Find the provider that best suits your needs.
Meet Our Team
In addition to Dr. Henderson, Finding Balance DO, LLC is proud to welcome new talent to our practice. Our team includes psychiatric residents, fellows, physician assistants, and other clinical and administrative specialists. Under the direct supervision of Dr. Henderson, these dedicated professionals collaborate to provide exceptional psychiatric care to our growing patient community.
Ernesto Henderson, DO
Founder and Medical Director
Dr. Ernesto P. Henderson, DO, is a double board-certified psychiatrist in both General Psychiatry and Child & Adolescent Psychiatry. He is the Founder and Medical Director of Finding Balance DO, LLC, a New York-based psychiatric practice dedicated to providing compassionate, evidence-based mental health care to children, adolescents, and adults.
Dr. Henderson specializes in the evaluation and treatment of a wide range of psychiatric conditions, including ADHD, anxiety disorders, depression, bipolar disorder, obsessive-compulsive disorder (OCD), trauma-related disorders, psychotic disorders, and complex psychiatric presentations across the lifespan. He has particular expertise in the assessment and treatment of early psychosis, severe mental illness, and psychiatric conditions affecting adolescents and young adults. His clinical approach emphasizes individualized care, shared decision-making, and the integration of biological, psychological, social, and developmental factors into every treatment plan.
As an osteopathic physician, Dr. Henderson brings a holistic perspective to psychiatric care and is trained in Osteopathic Manipulative Treatment (OMT), allowing him to incorporate principles of whole-person medicine into his clinical practice when appropriate.
Born and raised in Fort Washington, Maryland, Dr. Henderson earned his undergraduate degree from the University of Iowa before obtaining his Doctor of Osteopathic Medicine degree from Touro College of Osteopathic Medicine in Harlem, New York. He subsequently completed a Traditional Rotating Internship at HMH Palisades Medical Center in New Jersey, followed by residency training in General Psychiatry at St. Elizabeths Hospital in Washington, DC. He then completed fellowship training in Child and Adolescent Psychiatry at SUNY Downstate Health Sciences University in Brooklyn, New York.
In addition to his private practice, Dr. Henderson serves as an attending psychiatrist at several major academic and community health systems. His clinical experience includes work at Kings County Hospital Center, Maimonides Medical Center, and Strong Memorial Hospital. He previously served as Unit Chief of the First Break Psychosis Unit at Kings County Hospital Center, where he oversaw the care of adolescents and young adults experiencing early psychosis and other severe psychiatric illnesses.
Dr. Henderson maintains faculty appointments through SUNY Downstate Health Sciences University and the University of Rochester School of Medicine and Dentistry. He remains actively involved in the education and supervision of psychiatric residents, fellows, medical students, and other mental health professionals.
In addition to his work in traditional psychiatric settings, Dr. Henderson has a professional interest in emerging and novel psychiatric treatments, including psychedelic-assisted therapies and other interventional approaches to mental health care. Through his work with the Integrative Psychiatry Institute (IPI), he remains engaged with ongoing developments in psychedelic medicine and the evolving role of these treatments within modern psychiatric practice.
Dr. Henderson is committed to expanding access to high-quality psychiatric care and reducing barriers to mental health treatment. Through Finding Balance DO, LLC, he strives to create an inclusive, welcoming, and affirming environment where patients and families feel heard, understood, and empowered in their treatment journey.
In addition to English, Dr. Henderson is proficient in French and Spanish and has working knowledge of Japanese, enabling him to connect with patients from diverse cultural and linguistic backgrounds.
The Providers
Aaron Pinzon, PA-C
Aaron Pinzon, PA-C, brings extensive clinical experience and a dedicated approach to patient-centered care to Finding Balance DO, LLC. With a Master of Science in Physician Assistant Studies from the New York Institute of Technology, where he graduated with distinction (GPA: 3.91), Aaron has worked in a wide range of clinical environments. His experience includes managing chronic and acute medical issues on psychiatric units, providing urgent and routine care in mobile clinics serving New York City’s five boroughs, and specializing in wound care, mental health assessment, and preventative medicine.
