Your professional credentials (PhD, M.A., etc)
Would you be interested in being an NPI Mentor?
Are you a current NPI Board Member
If you are a current NPI Board Member, your role on the board.
This email address will be visible to users on your profile, but is not required.
Would you like to receive a printed newsletter and directory, or a digital / email format?
If you'd like a Printed Directory and Newsletter, please provide your mailing address for delivery.
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Check the insurance networks and provider panels in which you are a current in-network participant.
Check all languages in which you are fluent enough to conduct psychotherapy sessions. If a language is needed to be added, please contact us.
Check the primary populations you servce in your practice setting.
Please check the treatment modalities in which you have specific training and/or experience.
Check the specializations (diagnoses, presenting issues, problems, situations) for which you have special training and/or experience.
Check the Professional Associations to which you currently belong. If you belong to an association not currently on the list, you will have an opportunity to add it later.
Check the professional disciplines in which you are credentialed and/or trained.
Please list any other insurance networks or preffered panel providers on which you are an eligible in-network provider.
Check the forms of accessibility which your practice currently accomodates (under the Americans with Disiabilities Act, etc.)
Check the payment arrangements you participate in.