulating through the bloodstream, patients do not experience the systemic side effects commonly associated with antidepressant medications.
TMS therapy is also non-invasive and does not require anesthesia. Patients remain awake during treatment and can return to their normal activities immediately afterward.
For many individuals who have struggled with medication side effects or limited treatment response, TMS therapy offers a promising alternative.
The TMS Treatment Process
The process begins with a comprehensive psychiatric evaluation to determine whether TMS therapy is an appropriate treatment option.
During this evaluation, we review a patient’s psychiatric history, current symptoms, prior treatments, and overall mental health goals.
If TMS therapy is appropriate, the first treatment session includes a procedure known as brain mapping. Brain mapping identifies the exact location on the scalp where magnetic stimulation should be delivered in order to target the correct brain circuits.
Once this location is identified, patients begin a series of treatment sessions.
Each session involves placing a specialized magnetic coil near the scalp, which delivers controlled magnetic pulses to the targeted brain region.
These sessions are brief and performed in an outpatient setting. Patients remain fully awake during treatment and can drive themselves to and from the clinic.
Most patients continue their normal daily routines throughout the course of treatment.
Over time, repeated stimulation helps strengthen neural pathways associated with improved mood and emotional regulation.
Throughout treatment, we monitor progress carefully and adjust treatment parameters when needed to ensure optimal outcomes.
Integrated Mental Health Care
While TMS therapy is highly effective for many patients, comprehensive mental health care often involves additional forms of support.
At Exxceed Wellness, we offer integrated psychiatric care designed to address both biological and behavioral aspects of mental health.
Psychiatric medication management is available for patients who benefit from combining medication with TMS therapy. Medication plans are personalized, and we provide ongoing monitoring to ensure safety and effectiveness.
Therapy and behavioral strategies can also help reinforce the improvements created by TMS therapy.
Our therapy approaches include cognitive behavioral therapy, mindfulness-based techniques, emotional regulation training, and stress management strategies.
These approaches help patients build practical skills that support long-term recovery.
ADHD Evaluation and Treatment
In addition to TMS therapy, Exxceed Wellness provides ADHD diagnosis and treatment for patients across California through secure telehealth appointments.
ADHD can affect focus, organization, time management, and emotional regulation. These challenges can interfere with academic performance, career success, and daily functioning.
Many adults with ADHD remain undiagnosed for years, often attributing their struggles to stress, burnout, or personal shortcomings.
Our ADHD evaluations are designed to provide clarity and accurate diagnosis.
For patients who meet criteria for ADHD, we offer treatment options that may include medication management, therapy, and practical strategies for improving executive function.
We also help patients develop systems for organization, productivity, and time management that can improve daily life.
In some cases, patients may benefit from documentation for workplace or academic accommodations.
By addressing ADHD alongside mood disorders when appropriate, we help patients achieve more stable and sustainable improvements.
What Makes Exxceed Wellness Different
Exxceed Wellness is committed to providing advanced mental health care grounded in neuroscience and evidence-based medicine.
Our clinic specializes in brain-based treatments such as TMS therapy while also offering comprehensive psychiatric care.
Patients benefit from personalized treatment plans, careful clinical monitoring, and a supportive care environment.
We combine in-person TMS therapy in the Bay Area with virtual psychiatric care across California, making it easier for patients to access high-quality mental health treatment regardless of location.
Our focus is not only symptom reduction but also improving real-world functioning. We aim to help patients regain the ability to work, maintain relationships, manage responsibilities, and enjoy daily life again.
Frequently Asked Questions
What conditions does TMS treat?
TMS therapy is FDA-cleared for major depressive disorder and obsessive-compulsive disorder, particularly when symptoms have not improved with medication. Many patients who pursue TMS have tried several medications or therapy approaches without sufficient relief. TMS works by stimulating brain circuits involved in mood regulation and cognitive control.
Who is a good candidate for TMS therapy?
