John Middleton, M.D.

​         Providing Transcranial Magnetic Stimulation (TMS) for the Fresno Area

Nalinee "Lily" Pimphan, N.P.-C

  • Certified Nurse Practitioner
  • Graduate of California State University, Fresno
  • Received M. S. Nursing FNP in 2001
  • Experience in outpatient and inpatient psychiatric settings as well as public health nursing.​

Welcome to our practice!

Dr Middleton's office offers expert psychiatric service, with the latest techniques and procedures, all in a comfortable, upscale setting. Dr Middleton and our Nurse Practitioner, Lily Pimphan, have been serving the mental health needs of Fresno and surrounding areas together for over a decade.

  • Evaluation
  • Medication Management
  • Suboxone for Opiate Addiction
  • Light Therapy for Seasonal Affective Disorder
  • Transcranial Magnetic Stimulation (TMS) For Major Depressive Disorder

Call Today:

(559) 439-1534

  • Major Depressive Disorder
  • Dysthymia
  • Attention Deficit Disorder
  • Opiate Dependence
  • Bipolar Disorder
  • Schizophrenia
  • Schizoaffective Disorder
  • Generalized Anxiety Disorder
  • Panic Disorder
  • Post Traumatic Stress Disorder
  • Obsessive Compulsive Disorder

Our Services Include...

Welcome to the best in psychiatry and TMS therapy in Fresno!

Our Practitioners

Call Today:

(559) 439-1534

Dr. John Middleton, M.D.

  • Medical Director
  • Certified by the American Board of Psychiatry and Neurology
  • Graduate of the University of Maryland School of Medicine
  • Graduate of University of California, San Francisco; Fresno residency in Psychiatry
  • Neuronetics certified provider of Transcrannial Magnetic Stimulation
  • Data 200 Certified for Suboxone use
  • Over 15 years experience in both inpatient and outpatient settings.

We offer treatment to adults for all psychiatric conditions including: