Medical Director Co./Clinic Types/Psychiatry Practices
Psychiatry Practices
Medical director for psychiatry practices in 24 hours.
Board-certified psychiatrists who sign your collaborative agreement and back your prescribing. From $799 a month, no setup fees.
Medical Director Co. places a board-certified psychiatrist as the medical director for your psychiatry practice, licensed in your state and matched within 24 hours. Your physician signs the collaborative agreement, sets your prescribing scope with you, and stays reachable for complex cases. We’re a nurse-owned company, so the arrangement is built around how NPs actually run a psych practice.
- Nurse-owned company · No setup fees
Board-certified psychiatrists
24-hour placement (12 hours in Texas)
No long-term contract
Nurse-owned company
The Challenge
Common pain points in finding a medical director for your psychiatry practice.
Psychiatrists who say no
Many NPs call psychiatrist after psychiatrist and get turned down. A general physician may agree, but some states expect a physician in a comparable specialty.
Fees that don’t fit a new practice
Some medical directors bill hourly or ask for thousands of dollars upfront. Others want to review every business decision you make.
Controlled substance rules that change at the state line
Stimulants, benzodiazepines, and telepsychiatry prescribing each carry their own state and DEA rules. One wrong assumption can put your license at risk.
Why Medical Director Co.
Why psychiatry practices choose Medical Director Co.
Board-certified psychiatrists only
Every psychiatry placement is a board-certified psychiatrist. Florida and Georgia both tie parts of NP prescribing to the physician’s specialty, so this matters.
Nurse-owned
We’re run by nurses who know what NPs need from a physician partner. Our psychiatrists review what the law requires and leave your business decisions to you.
Clear pricing
From $799 a month. No placement fees, no setup fees, and no long-term contract.
Fast placement
24 hours nationwide and 12 hours in Texas, with a same-day intro call before you sign.
Agreements included
We draft your collaborative agreement and compliance documents at no extra cost.
Priority complication support
When a case gets complicated, you get priority access to physician support.
Get Matched This Week
A board-certified psychiatrist, licensed in your state.
Who We Serve
Who we serve.
Collaborative agreements, prescriptive authority, and chart review for PMHNP-owned practices.
Supervision and collaboration agreements for PAs in psychiatry and behavioral health.
Telepsychiatry Practices
Multi-state oversight for virtual care through our telehealth medical director services.
Clinics Adding Behavioral Health
Physician oversight for ketamine clinics and substance use disorder clinics.
The Role
What a medical director does for your psychiatric practice.
Your psychiatrist signs your practice agreement, helps you file or register it with your state board where required, and sets which controlled substance schedules you can prescribe under your state’s law. Chart reviews follow the schedule your state sets, and your psychiatrist consults with you on complex cases such as treatment-resistant depression or a bipolar medication change. For telepsychiatry, your psychiatrist backs your protocols so remote prescribing follows DEA and state rules, then confirms your malpractice coverage before you see your first patient.
State Requirements
Psychiatry medical director requirements by state.
Each state sets its own agreement type and prescribing limits. Here’s how five of the largest markets compare.
| State | Agreement Required | Psychiatry Prescribing Notes |
|---|---|---|
| Texas | Prescriptive authority agreement with a delegating physician | Schedules III to V can be delegated. Schedule II (including ADHD stimulants) only in hospital facility-based practice or hospice care. |
| Florida | Written supervisory protocol with a physician | A psychiatric nurse prescribes psychotropic controlled substances under a protocol with a psychiatrist. Only psychiatric nurses may prescribe psychiatric controlled substances to patients under 18. |
| California | Standardized procedures with a physician, unless certified as a 103 NP or 104 NP | 103 NP status requires a 4,600-hour (or three-year) transition to practice in California. |
| Georgia | Nurse protocol agreement filed with the Georgia Composite Medical Board | The delegating physician must practice in a comparable specialty. Schedule II is limited to specific drugs named in a 2024 law. |
| North Carolina | Collaborative practice agreement with a primary supervising physician | Schedules II to V allowed if listed in the agreement. Schedule II and III prescriptions are capped at a 30-day supply. |
Sources: Tex. Occ. Code §157.0511; Fla. Stat. §464.012 and §394.455; California Board of Registered Nursing, AB 890 guidance; O.C.G.A. §43-34-25 and Georgia Composite Medical Board APRN guidance; 21 NCAC 36 .0809 and .0810. Rules change, so confirm current requirements with your state board.
