Our Philosophy and Approach
We have found that cutting edge digital workflows and innovative staff training methods are the two pillars that enable optimized mental health practice management. Honing these processes has propelled our ability to support practitioners who invest in and deeply care about their craft. In the end, this services the greater vision that underpins our efforts and inspires us: to expand access to quality mental health access across the state.
We believe that practitioners in isolation feel a higher level of stress and quality constraints than those who have a team of supportive professionals behind them. Working alone or with outsourced companies can limit a practices' scope and the clinician's ability to advance their methods and focus on patient care.
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By providing practice management we also increase the collaborative network of mental health practitioners, giving them access to an affiliate group of practitioners in a variety of disciplines without losing their autonomy.
How we help you achieve Success in the field.
Our practice management firm does not mimic online companies that use call centers and basic electronic services from a rote business model. Ours is a highly specialized and individualized approach that supports your practice with the same care and attention that we brought to our own original clinical entity.
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Our case managers tailor their approach to the way you want your practice. There is no "one-size-fits-all" model. Each service area is further customized with a face-to-face meeting, keeping you in full control of your practice while relieving the obstacles you face.
Our Team

Randall Solomon, MD
CEO / Founder
Dr. Solomon has been in clinical practice for over 30 years and is expanding the breadth of his practice to make mental health care more accessible, equitable, and effective. From his own personal experience in private practice, he is fully versed on the pain points clinicians face. He leads with a passion and conviction to create a refreshing environment for new clients, enabling growth, connection, and professional freedom for their private practices.
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Jessica Miller
Human Resources and VP of Development
Jessica's combined experience both clinically and with human resources expands over multiple settings and various populations. At Island Practice Management, Jessica works exclusively as a consultant and supports all areas of human resources and hiring. Jessica additionally assists with new client acquisition and is excited to share her enthusiasm and be involved with growth by meeting with new clinicians interested in client services or rental space.

Daniel Solomon
General Manager
Since graduating Boston University Dan has gained experience in a wide variety of industries, including hospitality (Maison Harlem), Ed-Tech (sales at UBTech), K-12 education (Notre Dame High School) and arts entertainment (Alabama Shakespeare Festival.) Dan attributes his leadership skills to his eclectic background and is always finding ways to incorporate creativity into the team's collaborative efforts. He is grateful for the opportunity to service such talented mental health professionals and is passionate about expanding Long Island resident's access to quality care.
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Cynthia Adams
HR Director
After graduating from SUNY Stony Brook in 1990, I established a private practice on Long Island. My primary focus has always been relationship issues. About 20 years ago, I began incorporating an understanding of how and why the brain functions as it does. When we have an understanding of our brain (and the brain of our partner), we can significantly increase the likelihood of getting what we want in our relationships. This additional emphasis has enabled me to help my clients gain better understanding and increased mastery in their lives and relationships.

Nick Carter
Assistant General Manager
With a wide variety of skills and expertise Nick is uniquely suited to work in Business Development. After graduating from Boston University, Nick developed a passion for the arts, working as an actor and theatre arts educator in the greater Boston area. Two years later, he moved to New York full time, where he continues to pursue his artistic endeavors in addition to working at IPM. His strong interpersonal skills and passion for mental health make him an excellent addition to the team.

Sandra Buscarino
Lead Billing Specialist
Sandra comes to Island Psychiatry after having left the workforce to raise five children. In addition to her background in insurance, she brings her compassion and empathy, working to ensure the highest reimbursements for patients seeking mental health treatment, especially during their most vulnerable times of need.

Elza Lleshaj
Director of Specialty Services
Elza is a student at Stony Brook University pursuing a degree in Sociology with a minor in Anthropology and Health and Science in Sociology. She has always had a passion for helping both humans and animals, wishing to pursue a career in social work while continuing her volunteer work at various cat shelters and rescue centers. Elza has a passion for helping those that cannot advocate for themselves. She pushes to have mental health become more accessible and hopes to be able to improve the system in order to better account for those who need someone to have their back. If ever you find yourself needing a fluffy companion - or just a kitty to cuddle - you can find Elza and tons of cats at Golden Paw Society!"

Ishika Patel
Executive Assistant to Consultations
Ishika graduated from Stony Brook University with a degree in Biology and Women’s, Sexuality, and Gender Studies. Passionate about healthcare and community service, she brings over four years of experience as an EMT serving communities across Long Island and previously served two years as an EMS officer, gaining valuable administrative leadership experience. She also volunteers with local breast cancer awareness groups and supports individuals through a crisis text line. At Island Practice Management, Ishika is a dedicated team member known for her positive attitude and commitment to meeting patient needs.

Connor Harrison
Patient Services & Authorization Specialist
Connor is a driven and curious individual with a passion for psychology, eager to expand his expertise after earning his bachelor’s degree. He’s all about making a positive impact, offering support, and building strong connections with both colleagues and clients—whether they’re adults or teens. With a natural gift for conversation, he thrives on creating meaningful relationships. Always looking for ways to grow, Connor embraces challenges as opportunities to learn and push himself further.

Tanisha Meachum
Billing Specialist
​Tanisha Meachum has been a dedicated and meticulous administrative professional in the healthcare field since 2014. With a passion for helping patients, Tanisha ensures that every interaction is handled with care and precision. Her commitment to excellence and attention to detail make her an invaluable asset to our team, as she strives to make each patient's experience as smooth and positive as possible.

Subika Jafri
Patient Engagement Special
Subika has long been passionate about psychology and understanding how the mind works. She graduated cum laude from Stony Brook University in May 2022 with a Bachelor’s degree in Psychology and Sociology and a minor in Writing and Rhetoric. She plans to pursue her Master’s in Social Work and hopes to become a licensed forensic social worker, with a focus on juvenile justice reform and supporting incarcerated individuals. Subika is eager to continue learning within the mental health field and is committed to helping reduce stigma, particularly within minority communities, by encouraging open and meaningful conversations about mental health.

Patient Engagement Specialist
Kenna joins Island Practice Management as a part-time Patient Engagement Specialist, bringing warmth, compassion, and a genuine dedication to helping others. In addition to supporting our patients, she works full-time in the New York City public schools, reflecting her strong commitment to service in both education and healthcare. Kenna has a natural ability to make people feel heard and supported, and she approaches every interaction with patience, empathy, and care. Her thoughtful and reassuring presence helps create a welcoming experience for each patient she connects with.





