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    • Precision Primary Care
    • Private Psychiatric Care
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    • Ketamine-Assisted Psychotherapy
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39 Grove St Asheville, NC 28801 | (828) 230-9000

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Concierge

Medicine | Psychiatry | Ketamine

  • About
    • Facility
  • FAQ
  • Services
    • Precision Primary Care
    • Private Psychiatric Care
    • Ketamine Clinic and Ketamine Prescribing
    • Ketamine-Assisted Psychotherapy
    • Urgent Care
    • Palliative Mental Health Care
  • Pricing
  • Blog
  • Consulting
  • Contact

Your Specialized Clinicians

Whether you are looking for primary care, mental health care, or specialized psychedelic or ketamine treatment, we have trained and experienced experts to work with you.

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Welcome to our clinic, where we set the gold standard for physician-led, cutting edge care. 

We want you to be fully educated and prepared, feel that your goals are understood, and feel comfortable with the people and place where you seek treatment.  We have carefully gathered a group of exceptional physicians, dedicated to the extra time and attention spent with you in the concierge model of treatment, for both medical and psychiatric care. Come and meet us, and find out more. 



In addition to traditional primary care and mental health care, we are also the longest running psychedelic medicine program in the Southeast, providing both ketamine treatment and ketamine-assisted psychotherapy to the region since 2017.  Our staff are some of the most highly trained in the country and are leaders in educating and training other providers.

No matter what service you come for,  you will have a private room, a dedicated physician, and an individualized treatment plan.  

VISIT OUR TRAINING PROGRAM'S PAGE
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Meidad Goldman, M.D.  
Medical Director and Urgent Care

Dr. Meidad Goldman is board-certified in both Emergency Medicine and Addiction Medicine. He obtained his medical degree from the University of Miami Miller School of Medicine. Dr. Goldman trained at the University of Pittsburgh Medical Center and then worked as an attending physician at the UPMC Shadyside teaching hospital.

He relocated to Asheville in 2010 to accept the position of Medical Director and Department Chair of the Emergency Department at Haywood Regional Medical Center, where he worked in both administrative and clinical capacities. In 2017, he chose to follow his passion for patient-centered care and founded Concierge Medicine and Psychiatry, where he is director for primary care services and provides house calls and concierge urgent care visits to members of the practice.

Meidad has over 15 years of experience using Ketamine for multiple conditions and serves as Medical Director for our Asheville Ketamine Clinic. He has also completed training and certification in Psychedelic Medicine through both MAPS and CIIS.

Meidad is the former medical director of the Living Medicine Institute's psychedelic medicine training program and now works in consulting and training for clinics and providers around the country who are entering the psychedelic medicine field through the clinic's associated consultancy.

He lives in Asheville with his wife, Signi, and their three children.

Signi Goldman, M.D.
Director of Psychiatric Services

Dr. Signi Goldman is board certified in General Adult Psychiatry. She has practiced in multiple clinical settings, both in hospital systems and alternative treatment centers, and integrates these approaches into an individualized, evidence-based practice.

She graduated from University of Miami Miller School of Medicine and completed residency training at Western Psychiatric Institute and Clinic at the University of Pittsburgh Medical Center, where she was selected for an administrative Chief Residency position.

After relocating to Asheville, she ran an outpatient General Psychiatry practice before joining Concierge Medicine and Psychiatry. Signi treats adults with all forms of mental health symptoms. She is a graduate of Psychedelic Medicine training with certification through both MAPS and CIIS and has been trained in both Cannabis and Ketamine- Assisted Psychotherapy through PSIP. Her extensive knowledge of research-based use of psychedelics in medicine informs our Ketamine-Assisted Psychotherapy program for Mental Health.

Signi is the founder and former owner of the Living Medicine Institute's psychedelic medicine training program and now works in consulting and training for clinics and providers around the country who are entering the psychedelic medicine field through the clinic's associated consultancy.