Aaron’s background also includes a fellowship in emergency medicine, providing him with hands-on experience in high-acuity settings and a thorough understanding of multidisciplinary healthcare needs. His clinical rotations covered specialties from psychiatry to internal medicine and general surgery, honing his skills across diverse patient populations.
As a board-certified physician assistant (NCCPA), Aaron holds certifications in both Advanced Cardiac Life Support and Basic Life Support, underlining his commitment to quality care. His research on posttraumatic stress symptoms in healthcare providers during COVID-19 reflects his dedication to understanding the complexities of mental health within medical practice. At Finding Balance, Aaron is passionate about delivering holistic and compassionate care, drawing on his varied experience to support patients' mental and physical health needs.
Renzo Costa, MD
Dr. Renzo Costa is a psychiatry resident with a wide-ranging background in neuroscience, global health, and psychedelic medicine. A graduate of Loyola University Chicago Stritch School of Medicine, Dr. Costa is currently completing his psychiatry training at Saint Elizabeths Hospital in Washington, DC, and pursuing a master’s in Psychoactive Pharmaceutical Investigation at the University of Wisconsin–Madison.
He brings a dynamic and globally informed perspective to mental health care, having trained and volunteered in diverse settings from Paris to the Dominican Republic. His clinical interests include treatment-resistant depression, psychosis, and the therapeutic potential of ketamine and psychedelic-assisted therapies. His research has been published in journals such as CNS Spectrums and The Journal of Personalized Medicine, and he has presented nationally on topics ranging from MDMA in mental health to the neuropsychiatric effects of ketamine.
Fluent in English, Spanish, and French, Dr. Costa strives to create a compassionate, culturally sensitive space for his patients. He integrates psychodynamic understanding with evidence-based psychopharmacology, emphasizing collaborative and person-centered care. Outside of medicine, he is a DJ, electronic music producer, and an advocate for mental wellness through art, meditation, and cross-cultural connection.
Nikesh Shah, DO
Vitani Asche, MD, MSc
Dr. Nikesh Shah is a psychiatry resident physician with extensive training in mental health, currently serving as Chief Resident of Ambulatory Services and Medical Student Education at Maimonides Medical Center in Brooklyn, NY. A graduate of NYIT College of Osteopathic Medicine, Dr. Shah brings a strong foundation in integrative neuroscience and a commitment to whole-person care.
Known for his warm, down-to-earth approach, Dr. Shah combines clinical expertise with a passion for teaching, advocacy, and collaborative treatment. His leadership in medical student education and outpatient psychiatry reflects his dedication to both mentorship and innovation in mental health services.
Dr. Shah’s research includes projects on improving access to psychosocial rehabilitation services and understanding the metabolic impacts of antipsychotic medications. He has also contributed to nationally recognized work exploring sensory processing in autism, presented at multiple medical conferences, and received awards for his contributions to psychiatric education.
Fluent in Gujarati and Hindi and conversational in Punjabi and Spanish, Dr. Shah values culturally attuned care and creates a welcoming space for patients from diverse backgrounds. Outside of psychiatry, he enjoys basketball, music production, and experimenting in the kitchen.
Dr. Shah is excited to bring his enthusiasm, compassion, and clinical insight to the team at Finding Balance.
Dr. Vitani Asche (they/she) is a psychiatric resident physician at SUNY Downstate Medical Center who provides compassionate, evidence-based care for adolescents and adults experiencing ADHD, anxiety, depression, trauma-related concerns, personality disorders, and other mental health conditions.