TMS therapy is often recommended for individuals with depression who have not responded to antidepressant medications or who cannot tolerate medication side effects. It may also be recommended for patients with obsessive-compulsive disorder. A psychiatric evaluation is required to determine whether TMS therapy is appropriate for each individual patient.
How effective is TMS therapy?
Many patients experience meaningful improvement in depressive symptoms after completing a course of TMS therapy. Some patients notice gradual improvement during treatment, while others experience benefits after completing the full treatment series. Outcomes vary depending on individual brain biology, symptom severity, and other clinical factors.
How long does a TMS treatment session take?
Each TMS session typically lasts between 20 and 40 minutes depending on the protocol used. Patients remain awake and seated during treatment. Because the procedure is non-invasive and does not require sedation, patients can return to normal daily activities immediately afterward.
How many TMS sessions are required?
Most treatment plans involve multiple sessions over several weeks. The exact number of sessions varies based on clinical protocols and patient response. Consistency is important because repeated stimulation helps strengthen neural pathways associated with mood improvement.
Does TMS therapy hurt?
Most patients tolerate TMS therapy well. During treatment, patients may feel a tapping sensation on the scalp where the magnetic pulses are delivered. Some people experience mild scalp sensitivity during early sessions, but this typically improves as treatment continues.
What are the side effects of TMS therapy?
TMS therapy is generally well tolerated. The most common side effects include mild scalp discomfort or headache during the first few sessions. Because TMS does not involve medication, it does not cause systemic side effects such as weight gain, sexual dysfunction, or sedation that can occur with antidepressants.
Can I drive after a TMS treatment session?
Yes. Because TMS therapy does not involve anesthesia or sedation, patients can drive themselves to and from treatment and resume normal daily activities afterward.
Will I need to stop my medications before starting TMS therapy?
Not necessarily. Many patients continue their current medications during TMS treatment. Medication adjustments are made only when clinically appropriate and are discussed during psychiatric evaluation.
Can TMS therapy help if medications have not worked?
Yes. TMS therapy is specifically designed for patients whose depression has not improved after trying medications. By directly stimulating brain circuits involved in mood regulation, TMS provides a different treatment approach than medication alone.
Is TMS therapy covered by insurance?
Many insurance plans provide coverage for TMS therapy when certain clinical criteria are met. Coverage often requires documentation that the patient has tried antidepressant medications without sufficient improvement. Our clinic can help determine eligibility and guide patients through the insurance process.
How soon will I notice results from TMS therapy?
Some patients notice improvement in mood, energy, or motivation within a few weeks of starting treatment. For others, improvement occurs gradually over the full course of treatment. Each patient’s response timeline can vary.
Can TMS therapy help with anxiety?
TMS therapy is primarily used for depression and OCD, but many patients report improvements in anxiety symptoms as their mood improves. Anxiety often occurs alongside depression, so treating the underlying mood disorder can reduce anxiety as well.
What happens during the first TMS appointment?
The first appointment involves a psychiatric evaluation and a procedure called brain mapping. Brain mapping identifies the precise area of the brain where stimulation should be delivered. This ensures that treatment targets the correct neural circuits.
What is brain mapping?
Brain mapping is a process used during the first TMS session to determine the optimal location for magnetic stimulation. The clinician identifies the exact area of the scalp corresponding to the targeted brain region responsible for mood regulation.
Is TMS therapy safe?
TMS therapy has been extensively studied and is considered safe when performed under proper medical supervision. It is FDA-cleared for depression and OCD and has been used in clinical practice for many years.
Can TMS therapy improve focus and cognitive clarity?
Many patients report improvements in concentration, motivation, and mental clarity as their depression improves. Because depression can affect attention and cognitive processing, restoring healthier brain activity patterns can improve overall cognitive function.
What if I have both depression and ADHD?
Many patients experience overlapping symptoms of depression and ADHD. At Exxceed Wellness, we evaluate the full clinical picture and provide integrated treatment when appropriate. Patients may receive TMS therapy for depression while also receiving ADHD evaluation and treatment through telehealth services across California.