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Rebecca Cramer, M.D., M.P.H.
Precision Primary Care

Dr. Rebecca Cramer has practiced primary care in Asheville for over a decade.  This experience, combined with her previous career in international public health and her love of being active, informs how she practices medicine and guides patients on their path to feel their best and achieve their goals.  She is dedicated to practicing lifestyle medicine and uses an evidence-based approach to patient care.  As medicine has evolved over her career she understands the challenges patients face in cutting through the noise of available information.  She is excited to work in a practice where she will have one-on-one time to get to know her patients, be responsive to their needs and help them focus their energy where it matters.  
 
Rebecca is a native of Madison, WI, where she was born and raised.  After attending undergrad at Macalester College in St. Paul, MN she moved to Washington D.C., where she worked in international public health, focusing on Sub-Saharan Africa.  She then relocated to Atlanta, GA to work in infectious disease at Emory University, where she also earned her Masters of Public Health (MPH).  This work inspired her to pursue medicine, so she returned to the University of Wisconsin School of Medicine and Public Health to earn her MD.  A reminder of long winters motivated her to move back south and Asheville was the perfect place for her to complete her residency at MAHEC.    Since then she has called Asheville home. 

Outside of medicine Rebecca enjoys taking advantage of all Asheville has to offer.   She loves whitewater kayaking, mountain biking, trail running and gardening.   She has participated in many local mountain biking and running races, as well as a few weightlifting competitions.  On weekends, she enjoys adventuring with her partner Tom and relaxing at home with their dog and two cats.  

Ann Lentini, M.D.
Psychiatry

Dr. J. Ann Lentini was born and raised in the Asheville area. She obtained her B.S. in Psychology at Furman University and completed medical school at the Medical University of South Carolina.

Dr. Lentini did residency training in General Medicine and her Child & Adolescent Psychiatry Residency at the Medical College of Ohio. She then participated in supplemental psychodynamic psychotherapy training in Ann Arbor and is a member of the American Psychoanalytic Association with certification through the White Institute NYC.

She is experienced in Cognitive & Behavioral Therapy, Solution-Focused & Supportive Therapy, Psychodynamic Therapy, Play Therapy, Interactive Meditation and Computer-aided Biofeedback, Animal-Assisted Experiential Learning, and Wellness & Health Consultation. Dr. Lentini has a background in lab work and research and is published in multiple peer-reviewed journals in the areas of Interactive Biofeedback, Animal Assisted Therapy, Child Development Issues, and Neuroscience.

Dr. Lentini provides in-office psychiatric evaluation and medication management treatment as well as telemedicine servies. She completed certification in Ketamine- Assisted Psychotherapy (KAP) through the Living Medicine Institute and Signi Goldman and collaborates with the practice's KAP providers as needed for whole-person care.

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Thabit Al-Khateeb, M.D.
Psychiatry

Dr. Al-Khateeb is board-certified in General Adult Psychiatry. He completed his psychiatric residency training at Harlem Hospital Center, affiliated with Columbia University Vagelos College of Physicians and Surgeons. There, he served in an administrative chief resident role, a position that requires both teaching and responsibility for providing clinical performance supervision to resident trainees. During his training, he received recognition from the American Psychiatric Association for engagement and performance in Resident Physician programming.

Prior to his position at Harlem Hospital, Dr. Al-Khateeb also trained at East Tennessee State University, where he was a research assistant in the Department of Psychiatry and Behavioral Sciences. He is the author of both research articles and book chapters.

Dr. Al-Khateeb obtained his medical degree from Mu’tah University in Karak, Jordan, and underwent medical training in both Jordan and the University of Florida. He is board-certifie through the American Board of Psychiatry and Neurology and is a licensed provider in Georgia and North Carolina.

Dr. Al-Khateeb provides telemedicine psychiatric services. He is experienced working with adult patients of diverse ages and backgrounds in outpatient settings and is well‐versed in the use of telepsychiatry technologies, including video conferencing and secure messaging. He enjoys building strong, trust‐based relationships with patients and is passionate about patient-centered care, along with encouraging patients to optimize their overall health and well-being through adopting and implementing healthy lifestyle interventions. He is dedicated to ongoing education and incorporating the latest developments in the field of Psychiatry into his practice.

