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  • Lifestyle Medicine Center

    Lifestyle Medicine Center
    146 West River Street
    2nd Floor, Suite 11C
    Providence, RI 02904

    Schedule an appointment

    Fax: 401-793-7408

    Meet Our Providers

  • Contact

    Gwen LaRiviere
    Lifestyle Medicine Coordinator
    (401) 793-7817

  • Lifestyle Medicine Center Providers

  • Lifestyle Modification

    Miller, PegPeg Miller, MD, FACP, is director of the Women’s Medicine Collaborative. She is an associate professor of medicine and director of the internal medicine resident rotation in obstetric medicine at The Warren Alpert Medical School of Brown University. 

    Miller received a medical degree from Emory University School of Medicine in Atlanta, Georgia and completed her residency in internal medicine at Rhode Island Hospital. She is a fellow of the American College of Physicians, a member of the Women’s Health Council of Rhode Island, and serves as vice president for the North American Society of Obstetric Medicine. Miller is board certified in internal medicine. 

    Her clinical and research interests include lifestyle medicine, lifestyle factors and pregnancy outcomes, the link between pregnancy complications and long term health, and models of care delivery.  
    McCarthy, CourtneyCourtney McCarthy, LICSW, is a clinical social worker and intake coordinator in women’s behavioral medicine at the Women’s Medicine Collaborative. She received her master’s degree in social work from Rhode Island College in Providence, Rhode Island.

    Her clinical interests include depression, anxiety, and relationship difficulties. She also serves as co-facilitator of wellness programs offered through the Lifestyle Medicine Center.
    WMC Salgueiro GregGreg Salgueiro, MS, RD, LDN, IC, is a clinical dietitian, intrinsic coach, manager of the Women’s Medicine Collaborative and program manager of the Lifestyle Medicine Center.

    He received his undergraduate degree in nutritional sciences from Cornell University in Ithaca, NY, and a master’s degree in clinical nutrition from New York University.

    Salgueiro is a licensed dietitian-nutritionist in Rhode Island.

    He is a certified health fitness specialist with the American College of Sports Medicine and an intrinsic coach through Totally Coached.  Salgueiro also serves as an executive board member for the American Academy of Sports Dietitians and Nutritionists.

    His clinical interests include alternative and complementary medicine, women’s health, preventive medicine, and sports and performance nutrition.

    He works with patients to set measurable health and wellness goals and create long-term lifestyle changes.


    Katie LEsterKatie Lester, RD, LDN, is a clinical dietitian at the Women’s Medicine Collaborative. She received her undergraduate degree in nutritional sciences from the University of Connecticut and is currently completing a master’s degree in nutrition at the University of Saint Joseph in West Hartford, Connecticut.

    Lester is a licensed dietitian-nutritionist in Rhode Island and Massachusetts. She is an active member within the Academy of Nutrition and Dietetics.

    Her clinical interests include oncology, sports nutrition, wellness promotion, and women’s health. She also serves as co-facilitator of wellness programs offered through the Lifestyle Medicine Center.


    Budnick MimiMimi Budnick, 200RYT, CYT, is a yoga instructor in the Lifestyle Medicine Center at the Women’s Medicine Collaborative.

    She received her undergraduate degree from Rhode Island College and is an adult education practitioner. Budnick has been practicing yoga for more than a decade, and received her Vinyasa teacher certification in 2010 at Eyes of the World.

    Budnick recently her certification in therapeutic yoga and has studied restorative yoga.

    She has participated in workshops about yoga’s benefits for depression, anxiety and post-traumatic stress disorder.

    Mindfulness-Based Stress Reduction

    Ellen Flynn, MD, is a psychiatrist in Women's Behavioral Medicine at the Women's Medicine Collaborative.

    A clinical assistant professor of psychiatry and human behavior at The Warren Alpert Medical School of Brown University, she received a medical degree from University of Massachusetts Medical School in Worcester, Massachusetts, completed a residency at University of Massachusetts Medical School and completed a consultation-liaison psychiatry fellowship at Brigham and Women's Hospital in Boston.