Do you treat ADHD at Exxceed Wellness?
Yes. In addition to TMS therapy, Exxceed Wellness provides ADHD diagnostic evaluations, medication management, therapy, and executive function support through secure telehealth appointments across California.
What are executive function challenges?
Executive function refers to mental skills involved in planning, organization, time management, and goal-directed behavior. Individuals with ADHD often struggle with these skills, which can affect school performance, work productivity, and daily life.
Can ADHD contribute to depression?
Yes. Untreated ADHD can contribute to chronic stress, burnout, and feelings of failure that may eventually lead to depression or anxiety. Addressing ADHD symptoms can help improve overall mental health and functioning.
Can TMS therapy treat ADHD?
TMS therapy is not currently FDA-cleared specifically for ADHD, but some patients receiving TMS for depression report improvements in focus and cognitive clarity. ADHD symptoms are typically treated with medication, therapy, and behavioral strategies.
Do you provide ADHD medication management?
Yes. Our clinic provides medication management for ADHD when clinically appropriate. Treatment plans are personalized based on each patient’s symptoms, medical history, and treatment goals.
Can you provide documentation for workplace or school accommodations?
Yes. For patients diagnosed with ADHD or other qualifying conditions, we can provide documentation that supports requests for academic or workplace accommodations when clinically appropriate.
What if my symptoms are not depression or ADHD?
If evaluation shows that symptoms are related to another condition, we provide diagnostic clarification and recommend appropriate treatment options. Our goal is to ensure that each patient receives the most effective care based on their individual needs.
How do I start treatment?
The first step is scheduling a consultation. During this appointment, we review your symptoms, medical history, and prior treatments to determine the most appropriate treatment plan. This may include TMS therapy, psychiatric medication management, therapy, ADHD evaluation, or a combination of services.
Where is TMS therapy provided?
TMS therapy is provided in person at our Bay Area clinic. Other psychiatric services, including ADHD evaluation and medication management, are available virtually across California through secure telehealth appointments.
What is the goal of treatment at Exxceed Wellness?
Our goal is to help patients restore brain balance, improve mood, regain focus, and return to meaningful daily activities. By combining advanced treatments like TMS therapy with comprehensive psychiatric care, we aim to support long-term recovery and improved quality of life.
Book Your TMS Consultation
If depression or OCD symptoms have not improved with medication or therapy, TMS therapy may provide a new path toward recovery.
Exxceed Wellness offers advanced TMS therapy in the Bay Area along with comprehensive psychiatric care and virtual mental health services across California.
Our services include treatment for depression, OCD, anxiety, ADHD, and executive function challenges.
Our goal is to help patients restore brain balance, improve mood, regain focus, and reclaim their quality of life.
Book your consultation today to begin a personalized treatment plan.
Exxceed Wellness provides advanced TMS therapy, psychiatric care, ADHD treatment, and mental health services for patients throughout California, with in-person treatment available in the Bay Area.
Patient reviews
All reviews have been submitted by patients after interacting with the practice.
Overall rating
4.69
Wait time
4.73
Bedside manner
4.67
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
260 reviews
Most relevant
I love the team. They are very responsive and helpful! NEF is amazing and my transition to their office has been great
Ursula Z.Verified patient
She was great! I felt like my concerns were heard and addressed. She took her time at every step, and is very kind.
Initials hidden
I loved that even though our time is limited, she got as much information as possible and wanted to know more about me.
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She was so kind and attentive! She listened to all my concerns. I would not want anyone else to be my provider.
December 26, 2025Initials hidden
Great doctor really listens, one of the few that seems to genuinely care. Would recommend any of my friends or family.
May 1, 2025Wiley R.Verified patient
Very great and professional! Was able to give me a diagnosis very quickly and very easy to get into contact with.
ECVerified patient
I appreciated the feedback I received from her, she was very professional and helpful to find me a proper diagnosis!
Araiya H.Verified patient
It was rushed. Not informative. She was late to all appts and actually missed one all together.