Yael Baldwin, PhD
Ketamine-Assisted Psychotherapy

Dr. Yael Baldwin is a clinical psychologist in private practice in Asheville, NC, and a graduate of the Living Medicine Institute’s certificate program in psychedelic psychotherapy. She has undergone training in Ketamine- Assisted Psychotherapy with Signi Goldman as well as the Integrative Psychiatry Institute. She specializes in psychodynamic and existential approaches to enhancing our relationships (to self, others, and the world) while working through trauma, loss, and life transitions and is also a psychedelic-assisted therapist currently offering ketamine-assisted therapy.

Yael is a Professor Emerita from Mars Hill University where she was the chair and professor of clinical psychology for almost twenty years. She has been researching, writing, teaching, and practicing a variety of mental health treatments, from psychoanalysis to meditation and psychedelics, for over two decades. Dr. Baldwin is on the board of the Western North Carolina Psychologists Association and is an international author and speaker. Her life’s work focuses on how we can all suffer less and flourish more, together.
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Dave MacDonald, MSW, LCSW
Ketamine- and THC-Assisted Psychotherapy

Moutushi Kundu, MD, MPH, MS
Psychiatry

Dr. Kundu provides both Child and Adolescent Psychiatry and General Adult Psychiatry services.

Dr. Kundu trained in diverse academic and clinical settings, starting her journey as a mental health counselor & case manager in Illinois, obtaining her master’s degree in vocational rehabilitation and mental health counseling. She then moved to New York, where she obtained her master's degree in public health from NYU, followed by starting her General Psychiatry residency at Harlem Hospital Center (affiliated with Columbia University Vagelos College of Physicians and Surgeons). She then relocated to Charlottesville, VA, where she completed her first year of fellowship in Child and Adolescent Psychiatry followed by her second year of fellowship training at Virginia Commonwealth University. She is experienced in Cognitive behavioral therapy, play therapy, and Parent Management Training.

Dr. Kundu provides telemedicine psychiatric services. She is experienced in working with a diverse range of patient populations, including adults, children, and adolescents from various cultural backgrounds. She is well‐versed in medication management and psychotherapy, with a focus on individualized, evidence-based practice in outpatient settings.

Rosemary Shanahan, PMHNP-BC
Ketamine-Assisted Psychotherapy

Rose is a board-certified Psychiatric Mental Health Nurse Practitioner with over 30 years of diverse nursing experience. Originally from Ohio, she embarked on her nursing journey at St. Mary’s College in Notre Dame, Indiana, earning her nursing degree. As a BSN, Rose has worked across various healthcare settings, from intensive care to palliative care to college health before revisiting her passion for mental health care.

She earned her master’s degree as a Psychiatric Mental Health Nurse Practitioner at St. John Fisher University in Rochester, NY . She has experience with both adolescents and adults in general psychiatry, substance abuse, and eating disorders.

Beyond traditional psychiatric approaches, Rose was drawn to integrative psychiatry, seeking alternative methods to help individuals dealing with anxiety, depression, and trauma. This journey led her to complete fellowships in integrative psychiatry and sparked an interest in psychedelic-assisted therapies.

Rose completed psychedelic-assisted psychotherapy training through the Living Medicine Institute and Signi Goldman and builds on her extensive therapy experience to work with ketamine as an accelerator of the psychotherapy process.

Melissa Lillie, MSW
Ketamine-Assisted Psychotherapy

Melissa Lillie holds a Master of Social Work (MSW) from the University of Calgary and has worked in the field of anxiety for over 15 years. Her clinical focus includes anxiety disorders, Obsessive Compulsive Disorder (OCD), Body-Focused Repetitive Behaviors (BFRBs), and burnout. She trained in Ketamine-Assisted Therapy with the Living Medicine Institute and Signi Goldman, and follows research focused on mindfulness, self-compassion, and emerging approaches to anxiety treatment, including psychedelic-assisted therapies.

Melissa has pursued continuing education in psychedelic-assisted therapy and remains actively engaged in ongoing study and research at the intersection of anxiety and psychedelic therapy. She co-wrote and published The Ketamine Companion Journal in 2025 to bring structure, intention, and compassionate support to the ketamine-assisted healing process. She works with individuals, leads small groups, and helps facilitate training retreats. She believes we are deeply capable of facing fear—and far more powerful than we often realize.

