- The Practice
Raymond Zakhari, DNP, Ed.M., ANP-BC, FNP-BC, PMHNP-BC
Founder, Psychiatry House Calls & Metro Medical Direct · Clinical Professor, Hunter College CUNY
The Clinician
Raymond Zakhari, DNP, Ed.M., ANP-BC, FNP-BC, PMHNP-BC, is a triple board-certified nurse practitioner in adult, family, and psychiatric-mental health practice.
He is the founder of Metro Medical Direct and Psychiatry House Calls in New York City, where he developed a concierge model that combines psychiatric care, medical care, telehealth, and house calls for patients who value privacy, access, and careful clinical attention.
He has practiced across psychiatry, primary care, geriatrics, addiction, emergency and critical care, and medically complex inpatient settings. He also serves as a Clinical Professor at Hunter College, CUNY, where he teaches advanced psychiatric and nursing courses.
Raymond Zakhari
DNP, Ed.M., ANP-BC, FNP-BC, PMHNP-BC
- Triple board-certified nurse practitioner
- Adult nurse practitioner — ANP-BC
- Family nurse practitioner — FNP-BC
- Psychiatric-mental health NP — PMHNP-BC
Academic Role
Education
Master of Education, Teachers College, Columbia University
Post-master’s certificates in psychiatric-mental health & family practice
Founder
A biopsychospiritual approach to care
Care is guided by a biopsychospiritual model, meaning symptoms are understood in the context of brain function, behavior patterns, relationships, and life experience.
This practice also draws on Imprinted Arousal Pattern (IAP) theory — a clinical framework that helps explain how repeated patterns of stress, reward, meaning, and behavior become biologically reinforced over time.
The goal is not only symptom relief. The goal is to understand the pattern driving the problem and intervene at the right level.
Brain & Biology
Fewer emergency room visits and hospital admissions driven by preventable issues.
Behavior & Psychology
Behavior patterns, learned responses, developmental history, and the psychological drivers of recurring symptoms.
Relationships & Meaning
Family systems, life context, identity, and the role meaning plays in how symptoms develop and persist.
IAP — Pattern Thinking
How arousal, emotion, meaning, and behavior can become linked into reinforced loops — especially relevant for compulsive and addictive behaviors.
Areas of special interest
These interests are supported by long-standing clinical work, scholarship, teaching, and publication in psychiatric nursing, sexual health, psychopharmacology, and clinical reasoning.
Clinical Setting Experience
- Outpatient psychiatry and primary care
- Inpatient medical-psychiatric settings
- Emergency and critical care
- Geriatric and long-term care
- Home-based and concierge care
- Academic and teaching environments
Education, scholarship, and teaching
Raymond Zakhari holds a Doctor of Nursing Practice degree, a Master of Education degree from Teachers College, Columbia University, post-master’s certificates in psychiatric-mental health and family practice, and advanced preparation in adult practice.
He has published books and scholarly work in psychiatric nursing and psychopharmacology, including certification review texts and peer-reviewed articles on sexual dysfunction, complex psychiatric reasoning, and compulsive behaviors.
His academic role at Hunter College, CUNY includes teaching advanced psychiatric and nursing practice courses, contributing to the preparation of next-generation advanced practice nurses in the New York City area.
Certification review texts in psychiatric nursing
Published books supporting PMHNP board certification preparation for advanced practice nurses.
Psychopharmacology and psychiatric reasoning
Peer-reviewed publications on psychopharmacological reasoning, complex psychiatric presentations, and clinical decision-making.
Sexual dysfunction and compulsive behaviors
Scholarly contributions addressing sexual dysfunction, compulsive sexual behavior, and the IAP framework for pattern-based clinical reasoning.
Current Teaching Role
Clinical Professor, Hunter College, City University of New York (CUNY) Advanced psychiatric and nursing practice courses
Start with a confidential call
The best place to start is a short, confidential conversation. This call helps clarify the problem, explain how care is structured, and determine whether this is the right fit.