New York City · Private Psychiatry

Specialized Private Psychiatry in New York City

Verigrate Health is a specialized private psychiatry practice. Care is provided personally by Christian S. Monsalve, M.D., with in-person consultations by appointment at the practice’s Madison Avenue and Fifth Avenue locations, and virtual care for eligible patients throughout New York.

The practice is designed for select patients requiring unusually thoughtful psychiatric care — with defining expertise in precision medication tapering, psychiatric deprescribing, and complex psychiatric consultation. Geographic and clinical eligibility are subject to licensure and practice availability.

The Practice Model

A Specialized Private Practice in New York City

Verigrate Health is not a high-volume clinic. The practice maintains a deliberately limited panel so that each patient receives extended, unhurried consultations, diagnostic clarity, and genuine continuity with one physician.

01

Extended consultations

Appointments are long enough to understand history, context, and goals — not merely to renew prescriptions.

01

Extended consultations

Appointments are long enough to understand history, context, and goals — not merely to renew prescriptions.

02

Privacy and discretion

A private, physician-led structure designed for patients who value discretion in their psychiatric care.

02

Privacy and discretion

A private, physician-led structure designed for patients who value discretion in their psychiatric care.

03

Thoughtful prescribing

Careful medication decision-making, including precision tapering and psychiatric deprescribing when clinically appropriate.

03

Thoughtful prescribing

Careful medication decision-making, including precision tapering and psychiatric deprescribing when clinically appropriate.

04

Collaboration

Physician-to-physician communication with referring doctors and psychotherapists, with patient authorization.

04

Collaboration

Physician-to-physician communication with referring doctors and psychotherapists, with patient authorization.

Areas of Focus

Clinical Areas of Focus

The practice concentrates on a restrained set of clinical areas rather than treating every diagnosis. Each area below links to a fuller clinical guide.

The Ends of Medicine

The purpose of medicine is health.

Health is not secured by technique alone. It is pursued within a relationship of trust, through clinical judgment, fidelity, and care for the good of the whole person.

At Verigrate Health, Christian S. Monsalve, M.D., provides care personally. The physician’s task is to understand the patient’s illness, discern what may genuinely help, and accompany the patient through suffering with judgment, fidelity, and care.

Medicine does not promise human flourishing. It seeks to restore or preserve the health through which flourishing may again become possible.

In-Person Appointments

Two New York City Consultation Locations

In-person consultations are available by appointment at Verigrate Health’s New York City locations. Location and appointment details are confirmed during scheduling.

New York City Office Line

In-person consultations by appointment.

Primary Location

Madison Avenue Consultation Location

515 Madison Avenue, Suite 8180

New York, NY 10022

In-person consultations by appointment.

Secondary In-Person Location

Fifth Avenue Consultation Location

276 5th Avenue, Suite 604

New York, NY 10001

In-person consultations by appointment.

Public Reviews

Perspectives Shared Publicly on Google

The excerpts below are quoted verbatim from public reviews on Verigrate Health’s Manhattan Google Business Profile, attributed as they appear on Google. The current rating and full reviews are available on the profile itself.

“He is a true professional of the utmost moral character, and is extremely thorough in his treatment plans. He communicates with his patients better than any physician I have ever met and responds to inquiries immediately.”

Gkb · ★★★★★ · Google review

“His empathy and genuine care for his patients are evident in every interaction. He is incredibly responsive via the patient portal and truly dedicated to his work.”

Anne L · ★★★★★ · Google review

“He spent time explaining in details changes he could make to have a more stable mental life and sent us a thorough detailed action plan to minimize risks, including medication.”

N V · ★★★★★ · Google review

“If you’re searching for kindness+compassion that’s followed up with expertise, you will always find it @ Verigrate Health.”

Sustainable Optimism · ★★★★★ · Google review

About This Section

These reviews were written and published by reviewers on Google’s platform. Excerpts are reproduced verbatim and unedited, with attribution as it appears on Google. Individual experiences vary, and reviews are not a guarantee of any clinical outcome.

Professional Referrals

For Referring Physicians in New York City

Concierge and direct primary-care physicians, private internists, neurologists, sleep-medicine and addiction-medicine physicians, psychologists, and psychotherapists refer patients when a case calls for precision tapering, psychiatric deprescribing, or unusually careful psychiatric consultation. Communication with the referring physician is maintained with patient authorization, and geographic eligibility is confirmed before care begins.

Formats of Care

Virtual and In-Person Availability

In-person consultations take place by appointment at the Madison Avenue and Fifth Avenue locations. Virtual consultations are available to eligible patients throughout New York State, subject to licensure. Statewide availability is described on the New York page, and the full list of jurisdictions is maintained on the States Served page.

A Clinical Limitation

Verigrate Health is not an emergency psychiatric service and does not provide urgent, same-day, or walk-in crisis care. Neither New York City location accepts walk-in visits.

Patient and Physician Questions

Common Questions

Where is Verigrate Health located in New York City?

The practice sees patients by appointment at 515 Madison Avenue, Suite 8180, New York, NY 10022, and at 276 5th Avenue, Suite 604, New York, NY 10001.

Which New York City office is the primary location?

The Madison Avenue consultation location is the primary location. The Fifth Avenue office is a secondary in-person consultation location. Location details are confirmed during scheduling.

Are virtual consultations available throughout New York?

Yes — virtual care is available to eligible patients located in New York State, subject to licensure and practice availability. Statewide details are described on the New York page.

Does Verigrate Health specialize in medication tapering?

Yes. Precision medication tapering, benzodiazepine and antidepressant tapering, hyperbolic tapering, and psychiatric deprescribing are defining areas of the practice, alongside complex psychiatric consultation.

Can a physician refer a patient?

Yes. Referring physicians and psychotherapists can review the professional pathway on the For Referring Physicians page. Communication is maintained with patient authorization.

Is Verigrate Health appropriate for urgent or emergency psychiatric care?

No. The practice is not an emergency psychiatric service and does not provide urgent, same-day, or walk-in crisis care.

Begin Thoughtfully

For patients and referring physicians who need psychiatric care approached with unusual care, the practice welcomes a considered first conversation.

In-person consultations by appointment at 515 Madison Avenue, Suite 8180, New York, NY 10022, and 276 5th Avenue, Suite 604, New York, NY 10001. Virtual care for eligible New York patients. Geographic and clinical eligibility are confirmed before care begins.