December 13, 2025Rosanne D.Verified patient
She is great, actually listens to you and tries to find the best medication for you. I highly recommend her.
NJVerified patient
Smooth process and medical provider was very helpful and personable. I’m glad I found her.
Matthias K.Verified patient
It was very smooth and I learned a lot more about my particular condition while receiving the support that I needed.
February 12, 2025Ujwal K.Verified patient
Very satisfied with the meeting. Provided what I needed. Would highly recommend. 10/10
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Great service very quick to the point and considered multiple factors of my life when prescribing medication.
May 1, 2025Julia M.Verified patient
Great communication and verified my insurance ahead of time. Very professional and helpful
November 20, 2025Dinesti G.Verified patient
great! very personable and a good listener, and was validating my feelings in a non judgmental way. thank you!
January 17, 2025Julian E.Verified patient
I had a great experience with Dr. Abat. She is very attentive, thorough, and provided a lot of helpful information.
BHVerified patient
Very happy with my experience. Recommend her to all my friends in need of relevant service.
KMVerified patient
Rushed, unprofessional comments. Will not be coming back.
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Dr Nef helped me a lot with my condition and is highly recommended!
December 29, 2025Aayush M.Verified patient
Great listener and genuinely cares. Hoping this is a lasting relationship.
Initials hidden
Very professional, asked aloy of questions and was very professional
November 2, 2025Helene L.Verified patient
Great experience, the doctor was comprehensive and deep.
February 8, 2026Nagarathinam D.Verified patient
Had a good experience, provider was kind, listened, and helped address my needs.
May 22, 2025Austin K.Verified patient
She was a great health care provider! Very knowledgeable and helpful!
Initials hidden
She is a great person and professional. She’s very kind
November 4, 2025Tania C.Verified patient
She was great, nice and friendly and got my script written up fast thank you!
November 29, 2024Tyler A.Verified patient
Nice to get the care I need without needing to us a matrix phone tree!
March 9, 2025Dawn D.Verified patient
Very thorough, understanding, caring pleasant to talk to.
ARVerified patient
Very considerate and helpful doctor and team. Highly recommended
BSVerified patient
It was really great, kind doctor, good experience.
July 15, 2025Initials hidden
why are there so many appointments?? i just want meds!
January 29, 2025Zoellen E.Verified patient
Direct. Good comms. Empathetic.
April 20, 2026Michael K.Verified patient
Nef is absolutely amazing! She made me feel heard, seen, and respected throughout the entire appointment. Thank you Nef for your amazing treatment services. I would highly recommend this provider!
March 24, 2026Chase S.Verified patient
We had a limited amount of time to get through a lot of information on this first visit but I still felt that she was compassionate and thorough.
February 27, 2026mary ellen D.Verified patient
She was absolutely amazing. The staff was incredible. Also, when I was unable to get my medication as scheduled, they called around too many pharmacies to ensure I would be able to receive my medication‘s in a timely manner…. She is one of the most caring, loving and supportive medical professionals that I’ve ever had the pleasure to work with. I’m so very thankful that I have the opportunity to choose her as my caregiver. I would recommend everyone to see her to experience her care and practice for themselves. ?
February 26, 2026Dorothy F.Verified patient
The doctor spoke over me, asked me point blank to "describe the most traumatic thing that has ever happened to me," and proceeded to not provide any care for how distraught it made me. I had to firmly re-state things and interrupt the doctor, as she made many attempts to insert incorrect information into the record. Then, I was given a followup appointment the next day without being told I would need one--to go over my QB test results, a test I had only just been told about and now needed to take, after having a very upsetting session with the doctor. Overall, I have never had a worse experience with a psychiatrist, and I have seen MANY psychiatrists. Steer clear, as well as you can.
