About the Practice
The History of Our Practice
North Carolina Neuropsychiatry began at the University of North Carolina in 1978 as the Neuropsychiatry Research Project. For 11 years at UNC, the clinic was funded by the National Institutes of Health. In 1988, NC Neuropsychiatry, PA became the first private clinic in North Carolina devoted exclusively to medical psychiatry and rehabilitation.
Since then, we have provided consultations and treatment in general psychiatry, neuropsychiatry, and psychopharmacology. As the clinic has grown and developed, we have drawn patients from across the state as well as across the country.
There are currently neuropsychiatry clinics: Chapel Hill (1988), Raleigh (2008), Apex (2020).
C. Thomas Gualtieri, MD
Dr. Gualtieri is the Medical Director of the North Carolina Neuropsychiatry Clinics in Chapel Hill and Charlotte. Dr. Gualtieri was born in Brooklyn, New York and educated at Columbia. He graduated from Columbia P&S in 1969, and was an intern at the Royal Victoria Hospital in Montreal. His original ambition was to be a surgeon, but after three years in service as a general practitioner in Mound Bayou, Mississippi, he decided to be a psychiatrist. Dr Gualtieri trained in psychiatry and child psychiatry at the University of North Carolina. He was on the faculty at UNC for eleven years, where his research interests were in psychopharmacology and neuropsychiatry. During this time, his research was supported by grants from the National Institutes of Health. His work on tardive dyskinesia has been widely cited.
His first area of concentration was the study of children and adults with ADD and developmental disabilities. Then, his research group developed an interest in the problem of brain injury. For seven years, he was the corporate medical director for Rebound, Inc, a national chain of brain injury rehabilitation centers.
Dr. Gualtieri founded NC Neuropsychiatry in 1988. He continues to have an active clinical practice, seeing children and adults with a wide range of neuropsychiatric disorders. An increasing proportion of his patients are middle-aged people with mild cognitive impairment, and older patients with dementia. Dr. Gualtieri and his partners conduct clinical trials for many of the major pharmaceutical manufacturers. They have also developed a computerized neurocognitive testing battery, “CNS Vital Signs.” www.cnsvitalsigns.com. Dr. Gualtieri is the author of more than 120 peer-reviewed medical publications and three monographs. His latest book, Brain Injury and Mental Retardation, Neuropsychiatry & Psychopharmacology (2002) is available from Lippincott publishers. Dr. Gualtieri lives in Chapel Hill with his wife, Frances, who used to be a hospital pharmacist at UNC. Now she is the proprietor of Restaurant La Residence in Chapel Hill. They have three sons, and three daughters adopted from China.
Stefanie Xenakis, PA-C
Stefanie Xenakis is from Winston-Salem, NC. She attended NC State University where she studied Nutrition and Psychology. She worked for 1 year as an ophthalmic technician then returned to her hometown to attend Wake Forest School of Medicine where she obtained her Physician Assistant Master’s degree. She worked as a PA in family practice at Durham Family Medicine for 5 years. From family medicine, she transitioned into a virtual behavioral health position before onboarding with NC Neuropsychiatry in 2022 where she could practice her passion in clinic. She is happy to see all ages in the Apex office and takes a particular interest in pediatrics and adolescents, ADD/ADHD, depression, anxiety and bipolar disorders.
She lives with her husband and 2 canine companions, Leo and Frankie. In her free time she enjoys cooking, drawing, traveling to visit family in Greece, and going to the mountains.
Mary Beth Gerow, BSN, PMHNP-BC
Mary Beth Gerow is a board-certified Psychiatric Mental Health Nurse Practitioner who provides thoughtful, compassionate care to individuals of all ages.
Originally from Wilmington, NC, Mary Beth studied Psychology at NC State University before earning her nursing degrees from Wake Technical Community College and Winston-Salem State University. She completed her Master of Science in Nursing at UNC-Chapel Hill.
