Best EHR for Solo Psychiatry & PMHNP Practices (2026)
How psychiatry-focused and general EHRs compare for a solo prescriber: e-prescribing with EPCS, PDMP, AI notes, telehealth and total monthly cost.
Key takeaways
- Prescribers writing controlled substances need EPCS; check whether it is included or an add-on, and whether PDMP access costs extra.
- Compare the all-in monthly total, not the sticker price: base plan + ePrescribe + AI notes + telehealth + claim fees.
- Luminello, once a common psychiatry EHR, was shut down in 2024 after SimplePractice acquired it – get data-export terms in writing.
- Interventional practices (Spravato, ketamine, TMS) have different needs than medication-management-only practices.
 ICANotes |  Valant |  Osmind |  SimplePractice |  TherapyNotes |  PracticeQ (IntakeQ) |  Ona Health | |
|---|---|---|---|---|---|---|---|
| Pricing | Non-Prescribing $75/mo; Part-Time Prescribing $138/mo; Full-Time Prescribing $213/mo (vendor blog); 30-day free trial | Custom quote | Osmind One $249/clinician/mo; EPCS +$49/mo; labs +$15/mo; RCM plans quoted as % of collections (third-party review) | Starter $49/mo, Essential $79/mo, Plus $99/mo; extra practitioners on group Plus $74/mo (vendor site) | Solo $69/mo; Group $79/mo first clinician + $50 each additional; non-clinical users free (vendor) | Practice Management $84.90/mo; low volume $59.90/mo (vendor site) | $130/practitioner seat; $45/staff seat (vendor) |
| Built-in AI | AI-assisted notes add-on reported at $20–$49/mo (vendor blog) | unverified | AI scribe listed as 'coming soon' on base plan as of July 2026 (third-party review) | Note Taker AI notes $35/mo; Care Aide $59/mo (vendor site) | TherapyFuel AI notes $40/clinician/mo (third-party review) | No native AI scribe (third-party review) | AI scribe and AI receptionist included in seat (vendor) |
| e-Prescribing / EPCS | Yes – built-in EPCS and PDMP (vendor) | Yes – EPCS and PDMP (43 states) included (vendor) | Yes – EPCS add-on $49/mo (third-party review) | Add-on – ePrescribe $49/mo + $89 setup (vendor); PDMP add-on reported separately | Add-on – ePrescribe $65/prescriber/mo; controlled substances no extra fee (vendor/third-party) | eRx priced separately; EPCS tokens ~$50 (third-party review) | unverified |
| Telehealth | Yes – telepsychiatry add-on (vendor blog) | Yes – native (third-party comparison) | Yes – included in Osmind One (third-party review) | Yes – included on all plans | Basic telehealth free; Premium $15/clinician/mo (vendor) | Yes – telehealth included (vendor site) | Yes – video included in seat (vendor) |
| Billing & claims | Automated E&M coding; billing support (vendor) | Psychiatric CPT/E&M billing services (vendor) | Claims/RCM via Osmind 360 (% of collections) | Insurance claims from $0.39/claim (third-party review) | $0.14 per electronic claim, ERA and eligibility check (third-party review) | Claims & superbills (vendor site) | unverified |
| HIPAA BAA | unverified | unverified | unverified | Yes – BAA accepted at signup (third-party review) | Yes – built into Terms of Service since April 2026 (third-party review) | Yes – HIPAA BAA included (vendor site) | unverified |
| Best fit | Psychiatrists and PMHNPs, solo to group | Behavioral health practices scaling from solo to group | Interventional and measurement-based psychiatry practices | Therapists and small mental health practices; prescribers via add-ons | Therapists and behavioral health groups up to roughly 10–15 clinicians | Solo and small therapy/psychiatry practices on a budget | Behavioral health practices wanting AI built in |
ICANotes
EHR & Practice ManagementBehavioral health and psychiatry EHR with menu-driven psychiatric evaluations, med-management notes and automated E&M coding.
Valant
EHR & Practice ManagementBehavioral-health EHR founded by psychiatrists, with structured psychiatric documentation and PMHNP content.
Osmind
EHR & Practice ManagementPsychiatry EHR built around measurement-based care and interventional treatment (Spravato, ketamine, TMS).
SimplePractice
EHR & Practice ManagementPopular all-in-one EHR for therapists and mental health practices; added psychiatric features via its Luminello acquisition.
TherapyNotes
EHR & Practice ManagementPractice management and EHR for behavioral health with notes, scheduling, billing and client portal.
PracticeQ (IntakeQ)
EHR & Practice ManagementIntakeQ forms plus scheduling, client portal, payments, claims and telehealth.
Ona Health
EHR & Practice ManagementAI-native behavioral health EHR with an AI receptionist and built-in scribe.
Disclaimer: This site covers administrative and operational workflows only. It is not clinical, legal, or compliance advice. Pricing and BAA status come from vendor sites or third-party reviews as of the date shown and can change – confirm directly with each vendor and your compliance advisor before using any tool with protected health information.