We strive to make psychiatric care and psychotherapy accessible to all

We bring specialist services and technology to your clinic

PMPI is an innovative telehealth company with the goal of improving access to psychiatric medication management services and psychotherapy for all, regardless of age, gender, location, ethnicity, or social situation. We have 21 plus years of experience in telehealth practice, specializing in psychiatry, and a track record of providing excellent and quality care. With a year-over-year annual growth of 68%, we have assisted various partner sites in providing behavioral health services, including the Department of Mental Health, Critical Access Hospitals, Rural Health Clinics, American Indian Health Projects and Federally Qualified Health Centers all over.

By providing our services directly to clinics our approach aligns with studies that highlight the efficacy of integrating telehealth into traditional in-person medical systems, offering a more comprehensive and accessible approach to healthcare.

PMPI Headquarters

Our headquarters are located within the historic heart of downtown Bakersfield, at 1707 Eye Street, Suite 100, Bakersfield, CA 93301. You’ll find us housed in the iconic former building of The Bakersfield Californian newspaper, which has been a fixture in the community for decades.

Constructed in 1926, this building stands as a testament to Bakersfield’s rich architectural heritage and serves as a poignant reminder of the newspaper’s illustrious past. Under the leadership of esteemed publisher Alfred Harrell, who helmed the paper from 1897 until 1946, the Bakersfield Californian earned a reputation for its unwavering commitment to civic duty and community engagement. Recognizing its historical significance, the structure was duly recognized and added to the National Register of Historic Places on March 10, 1983. As occupants of this storied location, we honor its legacy while striving to build upon its tradition of excellence in service and dedication to our community.

Meet Our Founder

Two decades ago, Dr. Garewal embarked on a mission fueled by compassion and a drive for innovation. Witnessing the stark contrast in healthcare accessibility between rural and urban areas, he recognized the profound underservice and sought to make a difference. Understanding the hurdles faced by clinics in addressing these disparities, he envisioned the transformative potential of telehealth. Having undergone advanced training in his chief resident years in Kansas University Medical Center training he undertook Telehealth as an early solution to help underserved communities. Telehealth has evolved significantly over the years in terms of quality, scope, and adaptability. Under the direction of Dr. Garewal, PMPI has been at the forefront with its innovation and pioneering efforts in telehealth using EMR’s to ensure that individuals, regardless of their location, can access top-tier, specialized care. Dr. Garewal’s legacy is one of compassion, capability, and unwavering dedication to transforming healthcare for all.

Meet Our Leadership Team

Dr. Garewal is a board-certified psychiatrist and the founder of PMPI, with over two decades of experience advancing telepsychiatry and expanding access to behavioral healthcare. Since launching telemedicine services in 2003, he has led innovative efforts in virtual care and healthcare technology while practicing across private practice, inpatient psychiatry, correctional medicine, and community mental health. A graduate of Gandhi Medical College with residency training at the University of Kansas Medical Center, Dr. Garewal is recognized for his compassionate leadership, clinical expertise, and commitment to improving access to quality mental healthcare.

Jagdeep Garewal, MD

CEO & Medical Director

Gary Garewal brings over 34 years of leadership experience across hospitality, real estate, healthcare, and finance. As Chief Operating Officer (COO), he leads daily operations, drives strategic growth, and focuses on operational excellence, team performance, and organizational efficiency. With degrees in Political Science, Hotel Management, and Management, along with his credentials as a licensed real estate broker and Realtor, Gary combines strong strategic vision with hands-on leadership. Outside of work, he enjoys golfing, spending time with family, and working on cars.

Chief Operation Officer

Edward Varley is the National Sales Manager at PMPI, where he helps expand access to high-quality virtual psychiatric care. With over 20 years of experience in sales, marketing, and business leadership, including healthcare and nonprofit sectors, he specializes in business development, strategic partnerships, and scalable growth initiatives. A UC Berkeley graduate with a B.A. in Political Science, Edward is also an avid traveler, photographer, and food enthusiast.

Edward Varley

National Sales Manager

Joana Ramos is a healthcare operations leader with over 20 years of experience in clinical support and pharmaceutical settings. As Clinical Operations Manager, she oversees daily clinical operations, provider onboarding, scheduling, and workflow management while ensuring efficient, high-quality patient care. Known for her collaborative leadership and operational expertise, Joana is passionate about expanding access to behavioral healthcare. Outside of work, she enjoys spending time with her family and dogs, mixed martial arts, swimming, and traveling.

Director of Clinical Operations

Brandi Tilmon is a healthcare professional with over 20 years of experience in clinical operations, executive support, and healthcare administration. As Senior Executive Assistant, she partners with leadership to streamline operations, coordinate strategic initiatives, and support organizational growth. With a background in case management, behavioral health, and executive operations, Brandi brings a patient-centered approach and strong operational expertise to advancing high-quality behavioral healthcare.

Brandi Tilmon

Credentialing Manager

Jessica is the Director of the Clinical Administrative Team at Nexa Behavioral Health, where she leads compliance, quality improvement, and clinical operations to enhance patient-centered behavioral healthcare. With over 20 years of experience in health and human services, she specializes in behavioral health administration, program development, and expanding access to care. Jessica holds a Master of Science in Clinical Psychology and is currently pursuing her Doctor of Psychology (Psy.D.), bringing a collaborative, innovation-driven approach to leadership.

Jessica Bidabe

Clinical Support Manager

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