Riley Machal, MD
Assistant Professor, UNMC Department of Psychiatry

Riley D. Machal, M.D. is a psychiatrist dedicated to improving both mental and physical health outcomes for individuals living with psychosis. As Co-Director of Nebraska Medicine’s Active Support for Psychosis in Recovery (ASPIRE) Clinic, she has played a pivotal role in expanding access to comprehensive, person-centered care—particularly for individuals experiencing a first episode of psychosis or those with treatment-resistant illness. Under her leadership, the clinic has implemented a reverse integrated care model, embedding primary care within psychiatric services to address the full spectrum of patient needs.
In addition to her clinical leadership, Dr. Machal is a passionate educator across all levels of medical training. She created the first behavioral health-focused Enhanced Medical Education Track (EMET) at the University of Nebraska Medical Center (UNMC), providing medical students with longitudinal exposure to psychiatry, including research and state policy initiatives. As Psychiatry Clerkship Director, she has expanded access to training opportunities throughout Nebraska. In March 2025, she also assumed the role of Associate Program Director for the UNMC psychiatry residency, where her focus includes curriculum development, professional growth, and trainee wellbeing.
Her outstanding contributions to education were recognized in 2024 with two international honors: the Early Career Educator Award from the Association for Academic Psychiatry and the Devneil Vaidya Junior Faculty Teaching Award from the Association for Directors of Medical Student Education in Psychiatry.
- BS: Human biology, Chadron State College, 2012
- MD: University of Nebraska Medical Center, 2016
- Internship: General Surgery, Vidant Medical Center, 2017
- Residency: Psychiatry, Ohio State University, 2020
- Clinic Practice Location
Poynter Hall, southwest corner of 42nd and Dewey Streets, 5th floor
Community Alliance, 4001 Leavenworth St. - Hospital Appointments
Nebraska Medicine
University of Nebraska Medical Center
985575 Nebraska Medical Center
Omaha, NE 68198-5575