Mental Health Care for All

Schedule a free 15 minute consultation or complete the form to request an appointment.

Compassionate, Patient-Centered Care

Shorelines provides medication management and mental health services to the entire state via telehealth, and we accept several major insurance carriers. We believe you should be able to have access to mental health care wherever you are and from the comfort and privacy of your home. Because our practice focuses exclusively on telehealth, we have a secure and easy-to-use system in place that makes coming to your appointment as easy as one click!

We provide mental health services across the lifespan for most mental health conditions. Shorelines provides prescriptions for medication needs and/or therapeutic services. Our unique approach is patient-centered where we spend more time working closely with our clients. You will NOT get the typical 15 minute medication checks experienced in other practices.

Shorelines has providers that are Certified Eating Disorder Specialists. We are proud to offer specialty care for individuals struggling with eating disorders and disordered eating behaviors.


Anxiety | Depression | Eating Disorders | Bipolar Disorder

Treatment options for

Adults | Adolescents | Coping Skills | Disordered Eating, Body Image
Dual Diagnosis | Medication Management | Obesity | Obsessive-Compulsive (OCD)
Oppositional Defiance | Orthorexia, Exercise Addiction | Self Esteem | Self-Harming
Stress | Transgender | Trauma and PTSD | Women’s Issues

insurance we accept

Cigna | United Health/Optum | Hometown Health | Self-Pay

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Meet the Team


Dr. Meredith D’Agostino is the Founder of Shorelines, a telehealth-based mental health practice. She has over 13 years of clinical experience as a Nurse Practitioner and 18 years of experience in healthcare, including pediatric endocrinology and general pediatrics. She is dual board certified in Psychiatry/Mental Health and Pediatrics. Her expertise includes treatment of eating disorders; Family-Based Therapy, also known as the Maudsley Method, for the treatment of eating disorders in adolescents; and medication management of bipolar disorder, depression, and anxiety.

Meredith is a Certified Eating Disorders Specialist (CEDS), and she recently joined the iaedp Certification Committee. She is the first Nurse Practitioner to be certified as a CEDS Supervisor for iaedp. Meredith is committed to mentoring and collaborating with providers learning the field of eating disorders.


Tamara Cafaro has over 19 years of healthcare experience, including oncology, infectious disease, medical-surgical and psychiatry. She is a Board Certified Psychiatric Advanced Practice Nurse with over 15 years of experience in behavioral health. Her experience spans inpatient and outpatient behavioral health, private practice, and psychiatric crisis intervention.
Ms. Cafaro also has extensive training in an action-based psychotherapeutic modality, which she integrates into her practice. Her unique and diverse life experiences contribute to ability to offer holistic, compassionate and tailored client care.


Nick Germano, BS, RN has worked in the healthcare setting since 2015 in both inpatient treatment and pharmaceutical development roles.  Currently, he operates as the Office Administrator at Shorelines, where he coordinates client appointments and acts as the main support to our providers.  Most recently, Nick has served as a Registered Nurse at an Institute of Psychiatry.   He is passionate about delivering individualized, patient-centered care to all of our clients and is particularly interested in supporting those in eating disorder recovery.  

Nick’s educational background is in the Biological Sciences and he received his bachelor’s degree from the College of Charleston.   He also holds licensure as a Registered Nurse and is pursuing graduate education in mental health nursing.  His experience in providing care for people in all stages of recovery enables him to assist our clients in evaluating their treatment options. 

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Telehealth provided to the entire state of Nevada.
— We are in network with several insurance carriers. —

Shorelines   |   Copyright 2020