Maura Davis, NP

Maura S. Davis, CNP, PMHNP-BC is the Founder and Clinical Director of PivotCare Precision Psychiatry, an integrative psychiatry practice advancing personalized, evidence-based mental health care through neuroscience-informed treatment, comprehensive diagnostic evaluation, digital cognitive assessment, and collaborative medical-psychiatric care.

A board-certified Psychiatric Nurse Practitioner specializing in adult, adolescent, pre-teen, and geriatric psychiatry, Ms. Davis brings more than 35 years of experience spanning psychiatric nursing, advanced clinical practice, healthcare leadership, behavioral health systems innovation, and program development. Her clinical philosophy integrates biological psychiatry, advanced psychopharmacology, psychotherapy, developmental psychiatry, and whole-person integrative mental health care, delivering highly individualized treatment plans tailored to each patient’s neurobiology, medical complexity, developmental stage, and psychosocial context.

She earned her Master’s Degree from Northeastern University and is currently completing her doctoral studies focused on measuring improvement in modern psychiatric care delivery models. In 2006 she completed her psychiatric clinical internship at Cambridge Health Alliance, a Harvard Medical School–affiliated teaching hospital, where she trained alongside MD psychiatry residents within an interdisciplinary academic environment emphasizing comprehensive psychiatric evaluation, acute stabilization, and evidence-based treatment planning. In addition to clinical practice, she has served as nursing faculty at Northeastern University and Simmons University, mentoring and educating future healthcare professionals. She continues to mentor promising nurse practitioner students here at PivotCare from prestigious universities such as Northeastern, Boston College, Regis as well as Massachusetts College of Pharmacy. 

Ms. Davis began her career as a psychiatric nurse at McLean Hospital, and Massachusetts Department of Mental Health facilities, developing expertise in crisis psychiatry, trauma-informed care, acute inpatient stabilization, and multidisciplinary behavioral health treatment.

She has long-term expertise working with special populations, including pre-teens and adolescents navigating ADHD, mood disorders, anxiety disorders, trauma-related conditions, and emerging psychiatric complexity. She is recognized for expert-level medication management across lifespan, with particular attention to developmental considerations, risk mitigation, safety monitoring, and family-centered care. Her work frequently incorporates family therapy principles and systemic interventions, recognizing that sustainable psychiatric improvement in youth and adolescents requires collaboration with caregivers and clear communication across family systems.

Prior to founding PivotCare, she launched a national behavioral health consulting practice dedicated to quality improvement, program development, and case management innovation especially regarding social disparities of care and preventing readmissions.

Her work strengthened psychiatric access, emergency department behavioral health workflows, and integrated care coordination models within complex hospital systems across the United States. 

As a Psychiatric Nurse Practitioner, she has provided psychiatric care across diverse settings including Boston Medical Center, Brown University Health–affiliated Morton and Good Samaritan Hospitals, Westborough Behavioral Healthcare Hospital, UHS and Southcoast Behavioral Health and others. Her roles have spanned inpatient psychiatry, consult-liaison psychiatry, partial hospitalization programs (PHP), outpatient psychiatry, and dual diagnosis treatment for co-occurring psychiatric and substance use disorders.

In recent years, her work has increasingly focused on geriatric psychiatry and consult-liaison psychiatry, treating complex patients and bridging psychiatric and medical systems of care. She has expertise in early cognitive decline, deprescribing strategies, psychopharmacologic optimization in medically fragile populations, and the integration of psychiatric and primary care.

Ms. Davis has received specialized training in Transcranial Magnetic Stimulation (TMS) and Spravato® (esketamine) therapy for treatment-resistant depression and incorporates trauma-informed approaches and multiple psychotherapy modalities. Her precision-based model blends advanced medication management, digital cognitive assessment, pharmacogenomic insight, lab tests and integrative psychiatric treatment to improve measurable outcomes in depression, anxiety, ADHD, trauma disorders, and complex mood conditions. 

In her early career years, she has held leadership roles within the Massachusetts Department of Mental Health, including Bridgewater State Hospital contributing to initiatives focused on psychiatric access, behavioral health program design, and system-level quality improvement. Her national consulting collaborations have supported major healthcare organizations from Los Angeles to Miami, as well as Chicago, Wisconsin, and New York, improving psychiatric coordination, access, and care delivery across large healthcare systems.

Through PivotCare Precision Psychiatry, Ms. Davis is building a scalable Precision Psychiatry Center of Excellence designed to expand access to advanced psychiatric treatments while delivering deeply personalized, integrative mental health care. 

Central to the PivotCare model is a collaborative care approach with primary care providers, pediatricians, and medical specialists, recognizing that effective psychiatric outcomes depend on coordinated communication, shared treatment planning, and family engagement. By aligning psychiatry, medical care, and therapeutic services, PivotCare ensures patients and families clearly understand their care pathway while achieving sustainable improvements in mental health, cognitive function, and overall well-being.

