TheraPsych™ Institute — PMHNP Foundations Registration
PMHNP Foundations is designed for PMHNP students in clinical rotations and newly licensed PMHNPs in their first 1-2 years of practice. Whether you are navigating your first independent patients, building your private practice, credentialing with payers, or learning to integrate psychotherapy into your prescribing visits — this program meets you where you are. Questions? Email hello@therapsychinstitute.com before submitting.
Registrant Information
Full Legal Name
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First Name
Middle Name
Last Name
Preferred Name
Email Address
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example@example.com
Phone Number
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Please enter a valid phone number.
Format: (000) 000-0000.
State of Residence
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Please Select
Alabama
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Ohio
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Pennsylvania
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Tennessee
Texas
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Vermont
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Washington
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Current Status
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Please Select
PMHNP Student - in clinical rotations
Newly licensed PMHNP - 0 to 6 months
PMHNP - 6 months to 1 year in practice
PMHNP - 1 to 2 years in practice
Other
If Other please specify
NPI Number (if licensed)
State of PMHNP Licensure
PMHNP Certification(s) Held
ANCC PMHNP-BC
AANP PMHNP-C
Not yet certified
Other
Practice Background
Current Practice Setting
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Please Select
Private practice - solo
Group practice
Community mental health
Hospital or inpatient
Telehealth only practice
Not yet practicing
Other
Are you currently credentialed with insurance payers?
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Please Select
Yes - fully paneled
Yes - in process
No - planning to credential
No - private pay only
Not sure yet
Do you currently bill the 90833 psychotherapy add-on code?
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Please Select
Yes regularly
Yes occasionally
No but I want to learn
No and I am not sure what it is
What is your biggest challenge right now in your PMHNP practice or training?
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What specific skills or knowledge are you hoping to gain from PMHNP Foundations?
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Package Selection
Please review all package options carefully and select the one that best fits your current needs and goals. All prices are in USD and exclude applicable sales tax calculated at checkout.
Select Your PMHNP Foundations Package
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FOUNDATIONS SELF-PACED — $297: Complete self-paced digital program covering integrated prescribing, 90833 billing, private practice launch, credentialing, and the business of psychiatric practice. Lifetime access. No live sessions.
FOUNDATIONS PLUS — $597: Everything in Self-Paced PLUS one 60-minute private coaching session with Shay Baker. Includes intake form review, session recording, and written action plan.
FOUNDATIONS INTENSIVE — $997: Everything in Foundations Plus PLUS two additional coaching sessions with Shay Baker (3 sessions total). Includes 90-day priority email access to Shay between sessions.
COACHING ONLY — $297 per session: Single 60-minute private coaching session with Shay. No course access. Session recording and written action plan provided. Credits toward any Foundations package if you upgrade within 90 days.
I have read and understand the package details and pricing for my selected option
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Yes, I have read and understand my selected package.
REFUND POLICY: All sales are final. No refunds are issued after purchase for any reason. Coaching session cancellations with less than 48 hours notice are forfeited. No-shows are forfeited without reschedule.
Additional Information
How did you hear about TheraPsych Institute?
Please Select
Social media
Colleague referral
Google search
University or program recommendation
Previous TheraPsych student or client
The PMHNP Pivot course
Other
Is there anything else you would like us to know before you register?
Do you have any scheduling constraints for coaching sessions?
Agreements and Electronic Signature
Accuracy Certification
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I certify that all information provided is accurate and complete
No Refund Policy
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I understand that all sales are final and no refunds will be issued after purchase
Intellectual Property Agreement
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I agree that all course content, recordings, materials, and resources are the intellectual property of TheraPsych Institute and may not be reproduced, distributed, or used commercially without written consent
Electronic Signature
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First Name
Middle Name
Last Name
Date of Signature
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Month
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Day
Year
Date
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