Prescribing Rules
Controlled substances in a psychiatry practice
ADHD stimulants are Schedule II, and most benzodiazepines are Schedule IV. That split matters because several states treat Schedule II very differently for NPs. In North Carolina, your supervising physician’s DEA registration must cover the same schedules as yours.
Telepsychiatry and DEA rules
A temporary DEA and HHS rule lets DEA-registered prescribers issue Schedule II to V prescriptions by telemedicine without a prior in-person visit through December 31, 2026. State limits still apply on top of the federal rule. Your psychiatrist builds your protocols around both.
Common compliance mistakes we help you avoid
- Prescribing a Schedule II stimulant in a state that limits NP Schedule II authority
- Working with a physician whose DEA registration doesn’t cover your schedules
- Missing a board filing deadline, such as Georgia’s 30-day protocol submission window
- Assuming the federal telehealth rule overrides your state’s prescribing limits
Prescribe With Confidence
Agreements drafted for your state at no cost.
Switching from your current medical director
If your physician bills by the hour, takes days to return calls, or wants a say in every business decision, switching is simple. We match you with a new psychiatrist, draft the new agreement, and help you plan the change so your prescribing authority has no gap.
Plans starting at
Psychiatry medical director cost: from $799 a month
Plans start at $799 a month, with no placement fees, no setup fees, and no long-term contract. Your collaborative agreement and compliance documents come included at no extra cost. Tell us your state and the services you offer, and we’ll send a quote for your practice.
How It Works
How to hire a medical director for your psychiatry practice.
Tell us about your practice
Fill out the form or call us. Share your state, license type, and the services you offer.
Meet your psychiatrist
Join a same-day intro call with a board-certified psychiatrist licensed in your state.
Sign your agreement
We draft the collaborative agreement and compliance documents. You review and sign.
Start seeing patients
Open your schedule with physician oversight in place.
Get Started
Get matched with a psychiatrist.
- Board-certified psychiatrists
- 24-hour placement (12 hours in Texas)
- No long-term contract
Ready to talk now?
(214) 227-9886 ↗
Hire a Medical Director or
Collaborating Physician Today
Common Questions
Frequently asked questions.
What’s the difference between a medical director and a collaborating physician for a psychiatry practice?
Both titles describe the physician who oversees your prescribing and signs your practice agreement. States use different names for that agreement, such as a prescriptive authority agreement in Texas or a collaborative practice agreement in North Carolina. Medical Director Co. places the right psychiatrist for the role, whichever title your state uses.
Can a nurse practitioner open a psychiatry practice?
NPs own and run psychiatry practices in many states, but prescribing rules differ widely. Some states let experienced NPs practice without physician oversight, while Texas, Georgia, and North Carolina require a signed physician agreement. Your state’s business ownership rules also shape how you set up the practice.
Can I prescribe stimulants and benzodiazepines in my psychiatry practice?
Most benzodiazepines are Schedule IV, so NPs with a valid agreement and DEA registration can usually prescribe them. ADHD stimulants are Schedule II, which Texas limits to hospital and hospice settings for NPs. Your agreement spells out exactly which schedules you’re cleared to prescribe.
Can I prescribe controlled substances through telepsychiatry?
The current DEA rule allows Schedule II to V telemedicine prescribing without an in-person visit through December 31, 2026. Your state’s prescribing limits still apply during virtual visits. Your psychiatrist can update your protocols if the DEA changes or ends the rule.
Does a physician assistant need a medical director for a psychiatry practice?
Most states require PAs to practice under a supervision or collaboration agreement with a physician. Chart review rules and prescribing limits vary by state. Medical Director Co. places psychiatrists who work with PAs as well as NPs.
How much does a psychiatry medical director cost, and how fast can I get one?
Plans start at $799 a month with no placement fees, setup fees, or long-term contract. Placement takes 24 hours nationwide and 12 hours in Texas. You’ll meet your psychiatrist on a same-day intro call before you sign anything.
Your Psychiatrist Is Ready
Start your psychiatry practice with a psychiatrist behind it.
Your psychiatrist signs the agreement, sets your prescribing scope for your state, and stays reachable when a case gets hard. Fill out the form or call (214) 227-9886. We answer until 11 pm every night.