    Flynn also received a master of theological studies degree from Harvard Divinity School in Cambridge, Massachusetts.

    Flynn is board certified in psychiatry and psychosomatic medicine. Her clinical interests include perinatal psychiatry, consultation-liaison psychiatry, and mindfulness-based interventions in health care.

    Massage Therapy

    Cheryl McGuinness, LMT, is a massage therapist in the Lifestyle Medicine Center at the Women’s Medicine Collaborative. She received her undergraduate degree from the University of Massachusetts Amherst, and completed her Massage Therapy training at Seminar Network International in Lake Worth, Fla.

    McGuinness has been in practice since 1996; and is part of the Complementary Therapies Program in the Outpatient Oncology Clinic at The Miriam Hospital.

    Her training includes specialties in deep tissue and Swedish massage as well as pregnancy and postpartum massage.

    She has second degree training in the Usui Method of Reiki and is a trained meditation facilitator in the Amrit Method of Yoga Nidra.  In addition to the above modalities, McGuinness has training in hot stone therapy and aromatherapy.

    Physical Therapy and Rehabilitation Services

    Ciesla, ChristyChristy Ciesla, PT, DPT, is a doctor of physical therapy at Rhode Island and The Miriam hospitals and coordinates women’s health physical therapy services at the Women’s Medicine Collaborative. Ciesla graduated from Syracuse University with a degree in physical therapy and received her doctorate from Utica College in New York.

    She is a member of the American Physical Therapy Association, the International Cesarean Awareness Network and the Rhode Island Birth Network, and serves as vice chair of the Rhode Island Women’s and Men’s Health Physical Therapy Special Interest Group.

    Ciesla is a credentialed clinical instructor and mentors other physical therapists and medical students interested in her area of expertise. Ciesla lectures to colleagues and the community. Her clinical interests are constipation, urinary and fecal incontinence, pelvic pain and sexual dysfunction as they relate to the pelvic floor and pelvis.

    Kristina Fitzgerald, LATC, MSPT, DPT, is a doctor of physical therapy at the Women’s Medicine Collaborative. She graduated from Northeastern University with a bachelor’s degree in athletic training and earned a master of science degree in physical therapy at the University of Rhode Island.

    Fitzgerald completed her doctorate of physical therapy at the MGH Institute of Health Professions, where her comprehensive case study was focused on the most recent evidence-based research regarding the evaluation and treatment of female urinary incontinence, pelvic organ prolapse, and diastasis recti assessment and treatment. She is certified as a prenatal and postpartum physical therapy practitioner.

    Fitzgerald has ten years of experience as a physical therapist, with a focus in women’s health.

    Melissa Nassaney, MS, DPT, graduated with her master’s degree from the University of Rhode Island and completed her doctorate at the MGH Institute for Health Professions. Nassaney has trained with the American Physical Therapy Association’s section of Women’s Health and received her certificate of achievement in pelvic floor physical therapy.

    She has practiced pelvic floor and women’s health rehabilitation for eight years, four of which she spent working exclusively with women during high risk pregnancies, pre- and post-urogynecologic and oncology surgery, and pelvic pain. She lectures annually at the University of Rhode Island’s physical therapy program on “Orthopedic Approach to the Obstetric Client;” and is a credentialed clinical instructor.

    Nassaney has developed a yoga-based platform for managing pelvic pain called the “healing power of balance” which is based on demystifying female anatomy and function and illuminating the mind-pelvic floor-body awareness for coordination and relaxation of all three areas. Her areas of clinical interest are pelvic pain, the female athlete, gastrointestinal and colorectal issues involving pelvic floor dysfunction, urogynecologic dysfunction and musculoskeletal issues related to pregnancy.

    Shared Medical Appointments (SMAs)

    Iris Tong, MD, FACP
    Kathy Rebeiro, ANP-BC, AE-C
    Peg Miller, MD, FACP
    Courtney McCarthy, LICSW
    Greg Salgueiro, MS, RD, LDN, IC