Board-certified in both adult and child-adolescent psychiatry, Putnam Nicholas H MD in Encinitas maintains an outpatient practice on Manchester Avenue near San Elijo Lagoon. A Distinguished Life Fellow of both the American Psychiatric Association and the American Academy of Child and Adolescent Psychiatry, the practice coordinates developmental treatment plans with pediatric specialists such as Nest Pediatric Therapy for multidisciplinary child and adolescent care. The practice holds an Associate Clinical Professor appointment at the UCSD School of Medicine and has contributed examination content for both the adult and child psychiatry board certification examinations. Psychiatric evaluations for children and adolescents follow a comprehensive model — clinical interview, family history intake, and teacher collateral reporting — that parallels the developmental screening approach used by Children's Primary Care Medical Group. Completed training includes a UCLA David Geffen School of Medicine residency in psychiatry (1974–1976) and a child-adolescent psychiatry fellowship (1976–1978), with subspecialty expertise in OCD, ADHD, and anxiety-spectrum disorders in pediatric populations.