Her professional background includes working with individuals with intellectual and developmental disabilities (IDD) and as an emergency department nurse at WakeMed, where she also cared for survivors of sexual assault.
Mary Beth believes in open communication and shared decision-making. She values building trusting relationships and works closely with each patient to develop personalized treatment plans that reflect their goals, values, and unique needs. Her goal is to create a safe, supportive space where patients feel comfortable, heard, and empowered to take an active role in their care.
She is committed to providing inclusive, affirming care to people of all backgrounds, identities, and experiences.
Mary Beth joined NC Neuropsychiatry in August 2023 and is proud to serve patients across the lifespan at the Raleigh office.
Peyton Hendricks, PA-C
Peyton is from eastern North Carolina. She graduated from NC State with a degree in Nutrition. She later went on to attend Campbell University's Physician Assistant program where she earned her Master's. Peyton has particular interests in ADHD, autism, dementia, and anxiety disorders. Her goal is to provide holistic care that integrates pharmacology and lifestyle optimization. She is accepting patients of all ages in our Apex office.
Andrea Talarczyk BSN, PMHNP-BC
Andrea Talarczyk is a board-certified Psychiatric Mental Health Nurse Practitioner who is passionate about providing thoughtful, personalized mental health care to individuals and families. She earned her Bachelor of Science in Nursing from St. John Fisher University and her Master of Science in Nursing from the University of North Carolina at Chapel Hill.
Originally from upstate New York, Andrea relocated to North Carolina seven years ago and now enjoys spending time with her family, friends and two dogs.
Before becoming a provider, Andrea spent seven years as a registered nurse, working in both inpatient and outpatient settings across various levels of care. Her background includes pediatric medicine and psychiatry at Golisano Children’s Hospital in Rochester, NY, and UNC Chapel Hill, where she developed a strong foundation in holistic, family-centered care. She now brings experience as a psychiatric nurse practitioner in outpatient mental health, supporting clients through a wide range of challenges.
Andrea works with patients across the lifespan and has a special interest in supporting children, adolescents, and young adults. She is dedicated to creating a safe, supportive, and nonjudgmental space where individuals feel seen, heard, and understood. Her approach is rooted in empathy, cultural sensitivity, and evidence-based practice, with a focus on meeting each patient where they are and walking alongside them on their path to healing.
Heather Rogers, PMHNP-BC Psychiatric Mental Health Nurse Practitioner
With over two decades of experience in nursing, Heather Rogers, PMHNP-BC, brings a compassionate and comprehensive approach to mental health care. Since beginning her nursing career in 2000, she has worked across a variety of clinical settings, gaining valuable insight into the physical, emotional, and psychological aspects of wellness.
As a board-certified Psychiatric Mental Health Nurse Practitioner, Heather provides care across the lifespan—from children and adolescents to adults and older adults. Her practice is rooted in meeting individuals where they are, fostering a safe and supportive environment to explore challenges and create meaningful change.
Heather is committed to helping clients improve their mental well-being through evidence-based treatments, collaborative care, and a personalized approach that respects each person’s unique journey. She values the therapeutic relationship as a cornerstone of healing and growth.
Lindsay Medling, PMHNP-BC
Lindsay Medling, born and raised in Florida, relocated to North Carolina in 2019 to specialize in Neurocritical Care. She holds a BSN from Galen College of Nursing and an MSN in Psychiatric Mental Health from Duke University. Currently, she is pursuing a Doctorate of Nursing Practice at Duke, expected in May 2027.
With over five years of experience in neuroscience critical care and certifications in neuroscience and stroke, Lindsay is dedicated to quality care. Her decade-long experience in private practice neurology, where she formed lasting relationships with over 6,000 patients, inspired her advanced studies.
Lindsay enjoys seeing patients across the lifespan in the Apex office, with a focus on bridging neuroscience and psychiatry, including ADD/ADHD, depression, anxiety, bipolar disorders, and mild cognitive impairment/dementia. In her spare time, she loves spending time with family and friends, being outdoors, attending concerts, cooking, and traveling.