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Sara Bensman, MA, LCHMCA
Ketamine- and THC-Assisted Psychotherapy

Sara Bensman, MA, LCHMA is a trained provider of Psychedelic-Assisted Psychotherapy through Signi Goldman and the Living Medicine Institute’s Certificate Program. She is a practicing psychotherapist in Asheville, NC. She brings a curiosity about holding multiple truths simultaneously, an honoring of death, an attention to the whispers of the body, a love of story, and an ongoing quest to uncover the most authentic Self.

Sara believes that most of us, at some point, feel disappointed with life. Maybe we expected it to be more. More joy. More peace. More connection with others. More meaning. We’re not looking for perfection, but is this all there is? You may label this feeling as grief, anxiety, loneliness, depression or addiction, or you may be unable to give it a name. It may surface in you individually, or in your relationships. She believes that this nagging sense of discontent serves as a wake-up call, and it deserves attention. She uses Internal Family Systems, narrative, somatic, and psychoanalytic approaches. For clients wanting deeper work on trauma, Sara is trained in  Psychedelic Somatic Integrative Psychotherapy (PSIP), using both ketamine and legal forms of THC.

Jennifer Beeghly, Psy.D
Ketamine-Assisted Psychotherapy

Jennifer Beeghly, Psy.D, is a Licensed Clinical Psychologist in North Carolina and Tennessee and also provides telepsychological services and temporary in-person psychological services via the Psychology Interjurisdictional Compact (PSYPACT). Dr. Beeghly completed an APA-accredited internship at the W.G. (Bill) Hefner Veterans Affairs Medical Center (Hefner VAMC) in Salisbury, NC,  and her post-doctoral training at the VA Tennessee Valley Healthcare System in Murfreesboro and Nashville, TN. She was previously employed by the VAMC and has been serving Veterans and their families for 14 years. In addition to serving Veterans and their families, she has served as a combat medic in Iraq.

Dr. Beeghly is a trained provider of Psychedelic-Assisted Psychotherapy using Ketamine through Signi Goldman and the Living Medicine Institute’s Certificate Program. She also has completed the Basic Certification in Clinical Hypnosis through the American Society of Clinical Hypnosis (ASCH) and uses hypnosis to treat psychological and medical conditions, including smoking cessation, weight loss, irritable bowel syndrome, and anxiety.

She has also obtained certifications in Cognitive Behavioral Therapy for Insomnia (CBT-I), Cognitive Processing Therapy (CPT), Prolonged Exposure (PE), Cognitive Behavioral Therapy for Chronic Pain (CBT-CP), Integrative Behavioral Couple Therapy (IBCT), and Collaborative Assessment and Management of Suicidality-Individual and Group Model.

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Will Hamilton, PhD
Ketamine-Assisted Psychotherapy

Will Hamilton, Ph.D. is a Clinical Neuropsychologist practicing for over a decade in Asheville NC. He primarily provides Acceptance and Commitment Therapy and Internal Family Systems to those struggling with chronic medical conditions and trauma. He also strongly emphasizes compassion training and self-regulation through polyvagal interventions. He has been offering psychedelic-assisted psychotherapy since 2019 and is certified through Signi Goldman and the Living Medicine Institute’s Certificate Program to offer psychotherapy with ketamine. He has also trained in psychedelic-assisted psychotherapy through the Multidisciplinary Association of Psychedelic Studies (MAPS) as well as Fungi Academy’s Sacred Space Holder Program in the facilitation of group experiences with psychedelic medicine.

As a long-term yogi of over 25 years, Will has studied qi gong, breathwork, yoga, Pragmatic Buddhism, Zen, Tibetan essence traditions, and Western esoteric systems. As a teacher at Buddhist Geeks and Asheville Yoga Center, he offers workshops related to Meditation and Neuroscience, Chronic Pain Management, and Yoga for Hypermobile Bodies. He also developed the Ketamine Assisted Mindfulness Program (KAMP) in a retreat setting to help maximize ketamine’s therapeutic impact while using other therapeutic modalities. He has a special interest in helping long-term contemplative practitioners towards direct experiences of awakening and the integration of those experiences, helping train the open-hearted embrace of the Self through the door of compassion, and reducing the fear of death by the conscious practice of dying with the assistance of psychedelics. He believes the sense of being at home is available in all circumstances, and you can sometimes catch him feeling at home playing music, exploring nature, or on one of his many travel adventures.