Dr. Asche has a particular interest in psychodynamic psychotherapy and enjoys helping patients understand longstanding patterns, relationships, and life experiences that contribute to emotional distress. Their professional interests include ADHD, LGBTQ+ mental health, personality disorders, psychotherapy, and emerging treatments such as TMS, ketamine-based therapies, and other interventional approaches.
Dr. Asche earned a Master of Science in Medical Sciences from the University of South Florida and a Doctor of Medicine degree from the University of Louisville.
In their clinical work, Dr. Asche considers the unique biological, psychological, and social factors that shape each patient's experience. They believe in shared decision-making and work collaboratively with patients to develop individualized treatment plans tailored to each person's goals, strengths, and needs.
Dr. Asche has experience working with individuals from a wide range of cultural backgrounds, lifestyles, and lived experiences and is committed to providing care that is affirming, respectful, and free of judgment.
They strive to create a collaborative environment where patients feel heard, understood, and empowered throughout their treatment journey.
Clinical Staff
Kei Takamura, PharmD
Apothecary-In-Chief
Dr. Kei (Kay) Takamura, PharmD, BCPS, BCPP, serves as the Apothecary-In-Chief at Finding Balance DO LLC. A highly accomplished psychiatric pharmacist, Dr. Takamura provides leadership in psychopharmacology, medication safety, pharmacogenomics, controlled substance compliance, medication access, and pharmacy operations. In addition to serving as the practice's lead pharmacy consultant, she oversees medication-related workflows and helps ensure that patients, providers, and staff have access to safe, evidence-based, and efficient medication management resources.
Dr. Takamura completed her Doctor of Pharmacy degree at the University of California, San Francisco (UCSF), where she also completed a PGY1 Pharmacy Residency focusing on acute care. She further specialized in psychiatric pharmacy with a PGY2 residency at the Medical University of South Carolina (MUSC). Dr. Takamura is board-certified in Pharmacotherapy (BCPS) and Psychiatric Pharmacy (BCPP), underscoring her advanced training and commitment to excellence in psychiatric medication management.
In her most recent role as Clinical Pharmacy Coordinator for Psychiatry at NewYork-Presbyterian Brooklyn Methodist Hospital, Dr. Takamura developed innovative clinical pharmacy services across consult liaison, inpatient, and outpatient psychiatry settings. She provided invaluable expertise during multidisciplinary rounds, ensured the safe and effective use of psychotropic medications, served as a Clozapine REMS designee, and led numerous medication safety and quality improvement initiatives. Her leadership in performance improvement efforts, operational development, and preceptorship of PGY1 and PGY2 pharmacy trainees highlights her dedication to education, systems-based practice, and excellence in patient care.
Dr. Takamura's scholarly contributions include research on long-acting injectable antipsychotics, opioid use disorders, and other areas of psychiatric pharmacy, with publications appearing in leading pharmacy and mental health journals. She has also delivered numerous professional presentations and continuing education lectures on topics ranging from QTc prolongation with psychotropic medications to antipsychotic use during pregnancy.
Fluent in Japanese and proficient in SAS programming, Dr. Takamura embodies a commitment to bridging cultures and advancing data-driven care. Her leadership, academic appointments, and affiliations with prominent organizations such as the College of Psychiatric and Neurologic Pharmacists reflect her dedication to advancing the field of psychiatric pharmacy and improving outcomes for individuals living with mental illness.
At Finding Balance, Dr. Takamura serves as the practice's lead psychiatric pharmacy consultant and medication operations specialist. She provides psychopharmacology consultation, pharmacogenomic interpretation, medication safety review, medication access support, controlled substance compliance oversight, and guidance regarding complex medication management. Through her leadership as Apothecary-In-Chief, Dr. Takamura helps optimize medication-related care, improve operational efficiency, support clinical decision-making, and advance Finding Balance's mission of delivering compassionate, patient-centered, evidence-based psychiatric treatment.
Administrative Staff
Anna Quinto, RN
Credentialing Specialist
Jesieca Tong
Administrative Coordinator