Psychiatric Care From a Provider Who Has Served — and Who Trained at the VA.
Denis Grigorov, PMHNP-BC, is an Air Force veteran and VA-trained psychiatric nurse practitioner who provides telehealth psychiatric care for veterans, active-duty service members, and first responders across California — with VA Community Care and TriWest accepted.
You should not have to explain military culture, the complexity of transition, or why asking for help is not simple in an environment where self-sufficiency is foundational. Denis has been in that environment. He does not need the explanation.
A Provider Who Does Not Need to Be Briefed on the Culture.
Denis spent 10 years as a commissioned officer in the United States Air Force before entering psychiatric training. He then completed a 12-month psychiatric residency at the VA Greater Los Angeles Healthcare System — one of the most clinically complex VA psychiatric programs in the country, serving veterans with combat PTSD, complex trauma, depression, and the long-term consequences of service. That combination of lived military experience and specialized VA clinical training is not common in outpatient psychiatry. Denis brings both.
He also understands something that is difficult to teach: that many veterans and first responders do not present saying "I have PTSD." They present saying their sleep has changed, that they get irritable with their family, that they cannot seem to settle back into their life. Denis knows how to evaluate that presentation — and how to have the conversation that follows with the directness and respect the culture expects.
Cultural Competency You Will Not Have to Explain
Denis served. He understands the identity, the stoicism, the complicated relationship with help-seeking, and the specific dynamics of transitioning out of a culture built around self-sufficiency. You will not spend your appointment educating your provider.
VA Community Care & TriWest Accepted
D&Y is credentialed to accept VA Community Care and TriWest coverage — making high-quality psychiatric care accessible through the same insurance pathways veterans already have, without navigating a large system or waiting months for an appointment.
Telehealth Statewide — No Commute, No Waiting Room
All appointments are via secure HIPAA-compliant telehealth. You can access consistent psychiatric care from anywhere in California — at home, at the station, wherever is most comfortable and private.
What D&Y Evaluates and Treats for Veterans and First Responders.
The following conditions are common in military and first responder populations — D&Y evaluates all of them with the same clinical rigor and without the assumption that symptoms are just occupational hazards.
Many veterans and first responders present with more than one condition — PTSD and depression, burnout and anxiety, or sleep disruption driving mood instability. D&Y evaluates the full clinical picture at every assessment, not a single symptom in isolation.
The Three Things That Most Often Get Between Veterans and First Responders and the Care They Need.
VA Community Care, TriWest, and Major Commercial Insurance — All Accepted.
Veterans enrolled in VA healthcare may be eligible for VA Community Care — which allows them to receive mental health care from approved community providers like D&Y when the VA cannot provide timely access or when community care is otherwise authorized. D&Y is credentialed to accept VA Community Care and TriWest, the managed care contractor for the VA's Community Care Network in the Western United States.
For active-duty service members and their families, TRICARE coverage may apply depending on your plan and eligibility. For veterans not using VA coverage, D&Y also accepts most major commercial insurance plans and Medicare. If you are not certain what your coverage includes, the best place to start is an appointment — no commitment required.
A Process Built Around Clarity — Not Another System to Navigate.
Book an Appointment
No commitment. Confirm insurance, ask questions, and decide if D&Y is the right fit before scheduling anything further.
Comprehensive Evaluation
60–90 minutes. D&Y conducts a structured clinical interview that takes your full history seriously — military service, occupational context, and what has and has not worked in prior care.
Clear Diagnosis + Plan
You leave your first appointment with a working diagnosis, Denis's clinical reasoning explained, and a treatment plan with specific next steps. No vague impressions. No walking out unsure of what happened.
Consistent Ongoing Care
Follow-up visits every 2–4 weeks early in treatment, then monthly once stable. Denis is your provider at every appointment — not a rotation of different faces.
You Have Spent Enough Time Managing This Without Proper Support.
D&Y Integrated Psychiatry provides evidence-based telehealth psychiatric care for veterans and first responders across California — from a provider who served, trained at the VA, and built a practice where you will see the same face at every appointment. Book an Appointment and find out if D&Y is the right fit.
Now accepting new patients · Telehealth statewide in California
Crisis Support & Mental Health Resources.
D&Y Integrated Psychiatry provides outpatient psychiatric care — not crisis services. If you need immediate support, the organizations below provide free, confidential help 24 hours a day. You do not need to be a D&Y patient to use any of these resources.
D&Y Integrated Psychiatry does not endorse or have a formal affiliation with the external organizations listed above. These resources are provided for informational purposes only. Listing does not constitute a referral or clinical recommendation.