Profile image of Nicole  Miele

Nicole Miele

Psychiatric Mental Health Nurse Practitioner, PMHNP
Rhode Island
Anxiety-Depression-Postpartum anxiety and depression-Mood changes around the menstrual cycle / Premenstrual dysphoric disorder (PDD)-Trauma-Infertility counseling-Medication management-

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AboutSpecialtiesLocationsInsurance & FeesTestimonials

Professional statement

Nicole Miele is a board certified Psychiatric Mental Health Nurse Practitioner in East Greenwich, RI specializing in anxiety and depression during the pregnancy and the postpartum period. She also sees women ages 18 - 45 for anxiety, mild to moderate depression, post-traumatic stress disorder, and mood changes around the menstrual cycle. While a major part of Nicole's role is medication management, she only prescribes medications when absolutely necessary, and tries to limit to one medication for each client. She also offers psychotherapy.

Nicole takes a holistic approach to her practice, taking into consideration nutrition, sleep hygiene, and exercise when assessing her clients' overall health. She may recommend evidence-based dietary supplements and if appropriate, can order lab work to see if there are any medical conditions and vitamin deficiencies that may be causing anxiety and depression. Nicole also offers GeneSight genetic testing if clients have been on multiple medications and either have not had a positive outcome, or have experienced significant adverse effects, in order to reduce the trial-and-error period that can ensue with psychotropic medications.

Nicole is dedicated to understanding what is happening in the lives of her clients and offering high quality, individualized, therapeutic care.

Message to clients

I provide medication management and therapy services in a safe, therapeutic environment. My follow up appointments are 30-45 minutes to allow me to better understand what is happening in my clients' lives.

Work and Education

Private Practice
Boston College
Quality Behavioral Health

Northeastern University, CAGS/MSN, 2015
Drexel University, MSN, 2011
Massachusetts College of Pharmacy and Health Sciences, BSN, 2007
Rhode Island College, BA, 2005




Anxiety - Generalized anxiety, social anxiety, panic attacks

Depression - Sleep and energy disruption, overall mood disturbance, inability to enjoy yourself, and difficulty being motivated, amongst many other symptoms

Postpartum anxiety and depression - Anxiety and depression after childbirth that may include insomnia, loss of appetite, irritability, and difficulty bonding with the baby

Mood changes around the menstrual cycle / Premenstrual dysphoric disorder (PDD) - Severe, sometimes disabling extension of premenstrual syndrome (PMS) that can cause extreme mood shifts and disrupt your work or affect relationships.

Trauma - Including dealing with past sexual assault, childhood trauma, environmental trauma (e.g. witnessing/experiencing violence), PTSD (post traumatic stress disorder)

Infertility counseling - Experience working with infertility, pregnancy loss, perinatal psychology (mental health issues while pregnant)

Medication management - Optimizing medication use to treat psychiatric conditions


  • Adults (24+)
  • Young adults (18-24)

Locations & Hours

I am currently accepting pregnant and postpartum women for therapy, and women interested in an integrative mental health approach to treat symptoms of stress, anxiety, PMDD, and perimenopause.


  • Aetna
  • Blue Cross Blue Shield
  • Cigna
  • Harvard Pilgrim
  • Optum
  • Tufts Health Plan
  • University of Rhode Island Employee Health Insurance (BCBS RI)

Nicole Miele is accepting clients using listed insurances, paying listed fees, or using health insurance out-of-network benefits other than:

  • Brown University Student Health Insurance (United Healthcare)
  • Johnson and Wales University Student Health Insurance (United Healthcare)
  • RISD Student Health Insurance (United Healthcare)
  • United Healthcare
  • United Healthcare Student Health Plan
  • University of Rhode Island (URI) Student Insurance (United Healthcare)

Out-of-pocket fees

  • Individual sessions:$225 (30min)
  • Initial session:$300 (90min)
  • Ongoing session fee$300 (45min)

Additional session information

Out-of-network billing options

This provider can support you in getting reimbursement from your insurance company if you are seeking out-of-network reimbursement. Here are the out-of-network billing options they provide:

  • Super billing

Client testimonials

"I have been with Nicole for almost 2 years now, and she has been helping me through the toughest experience of my life. I appreciate her holistic approach and the many avenues she pursues in order to find what works for you. I love how caring she is and how she is always there if you need anything. I look forward to our follow up appointments. I’m so thankful for Nicole’s ongoing support and commitment to helping me through my grief/loss, depression, and anxiety."
- Female graduate student and teacher June 2017