February 20, 2026Noel D.Verified patient
I was a little taken aback by Dr. Nef's blunt demeanor during our initial appointment, which felt not harsh but not very welcoming either. I understand the need for individual assessments, but the complete dismissal of the conditions I have already worked hard to have recognized through testing and diagnoses over years made me feel like I was back at square one when I really just needed a refill for my medication. I also provided my gender identity and pronouns beforehand and stated my identity during the appointment but she continued to misgender me in her writing. Overall she was professional and nice enough but I didn't feel like I had the opportunity to provide a comprehensive picture of my mental health/conditions.
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Very personable and understanding, she really took the time to listen and help me figure out the next steps after my diagnosis. Thank you!
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It felt like I was talking to someone reading survey questions and trying to rush through each question, not actually listening to my responses. Seems trigger happy with medicine. Mocked my symptoms a little acting like I only wanted treatment to get an edge vs to treat negative problems.
February 16, 2026Initials hidden
The doctor was very organized with my history that I had completed prior to the appointment, which assisted her in making her assessment of my condition. She was very efficient and knowledgeable, and I highly recommend her as a provider.
February 8, 2026Sylvia M.Verified patient
She was very kind and caring. She also made sure the issue was understood and came up with a solution that worked for me. I would recommend her to my friends and family.
January 28, 2026Philip N.Verified patient
My experience was great! I felt like all of my issues were met with a solution that felt collaborative and professional. My appointment felt thorough, and she was so kind and empathetic to hear what things were bothering me. I highly recommend her to anyone. Thank you so much! Looking forward to future appointments.
January 27, 2026Ron T.Verified patient
I was able to schedule an appointment quickly and appreciated the flexibility for follow-up. The provider was kind, compassionate, and attentive to my needs.
January 18, 2026Initials hidden
I’ve seen other psychiatrist and none of them have been able to help me as good as she’s done. I’m very happy I found her. I would highly recommend her for those who struggle with depression, anxiety, bipolar disorder. She’s also a very sweet person
December 29, 2025Edwin O.Verified patient
If ur feeling exhausted, discouraged, or dismissed by the medical system, this is your sign to STOP SEARCHING.
Dr. Nef and her team are TRULY EXCEPTIONAL. They listen—really listen—& take every concern seriously. Ur not rushed nor minimized. Dr. Nef is thoughtful, thorough, & genuinely invested in your well-being. She doesn’t default to prescriptions; she explains, collaborates, and TAILORS care TO YOU.
Worried about side effects? She even offers GeneSight testing (helps guide treatment choices + reduces guesswork)
What truly sets this practice apart is the FOLLOW-THROUGH. Dr. Nef doesn’t just give instructions & send you on ur way. Her team proactively works to expedite care. If insurance doesn’t cover, they help secure discounts/alternatives to minimize cost barriers. Understanding both the medical and financial stress patients carry, they actively work to reduce both.
So. Don’t give up and surrender hands up in the air. STOP RIGHT THERE. And, with Dr. Nef, ESTABLISH CARE! :)
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Really helped me out. Would recommend
December 5, 2025Initials hidden
Extremely Empathetic; Willing to work with you even if more-fingers-and-toes-than-you-and-your-friends-can-count number of providers have passed you on to varying and various specialists in the past for being too complex of a case; Offers various options and meets you where you're at especially if you're apprehensive about treatment options you've tried in the past without having had your symptoms listened to; Definitely would go back; Someone who gives you hope and motivation to retry after years of trauma from medical / people of authority, etc; Extremely patient, communicative, transparent, reassuring;
November 20, 2025Initials hidden
Not only was I able to get in for a last minute appointment in the middle of the day on a weekend, but Dr. Nefretiri was extremely open to hearing my past treatments and what I had expressed had worked previously medication wise. Due to life changes and switching insurances a wrench had been thrown in the relationship I had built up for years with my last provider, so Dr. Nefretiri listening and being understanding of this gave me a lot less anxiety. She was a total life saver!
November 9, 2025Zachary N.Verified patient
If you want to be listened too don’t go here. If you want to have meds thrown at you within 10 minutes of speaking when you came in for something entirely different, this is the place for you.
Initials hidden
She was patient and listened
October 9, 2025Victor S.Verified patient
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