Locations
Where We Practice
shrinkMD provides licensed telepsychiatry in the states below. Care happens by secure video, and you'll meet with a clinician licensed in your state. Choose your state to get started, with dedicated care launching in Nebraska and Maine.
Medically reviewed by Shariq Refai, MD, MBA, FAPA, board certified psychiatrist · Last reviewed September 23, 2026 · Updated October 1, 2026 · Editorial policy
Already know your state is active? Skip to the waitlist.
Choose your state
Find care in your state
Dedicated state pages, with Nebraska and Maine launching first.
Florida (coming soon)
From Miami and Tampa to the Panhandle, with a dedicated Jacksonville page.
Learn more →Texas (coming soon)
From Houston, Dallas, and Austin to the Rio Grande Valley and West Texas.
Learn more →California (coming soon)
From Los Angeles and the Bay Area to the Central Valley and rural north.
Learn more →New York (coming soon)
From New York City and Long Island to Buffalo, Rochester, and upstate.
Learn more →Virginia (coming soon)
From Northern Virginia and Richmond to Hampton Roads and Southwest Virginia.
Learn more →Local to your state
Real resources on every state page
Each state page is written for that state. You'll find the local crisis and warmlines, the state behavioral health authority, NAMI and 211, Medicaid coverage details, and nearby academic medical centers, so you can find help close to home, even before your first visit.
Wherever you're in a state we serve, shrinkMD care is the same: board certified, whole person, seen as soon as clinician availability allows, with no controlled substances.
How licensing works
Why your state matters
Telepsychiatry is regulated state by state. A clinician must hold an active license in the state where you're physically located during your appointment. That's why we ask for your state up front, and why care travels with you only within the states we serve.
If you split time between states we cover, we can often maintain continuity. Just let us know where you'll be for each visit.
Keep exploring
Related care and next steps
shrinkMD data
See federally designated mental health shortage areas in Maine and Nebraska, county by county, on our mental health shortage map, built from HRSA data. Jump to Maine or Nebraska.
Frequently asked questions
Good questions, clear answers
Which states does shrinkMD serve?
Florida, Georgia, Texas, California, New York, Virginia, Nebraska, Indiana, Hawaii, and Maine, each with a dedicated state page. Nebraska and Maine are launching first.
Do you have a page for my state?
Yes, every state we serve has its own page with local crisis lines, the state behavioral health authority, NAMI and 211, Medicaid information, and nearby academic centers. Choose your state above.
Can I be seen if I travel between states?
You can be seen whenever you're physically located in a state where we're licensed. If you move between states we serve, we can often maintain continuity, just tell us where you'll be for each visit.
Is the care the same in every state?
Yes. Board certified, whole person telepsychiatry, seen as soon as clinician availability allows, with no controlled substances, everywhere we practice.
Do you prescribe controlled substances in any state?
No. shrinkMD doesn't prescribe controlled substances in any state. We use non controlled medications such as SSRIs and SNRIs, paired with coordinated therapy.
What if my state isn't listed?
We're expanding. If you don't see your state yet, you can join our waitlist, and we'll let you know when shrinkMD is licensed where you live.
What it costs
Transparent, published pricing
Our self-pay prices are the same in every state where we practice. No insurance billing, and no surprise statement later.
| Service | Self-pay price | What's included |
|---|---|---|
| Initial evaluation | $295 or $395 | $295 with a psychiatric nurse practitioner or $395 with a psychiatrist: a full 45 to 60 minute evaluation, diagnosis, and written plan. |
| Follow-up visits | $110 to $215 | Per visit, depending on clinician and length. Member rates are lower where membership is offered. |
| Membership (optional) | $49 per month | Lower follow-up prices ($145 psychiatrist, $110 nurse practitioner, $120 therapy). First 30 days free. Maine only, once intake opens; not available in Nebraska or Florida at launch. |
Your care team
Who you will see
Your care is delivered by shrinkMD clinicians, and you keep the same one over time. You meet by secure video with a clinician licensed in your state.
- Shariq Refai, MD, MBA, FAPA, founder and board certified psychiatrist (ABPN), dual board certified in psychiatry and in sports and performance psychiatry.
- Matthew George, PMHNP-BC, ANP-BC, dual board certified psychiatric nurse practitioner with more than two decades of clinical experience.
Related reading
More from a trusted source: Mental health - MedlinePlus.
How this page is reviewed and how to cite it
Verify independently: ORCID · Wikidata · NPI Registry · All shrinkMD credentials
shrinkMD. (2026). Locations | Online Psychiatry by State [Web page, medically reviewed by Shariq Refai, MD, MBA]. https://shrinkmd.com/locationsFind care in your state
shrinkMD is opening first in Maine and Nebraska. Join the waitlist and we'll email you when booking opens in your state.
Get StartedAlready know your state is active? Skip to the waitlist.