Susan Ouellette, CRNP, PMHNP-BC

Dual Board-Certified Nurse Practitioner

Ms. Susan Ouellette is a highly experienced healthcare NP with more than 44 years of practice spanning medical, psychiatric, and integrative behavioral health care. She is dual board-certified as both a Family/Medical Nurse Practitioner and a Psychiatric Mental Health Nurse Practitioner, bringing a uniquely comprehensive perspective to the treatment of complex conditions that intersect physical and mental health.

Ms. Ouellette provides expert care to adolescents, adults, and older adults, treating both acute and chronic psychiatric and medical conditions through a whole-person, evidence-based approach. She has expertise in the management of diabetes and endocrine-related disorders, recognizing the critical relationship between metabolic health, mood regulation, cognition, and overall psychological well-being. Her clinical work also includes specialized evaluation and treatment of eating disorders, where medical, psychological, and behavioral factors require careful integration and coordination of care.

In addition to her clinical practice, Ms. Ouellette offers high-level professional consultation, including expert review and consultation for malpractice attorneys, as well as comprehensive psychiatric and medical evaluations for individuals seeking Registry of Motor Vehicles (RMV) licensure review and renewal. PivotCare provides Substance Use Evaluations required by the Massachusetts RMV for individuals addressing DUI or OUI convictions, complete with a Risk of Recidivism assessment.

She completed graduate education earning advanced degrees from both the University of Washington and the University of Maryland, establishing a strong academic foundation in integrated medical and psychiatric practice.

Throughout her career, Ms. Ouellette has practiced across a wide continuum of care settings, including acute care hospitals, intensive outpatient programs, substance use treatment facilities, day treatment programs, nursing homes, and telepsychiatry services. Her multidisciplinary background allows her to effectively manage complex presentations requiring coordination between medical and behavioral health systems.

Her treatment model integrates multiple therapeutic modalities tailored to each individual, including: Psychiatric medication management (pharmacotherapy), Psychotherapy and behavioral interventions, Lifestyle and wellness assessment, Mind-body approaches, including clinical hypnosis.

Ms. Ouellette’s clinical philosophy centers on developing individualized, practical treatment plans that address patients’ physical, emotional, and spiritual needs while supporting long-term wellness, resilience, and functional recovery. She believes effective care emerges from collaboration, education, and compassionate partnership with patients navigating life’s challenges.

As a nurse practitioner therapist, Ms. Ouellette is deeply committed to fostering an inclusive, respectful, and supportive therapeutic environment where patients feel understood and empowered. She is a valued member of a multidisciplinary behavioral health team dedicated to delivering thoughtful, integrative, and patient-centered care.

Maura T. McMann, LICSW

Maura T. McMann, LICSW is a seasoned and highly experienced psychotherapist with extensive clinical expertise across diverse populations and treatment settings. She brings depth, clinical maturity, and a relationally attuned presence to her work with individuals, couples, families, and groups.

Maura earned her Bachelor of Science in Sociology as well as Psychology from St. Joseph’s College and her Master of Social Work from Boston University, grounding her practice in both sociocultural awareness and advanced clinical training. As a Licensed Independent Clinical Social Worker, she is committed to promoting psychological health, resilience, and overall well-being through evidence-based, integrative care.

Over the course of her career, Maura has worked in a wide range of complex and high-acuity environments, including MCI Walpole, Amtrak, the MBTA, the Department of Children and Families (DCF), Family Counseling and Guidance Centers, home care services, inpatient substance use disorder programs, and inpatient psychiatric facilities. These experiences have cultivated her ability to work effectively with trauma, mood disorders, relationship distress, substance use, occupational stress, and major life transitions.

Clinically, Maura integrates multiple therapeutic modalities to meet the unique needs of each client. Her approach is grounded in psychodynamic therapy, while incorporating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Interpersonal Psychotherapy (IPT), couples therapy frameworks, mindfulness-based interventions, and principles of positive psychology. She is skilled in helping clients develop emotional regulation, improve communication, strengthen coping strategies, enhance insight, and build sustainable behavioral change.

In couples therapy, Maura focuses on improving relational patterns, deepening emotional understanding, and restoring connection through structured communication work and attachment-informed interventions. In individual therapy, she supports clients in addressing anxiety, depression, trauma, acute stress reactions, grief, aging-related transitions, and complex life challenges with both compassion and clinical precision.

Maura practices with deep respect for diversity, inclusivity, and the lived experiences of each person she serves. She creates a therapeutic environment that is collaborative, thoughtful, and growth-oriented—where insight, skill-building, and emotional safety intersect.

Seeking therapy can feel daunting, yet it is often one of the most transformative steps a person can take. Maura believes therapy is an investment in oneself—a deliberate choice to cultivate clarity, resilience, and a more fulfilling life. She welcomes the opportunity to partner with clients in creating meaningful and lasting change.

