If you are a South Asian mental health provider in the United States, we invite you to register to be listed in the South Asian Mental Health Provider Directory. Registration is free. Approved providers will be included in our Provider Directory, which is accessible to individuals seeking a South Asian mental health provider.

Eligibility
South Asian mental health providers of any discipline (e.g., psychiatrists, psychologists, social workers, nurse practitioners) who are licensed to practice in the United States are eligible to apply.

Registration Process
All applications are reviewed prior to approval. Submission of this form does not guarantee inclusion in the Provider Directory.

After submitting your application, we aim to review and publish your listing within one week. You will receive an email notification after your application has been processed.

 

Provider Details

Contact Email
For SAMHIN use only; will not display on your listing
Provider Name / Organization Name*
Providers: if you would like, enter degree after your name; example: John Smith, MD

Practice Information

Practice Type*
Select the category that best describes your practice.
Location*
Please ensure you enter a zipcode. (If you enter a suite number and your address does not display in the options, remove the suite number, select your address, then add the suite number.)
Address Line 1
City
State / Province / Region
Postal / Zip Code
Country
Latitude
Longitude
Phone Number
E-mail
Website
Second Location Address
If you have a second location, enter the address.
Address Line 1
City
State / Province / Region
Postal / Zip Code
Country
Latitude
Longitude
Second Location Phone
If you have a second location, enter the phone number.

About You

Gender
Cultural Heritage
Select all cultural communities or heritage that are part of your identity. If you are U.S.-born, select that option in addition to the others.
Languages Spoken in Addition to English
Select all that apply
States Licensed to Practice
Select all that apply. To select more than one, press the 'control' key while selecting additional options.
Professional Credentials
Enter your degrees and / or certifications.
Treatment Modalities
Select all that apply
Member of PSYPACT (Psychology Interjurisdictional Compact) (can see clients in many states)
Member of Social Work Licensure Compact (can see clients in states other than state licensed in)
Listing Description
Enter a short paragraph about your practice, additional specialty details, any additional affiliations such as universities, etc. Maximum 1,500 characters.
Sliding Fee Scale
Do you offer a sliding fee scale?
Evening Hours
Are you available for evening appointments?
Saturday Hours
Are you available for Saturday appointments?

Social Media & Photo

Social Media
Facebook
Twitter
LinkedIn
YouTube
Instagram
Upload your Photo
If you have trouble uploading, please email your photo to info@samhin.org.
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