Conditions we diagnose & treat

Personalized, evidence-based psychiatric medication management focused on helping you regain balance and clarity in your everyday life.

Meet the Team

Sunami Gurung

Sunami Gurung

Psychiatric Nurse Practitioner

Natasa

Natasa Ristivojevic

Psychiatric Nurse Practitioner

James

James Quackenbush

Psychiatric Nurse Practitioner

Juliana

Juliana S. Pires

Psychiatric Nurse Practitioner

Erin Savage

Psychiatric Nurse Practitioner

What Makes Us Different

Psychiatric medication management shaped around real lives, real goals, and through real collaboration

Care That Meets You Where You Are

See us in person in Massachusetts or New Hampshire, or connect through secure telehealth that works with your schedule. We make getting care simple and stress‑free.

Personalized Treatment Planning

No two people experience anxiety, depression, ADHD, trauma, or bipolar disorder in the same way. Treatment plans are tailored to each patient’s goals, history, and lived experience, ensuring medication strategies that feel aligned to you.

Collaborative Strategies

Your voice matters. We explain options, discuss risks and benefits, and make decisions together. Patients are active partners in their care strategy, not passive recipients of prescriptions.

What Our Patients Say

This place turned my life around after 10+ years with the Manchester Mental Health Center not amounting to much of anything except frustration. It's been maybe eight months and I'm already feeling like a new person, it's a lifelong road but thanks to Birch Grove I am finally on my way back up. Thank you.

My teen son has started seeing Sunami for several months. It’s been great to see and hear his trust in her grow. We are building a toolset that my son can practice and use. It takes a village; happy and relieved to have found Sunami for my son’s mental health journey.

Natasa R. is a very dedicated and special provider. She is knowledgeable in the science of mental health but seems have a talent to seek out The Whole Picture. She responds to my in between appointment concerns in a very timely manner. Natasa is, IMO, a gem of a provider who uses her cognitive, emotional and social intelligences to provide the best care for her patients.

Juliana has been my doctor for a few years now. She has been so helpful in my journey for mental health recovery. Even though I have hit a few bumps in the road she has never given up on me. Thank you for everything so far!

I've been seeing James Quackenbush for a little over a year and it's been a great experience. He is a kind and empathetic person who provides genuine real support, to help me deal with and overcome the challenges I face every day. The team surrounding him is great as well. They always get back to my text messages in a timely manner and are very organized. I have only good things to say about James and the team at Birch Grove Mental Health. Highly recommend if you're looking for a place to get some support.

BGMH has been a savior. I was in a very low place and after the attention and care I received (like no other) Thankfully I am in a much improved state of mind. Others I know have also been helped here as well. Thank you for truly caring and helping to make my life good again.

I have enjoyed the treatment I have received from Birch Grove. Julianna has been a god send, especially during the pandemic. She is empathetic, a good listener and always gives a positive comment and feedback. I would definitely recommend their services.

I haven't been with Birch Grove for too long but I wish I found out about them way sooner! My experience with Natasa has truly changed a lot for me. She's extremely compassionate, understanding, knowledgeable, and most importantly to me, so kind. Im so glad I found this place.

I feel listened to and that James is very knowledgeable about mental health and medications. He's very responsive to medication refill requests also

Erin has been very helpful and attentive to my needs.

Juliana took the time to listen to my concerns and thoroughly explained my diagnosis and treatment options. I never felt rushed, and I appreciated the clear and compassionate communication. The level of care I received was exceptional. Juliana demonstrated deep expertise and genuine concern for my well-being. The treatment I received was effective, and I am very satisfied with the results. I highly recommend Juliana to anyone in need of [specialty] care. Their professionalism, empathy, and dedication to patient health are truly commendable.

Sunami is amazing. She is understanding, which I truly appreciate. She has been flexible with me during challenging times. She really cares about helping me and that is so important to me. I appreciate everything she has done/does for me!

Juliana is very patient, kind, thorough, takes the time to listen. I would highly recommend her .

Erin is very patient and professional.My needs are a little Complicated and Erin has assured me that she will figure this out with me which is so reassuring. Thank you

Insurance, Costs, Payments

  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Harvard Pilgrim
  • Mass General Brigham Health
  • Tricare
  • Tufts
  • UHC – Optum
  • Blue Cross Blue Shield
  • Carelon Behavioral Health
  • Cigna
  • Harvard Pilgrim
  • Tricare
  • Tufts
  • UHC – optum
  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • UHC – Optum
  • Blue Cross Blue Shield
  • Cigna
  • UHC – Optum

Costs

Payment Options

Insights & Resources

BGMH Blog

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