Psychiatrist office lounge during the day

📍 New York City

🏥 Physician-Only Practice

Psychiatry, Practiced
the Way It Used to Be
Thoughtful, Personal, Physician-Led

Highline Psychiatry is a boutique, physician-only psychiatry practice offering direct access to board-certified psychiatrists, with priority for in-person evaluations and a level of care designed for discerning patients who value expertise, discretion, and time.

Highline Psychiatry is a boutique, physician-only psychiatry practice offering direct access to board-certified psychiatrists, with priority for in-person evaluations and a level of care designed for discerning patients who value expertise, discretion, and time.

Psychiatrist office lounge during the day

📍 New York City

🏥 Physician-Only Practice

Psychiatry, Practiced
the Way It Used to Be — Thoughtful, Personal, Physician-Led

Highline Psychiatry is a boutique, physician-only psychiatry practice offering direct access to board-certified psychiatrists, with priority for in-person evaluations and a level of care designed for discerning patients who value expertise, discretion, and time.

At Highline Psychiatry, every patient is seen exclusively by a board-certified physician psychiatrist, never a mid-level provider. We operate on a deliberately low-volume model, allowing our doctors to spend real time understanding the full clinical picture, not rushing through symptoms.

Physician-Only Care
Priority In-Person Intakes
Fast Scheduling
Boutique Model
Psychiatrist coat hanging in a professional office

Every patient is seen exclusively by a board-certified physician psychiatrist — never a mid-level provider. MD and DO psychiatrists complete 12+ years of training including medical school, psychiatry residency, and often fellowship training.

Empty psychiatrist office

A rarity in modern psychiatry. We prioritize in-person, face-to-face evaluations when clinically appropriate. Direct observation and comprehensive assessment allow for more accurate diagnosis and treatment planning.

Psychiatrist conducting a session with a client

No months-long waitlists. Rapid access to specialist psychiatrists for discerning patients.

Psychiatrist working on documents

We operate on a deliberately low-volume model, allowing our doctors to spend real time understanding the full clinical picture, not rushing through symptoms. This approach ensures you receive the depth of care that complex presentations require.

At Highline Psychiatry, every patient is seen exclusively by a board-certified physician psychiatrist, never a mid-level provider. We operate on a deliberately low-volume model, allowing our doctors to spend real time understanding the full clinical picture, not rushing through symptoms.

Physician-Only Care
Priority In-Person Intakes
Fast Scheduling
Boutique Model

At Highline Psychiatry, every patient is seen exclusively by a board-certified physician psychiatrist, never a mid-level provider. We operate on a deliberately low-volume model, allowing our doctors to spend real time understanding the full clinical picture, not rushing through symptoms.

Physician-Only Care
Priority In-Person Intakes
Fast Scheduling
Boutique Model

Psychiatric Care Tailored to You

Psychiatric Care Tailored to You

Psychiatric Care
Tailored to You

Evidence-based treatment tailored to complex presentations, not algorithmic medicine.

Comprehensive Psychiatric Evaluations

In-depth diagnostic assessments integrating complete medical and psychiatric history with current symptoms and functioning, providing valuable clinical insights and a personalized treatment plan tailored to your needs.

Comprehensive Psychiatric Evaluations

In-depth diagnostic assessments integrating complete medical and psychiatric history with current symptoms and functioning, providing valuable clinical insights and a personalized treatment plan tailored to your needs.

Child, Adolescent & Adult Psychiatry

Deep clinical expertise across all life stages, with a growing team of fellowship-trained, subspecialty psychiatrists available for personalized matching based on your specific concerns, developmental stage, and treatment needs.

Child, Adolescent & Adult Psychiatry

Deep clinical expertise across all life stages, with a growing team of fellowship-trained, subspecialty psychiatrists available for personalized matching based on your specific concerns, developmental stage, and treatment needs.

Meticulous Medication Management

Personalized medication plans guided by the latest evidence and clinical expertise, with pharmacogenetic testing when appropriate to optimize treatment outcomes, minimize side effects, and ensure the most effective care possible.

Meticulous Medication Management

Personalized medication plans guided by the latest evidence and clinical expertise, with pharmacogenetic testing when appropriate to optimize treatment outcomes, minimize side effects, and ensure the most effective care possible.

Executive & Professional Support

Specialized psychiatric treatment for professionals, executives, and entrepreneurs managing complex presentations including sustained occupational stress, leadership challenges, life-stage transitions, and high-functioning anxiety or depression.

Executive & Professional Support

Specialized psychiatric treatment for professionals, executives, and entrepreneurs managing complex presentations including sustained occupational stress, leadership challenges, life-stage transitions, and high-functioning anxiety or depression.

Evidence-Based Individual Psychotherapy

Therapeutic approaches tailored to your presenting concerns and treatment goals, fostering personal growth, enhanced self-awareness, emotional regulation, and lasting behavioral change in a supportive, collaborative environment.

Evidence-Based Individual Psychotherapy

Therapeutic approaches tailored to your presenting concerns and treatment goals, fostering personal growth, enhanced self-awareness, emotional regulation, and lasting behavioral change in a supportive, collaborative environment.

Management of Complex Psychiatric Presentations

Comprehensive care for patients managing mood and anxiety disorders, ADHD, OCD, bipolar disorder, trauma-related conditions, and those who have not responded well to treatment in high-volume or insurance-driven psychiatric settings.