Jen Raffal LICSW

Jen Raffal is a Licensed Independent Clinical Social Worker with more than 30 years of experience delivering comprehensive behavioral health care to adolescents, adults, and older adults across multiple levels of psychiatric treatment. She earned her Master of Social Work degree from Boston College and brings extensive clinical expertise developed through work in inpatient psychiatric hospitals, partial hospitalization programs (PHP), residential treatment settings for mental health and substance use disorders, and long-term care and skilled nursing environments.

As an experienced clinician, she has cultivated particular expertise in geriatric mental health and medically complex populations, supporting individuals navigating the intersection of psychiatric conditions, chronic medical illness, cognitive changes, aging-related transitions, and caregiver stress. Her work reflects a deep understanding of how physical health conditions influence emotional well-being, and she approaches treatment with empathy for patients managing co-occurring medical and psychiatric challenges.

Her experience within partial hospitalization and higher levels of care includes treatment planning, group psychotherapy facilitation, crisis stabilization, and interdisciplinary collaboration to support safe transitions between acute, step-down, and outpatient services. She has held clinical leadership roles within these programs, contributing to program development, team collaboration, and supervision initiatives designed to enhance continuity of care and patient outcomes.

Throughout her career, she has specialized in treating anxiety disorders, depressive disorders, co-occurring mental health and substance use conditions, interpersonal and relationship challenges, and life-stage transitions. She is recognized for her ability to individualize treatment using a thoughtful, developmentally informed approach that aligns therapeutic interventions with each patient’s clinical presentation, goals, and broader health context.

Consistent with the PivotCare Precision Psychiatry model, her clinical work emphasizes whole-person, integrative care and advanced care coordination. She collaborates closely with psychiatric providers, primary care clinicians, specialists, and family systems when appropriate, ensuring that treatment plans address both psychological and medical dimensions of health. Her approach supports improved communication across care teams and promotes cohesive, patient-centered treatment planning.

Her therapeutic style is person-centered, empathic, nonjudgmental, and strength-based. She prioritizes building strong therapeutic alliances and creating a calm, respectful environment in which patients feel heard, supported, and empowered. Her work focuses on helping individuals develop resilience, strengthen coping skills, improve relationships, and achieve sustainable emotional well-being.

She resides in Carver, Massachusetts, with her husband of 26 years and their two cats, Sandy and Sophie. Outside of her professional work, she enjoys quilting and traveling.

Patients working with [Provider Name] can expect a collaborative and supportive therapeutic experience grounded in compassion, clinical expertise, and individualized care. Treatment emphasizes psychological insight, practical coping strategies, and coordinated care aligned with each patient’s medical, emotional, and life circumstances. Sessions are paced thoughtfully to foster safety, trust, and meaningful, lasting change.

Kasey Flaherty

Nurse Practitioner Fellow – PivotCare Precision Psychiatry

Kasey Flaherty is a dual board-certified Family Nurse Practitioner (FNP-BC) and Psychiatric Mental Health Nurse Practitioner (PMHNP-BC) currently serving as the first Nurse Practitioner Fellow at PivotCare Precision Psychiatry, where she is advancing her clinical development in comprehensive psychiatric practice within a precision psychiatry model.

Kasey entered psychiatric practice following a strong foundation in family and medical nursing and brings particular interest in addiction medicine, dual diagnosis treatment, and child and adolescent behavioral health. While early in her dedicated psychiatric career, she is participating in a structured fellowship designed to deepen her expertise in psychiatric evaluation, psychopharmacology, diagnostic formulation, and longitudinal mental health treatment under collaborative clinical mentorship.

Her fellowship focuses on developing advanced competencies essential to the PMHNP role, including comprehensive psychiatric assessment, medication management for complex mental health conditions, integrated treatment planning, and family-centered psychiatric care. Through supervised clinical experience and ongoing professional training, she is expanding her specialization in treating mood disorders, anxiety disorders, ADHD, trauma-related conditions, and substance use disorders across the lifespan.

Prior to transitioning into part time psychiatric specialization, Kasey continues as Director of Nursing at a dual diagnosis treatment facility, where she has gained valuable leadership experience managing nursing operations and supporting patients with co-occurring substance use and mental health disorders and providing psychiatric consults. This role strengthens her skills in interdisciplinary collaboration, clinical coordination, and systems-based care delivery within behavioral health settings.

Kasey’s interest in psychiatry was shaped by personal experience navigating pediatric mental health systems and recognizing the significant shortage of accessible psychiatric providers. This perspective informs her compassionate, patient-centered approach and her commitment to expanding access to thoughtful, evidence-based mental health care for children, adolescents, and families.

As the Nurse Practitioner Fellow at PivotCare, Kasey works within a collaborative clinical environment focused on precision psychiatry principles, integrating medical and psychiatric perspectives to support individualized care and long-term recovery. She is dedicated to continued professional growth and to developing the clinical expertise necessary to provide high-quality psychiatric treatment grounded in safety, empathy, and evidence-based practice.