Elizabeth Graves, PhD
Ketamine-Assisted Psychotherapy, Death Doula

Elizabeth Graves, Ph.D., LCMHC-S, is a trained provider of Psychedelic-Assisted Psychotherapy through Signi Goldman and the Living Medicine Institute’s Certificate Program. She is a practicing psychotherapist in Asheville, NC, where she specializes in working with people who have life-threatening illnesses, terminal illnesses, or clients suffering complicated bereavement, grief, and loss.

She previously served ten years as a faculty professor at Appalachian State University and Western Carolina University, engaged in research and training of clinical mental health counselors while maintaining her private practice, Caledonia Counseling & Consulting. Before to this, she spent 10 years working with children and adolescents in rural Appalachian schools, 5 years as a child/adolescent/family therapist in psychiatric hospitals, crisis mental health assessment specialist in the emergency department, and as a therapist in a community mental health center for adjudicated adolescents. Currently, she works as a spiritual director (C.S.D., Sursum Corda/Shalem, 2006), LCMHC supervisor (2010), Yoga Teacher (2013), and MINT Member Motivational Interviewing trainer (2014).

Dr. Graves graduated from The Conscious Dying Institute’s Sacred Passage Doula Program in 2020 and finds the work of companioning those in the dying process over the threshold of life the most sacred work she does. Elizabeth’s loves include kids, canines, and the woods.

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Derek Rinaldo MA, LCMHC, LCAS-A
Ketamine-Assisted Psychotherapy

Derek Rinaldo is a Psychedelic-Assisted Psychotherapist and experienced counselor in private practice. Derek holds a Master’s Degree in Clinical Mental Health Counseling from Lenoir Rhyne University. He is a Licensed Clinical Mental Health Counselor and a Licensed Clinical Addiction Specialist in North Carolina. Derek is a trained provider of Psychedelic-Assisted Psychotherapy using Ketamine through Signi Goldman and the Living Medicine Institute’s Certificate Program.

Derek is also an experienced practitioner and provider of various styles of Breathwork and incorporates these skills in working with individuals and groups as well as an augmentation to psychedelic psychotherapy treatment.

For 15 years, prior to his graduate and professional counseling work, he worked with adults, children, and families in community mental health agencies and private schools.

Derek has traveled extensively globally, living abroad in countries such as India and Australia. In addition to Breathwork, his areas of clinical expertise include end-of-life anxiety, addictions, trauma, sexual assault, domestic violence, family separations, general anxiety, and depression. He believes in meeting clients just where they are, through a felt sense of authenticity and empathy for their struggles and joys, their challenges, and their strengths.

Erika Czerwiski, Ph.D.
Ketamine-Assisted Psychotherapy

Dr. Czerwinski is a Licensed Psychologist with extensive training in depth-oriented psychotherapy, attachment theory, neuro-psychoanalysis, and trauma theory. She is certified in Psychedelic-Assisted Psychotherapy through Signi Goldman and the Living Medicine Institute’s Certificate Program and has been facilitating Ketamine Assisted Psychotherapy since 2019. With over 18 years of clinical practice supporting adolescents, adults, couples, and groups, and 15 years of combined experience in wisdom-based traditions, rites of passage ceremonies, and yogic philosophies and meditation, Dr. Czerwinski brings a unique approach to her Ketamine Assisted Therapy practice. Honoring the relational and sacred process of the work, Dr. Czerwinski creates space for the work to ripen and root. She is the founder of Katabasis, and presently is developing a model for Ketamine Group Therapy.

Dr. Czerwinski is on the board of Western North Carolina Psychologists Association and provides educational training on Ketamine Assisted Therapy to practitioners and psychotherapists. She has a special interest in working with young adults who have experienced trauma and is the KAP provider for Asheville residential trauma centers.

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39 Grove St
Asheville, NC 28801

Phone: (828) 230-9000
Fax: (828) 412-0293

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