Management of Complex Psychiatric Presentations

Comprehensive care for patients managing mood and anxiety disorders, ADHD, OCD, bipolar disorder, trauma-related conditions, and those who have not responded well to treatment in high-volume or insurance-driven psychiatric settings.

Our Psychiatrists

Board-certified psychiatrists with rigorous training and exceptional bedside manner.

Photo of Dr. Jonathan Tamaiev, MD

Dr. Jonathan Tamaiev, MD

Dr. Jonathan Tamaiev, MD

Dr. Jonathan Tamaiev, MD

Dr. Jonathan Tamaiev is a board-certified psychiatrist and the founder of Highline Psychiatry. He provides comprehensive psychiatric care for children, adolescents, and adults, with a focus on careful diagnostic evaluation, individualized treatment planning, and thoughtful long-term care.


Dr. Tamaiev earned his medical degree from the Technion Faculty of Medicine, completed his adult psychiatry residency at SUNY Downstate, and completed fellowship training in Child and Adolescent Psychiatry at Northwell Long Island Jewish Hospital. He has additional psychodynamic psychotherapy training through NYU’s Psychoanalytic Association of New York and has experience across outpatient, emergency, community, and private practice settings.


Dr. Tamaiev works with a broad range of psychiatric concerns, including anxiety, OCD, ADHD, depression, bipolar disorder, emotional dysregulation, psychosis, and complex or treatment-resistant presentations. He is particularly interested in cases where symptoms are nuanced, prior treatment has felt incomplete, or patients and families are looking for a more careful and comprehensive understanding of what is going on.


Photo of Dr. Janki Thakkar, MD

Dr. Janki Thakkar, MD

Dr. Janki Thakkar, MD

Dr. Janki Thakkar, MD

Dr. Janki Thakkar is a board-certified psychiatrist and fellowship-trained child and adolescent psychiatrist who provides thoughtful, comprehensive care for children, adolescents, and adults. She earned her medical degree from Chicago Medical School at Rosalind Franklin University, completed her adult psychiatry residency at Advocate Lutheran General Hospital, and completed fellowship training in Child and Adolescent Psychiatry at Northwell Long Island Jewish Hospital.


Dr. Thakkar is known for her warm, collaborative, and careful clinical style. She works with patients across the lifespan, with particular expertise in child and adolescent psychiatry and a special interest in women’s mental health, including psychiatric concerns related to pregnancy, postpartum adjustment, parenting, mood and anxiety disorders, and major life transitions. Her approach integrates psychotherapy-informed care with evidence-based medication management, taking time to understand each patient’s developmental stage, family context, medical history, and personal goals before recommending treatment.

Consultation & Fees

We value transparency and believe patients should have a clear understanding of costs upfront.

Our fee structure is as follows:

• Adult Initial Consultation (60 minutes): $800
• Child & Adolescent Initial Consultation (90 minutes): $1,200
• Follow-Up Visits (30 minutes): $350


Initial evaluations are designed to be comprehensive and unhurried, allowing time for a careful understanding of history, symptoms, and treatment goals.


Highline Psychiatry operates on a private-pay basis. We do not participate with insurance plans, but can provide documentation for potential out-of-network reimbursement.

We value transparency and believe patients should have a clear understanding of costs upfront.

Our fee structure is as follows:

• Adult Initial Consultation (60 minutes): $800
• Child & Adolescent Initial Consultation (90 minutes): $1,200
• Follow-Up Visits (30 minutes): $350


Initial evaluations are designed to be comprehensive and unhurried, allowing time for a careful understanding of history, symptoms, and treatment goals.


Highline Psychiatry operates on a private-pay basis. We do not participate with insurance plans, but can provide documentation for potential out-of-network reimbursement.

We value transparency and believe patients should have a clear understanding of costs upfront.

Our fee structure is as follows:

• Adult Initial Consultation
(60 minutes): $800
• Child & Adolescent Initial Consultation (90 minutes): $1,200
• Follow-Up Visits
(30 minutes): $350


Initial evaluations are designed to be comprehensive and unhurried, allowing time for a careful understanding of history, symptoms, and treatment goals.


Highline Psychiatry operates on a private-pay basis. We do not participate with insurance plans, but can provide documentation for potential out-of-network reimbursement.

The Highline Approach

If you've been disappointed by rushed appointments, algorithmic treatment, or care that doesn't feel personal, here's why Highline Psychiatry is different.

Why do you only use physician psychiatrists?

At Highline Psychiatry, every patient is seen exclusively by a board-certified physician psychiatrist, never a mid-level provider. MD and DO psychiatrists complete 12+ years of training including medical school, psychiatry residency, and often fellowship training. This depth of medical expertise is essential for complex diagnostic assessments, understanding medication interactions, and treating complicated cases. When psychiatric care requires medical judgment, nuanced differential diagnosis, and management of complex medication regimens, physician-level training is irreplaceable.

Why do you prioritize in-person evaluations?
Why do you see fewer patients than other practices?
Can you see children and adolescents?
Do you offer telehealth appointments?
Are you in-network with insurance?
How do I get started?

This is psychiatry for people who want it done properly.

This is psychiatry for people who want it done properly.

This is psychiatry for people who want it done properly.

Schedule a complimentary 10-minute phone consultation to discuss your needs, or submit a request below. You can expect to hear back from us within 24 hours of form submission.

Black office telephone on a conference table