San Jose Integrative Wellness Center

“I had a great experience with TMS at SJIWC! Dr. Nangia and his team are all wonderful, kind, and accommodating. I saw them for treatment-resistant depression and it's helped immensely. There is no need for a referral. I was able to just call them and start the process. They took my medical history and insurance information, then made sure insurance covered the treatment before scheduling a consultation visit. After confirming I would be a good fit for TMS treatment, we discussed what treatment would look like. Dr. Nangia is very patient and clear with his explanations and is willing to provide additional resources if requested, including a doctor's note if time off work is needed. For me, treatment consisted of 36 in-person sessions, Monday through Friday, and each session was 10 minutes long. Each session was a positive experience. I truly felt supported by everyone in the office and treated like an individual. Overall, I'm glad I made the effort to reach out to SJIWC and would recommend their office for anyone considering TMS. Thanks again!”

“I would not recommend this provider for TMS treatment. I was a patient of Dr. Nangia at San Jose Integrative Wellness Center for over ten years and historically he provided excellent medication management and TMS service. He helped me through some tough times and I will always be grateful for that. However, during my most recent round of TMS treatment, it appeared to me the quality of patient care and office administration has significantly declined. During this latest TMS round, I requested a specific approved protocol for a new condition we had previously agreed to treat. Unfortunately, from the start, Dr. Nangia didn’t seem fully present. During the first appointment, he misremembered the treatment plan we discussed prior and I had to advocate for myself just to get the correct protocol started. When I asked questions about potential side effects, the answers were vague and didn’t address my concerns. The administrative side also appeared less organized than before. I showed up for a very important remapping appointment and was settled in the TMS chair, only to be told Dr. Nangia wasn't in the office and that I had to return the next day. Given their strict 48-hour patient cancellation policy and no show fees (which I was constantly reminded of via text and email), it is incredibly frustrating that the practice doesn’t hold itself to the same standards. I tried to express my frustration to Dr. Nangia the next day but he did not apologize or take any accountability. Later, when the treatment required protocol adjustments, a significant communication breakdown occurred. Every day a different medical assistant would treat me and I had to explain the same dilemma. The MAs (who are all very kind and intelligent but seem bottlenecked by the system) repeatedly told me they messaged the doctor via the portal but received no reply, hence no changes could be made. This dragged on for days during a crucial, insurance approved window of sessions. I ultimately refused to come in and felt like I had to fight tooth and nail just to be heard and have changes made. While I eventually got the correct treatment, I felt that valuable treatment time was lost due to these delays and administrative inefficiencies and the overall treatment results were unsatisfactory to me. What used to be a highly personalized, patient focused practice ultimately felt incredibly transactional. During my last appointment with Dr. Nangia, I discussed with him how disappointed I was with the overall treatment based on all the breakdowns that occurred. He said some things could’ve been done differently but they just got too busy and offered no suggestions or solution for the predicament I was in. This is when I realized I no longer respected or trusted him to be my provider and requested to be referred elsewhere. About 20 minutes after the appointment, as I was pulling into my driveway, I received a message from the practice in their portal stating that Dr. Nangia is no longer my provider, along with a few referrals. Some of the referrals did not appear well suited for my treatment needs and history. Once again, SJIWC let me down and I had to fend for myself to find a new provider. After a decade of trust, the major breakdown in communication, scheduling reliability and clinical responsiveness meant I could no longer confidently continue as a patient here. I recently finished TMS treatment successfully with a new provider that only specializes in TMS, which served as a reminder that leaving this practice was the right decision for me.”

“Dr. Nangia is thoughtful, excellent and truly compassionate provider. His approach to wellness is uniquely refreshing. SJIWC staff are professional, kind and attentive. I've never felt more comfortable discussing my health concerns. Highly recommend this practice!”

“The care from Dr. Nangia is professional, clear, transparent, pushy and kind. He is not pushy or in a hurry like others. He is organized with his notes since he definitely remembers key points from previous appointments. Also, the office staff members answer questions clearly and approach requests efficiently. Generally, I receive email replies within 3-4 hours on business days. Clear and efficient communication is vital to quality psychiatric care. They communicate excellently!”