PMHNP · New York

Supervision Agreement for Psychiatric Mental Health Nurse Practitioners in New York

Yes, a written supervising-physician agreement is required. New York does not name a specific instrument.

Practice authorityConditional independence
Written agreementAgreement required
What New York calls itNo named instrument
Research date2026-08-14

PMHNP is simply the 'Psychiatry' certified specialty within the general NP credential — no separate license or carve-out exists. The identical 3,600-hour/written-agreement/quarterly-review framework applies (see `np`); the collaborating physician for a sub-threshold PMHNP must be specifically psychiatry-qualified.

Independent practice requires: Same 3,600-hour threshold as `np` — PMHNP is a certified specialty area within the general NP credential, not a separate license.

What the supervision must look like

The rules the physician relationship has to follow. Each fact comes from the statute or board rule listed under sources.

Proximity

PMHNP under written practice agreement (below 3,600 practice hours): No proximity requirement

Same as `np` — no codified physical-proximity/radius standard.

Supervision ratio

PMHNPs not located on the same physical premises as the collaborating psychiatrist: Up to 4 at a time

Same off-site-specific 4-provider cap as `np` (Educ. Law §6902) — no PMHNP-specific ratio exists.

Chart review

Not codified — left to the agreement

Meeting cadence

PMHNP under written practice agreement (below 3,600 practice hours): Quarterly, in person or via telehealth

Same quarterly chart-review cadence as `np` (Educ. Law §6902; 8 NYCRR §29.1), performed by the psychiatry-qualified collaborating physician.

Prescriptive authority

Covered by the practice agreement · controlled substances permitted

No NY-specific psychiatric-prescribing carve-out (e.g., no PMHNP-specific rule beyond the general NP framework and the federal DEA/SAMHSA buprenorphine-waiver framework that already applies nationally) was found despite a dedicated search.

Written agreement

Required

Same branch as `np`, with one added specificity: the collaborating physician must be 'qualified to collaborate in the specialty involved' — i.e., specifically a psychiatrist, not just any physician. Same confirmed full exemption above 3,600 hours as `np` (no relationship required at all, per the verbatim statutory text — see that entry).

Practice ownership (corporate practice of medicine)

Licensee-only ownership required — Same framework as `np` — no PMHNP-specific ownership rule found; PMHNP is an NP specialty certification, not a separately licensed category.

Legal sources for these rules (3)

What a supervising physician costs here

Typical monthly cost in New York

$500$600

Estimate for one Psychiatric Mental Health Nurse Practitioner. Standard-tier state.

About New York's rules

New York combines an unusually strict general corporate-practice-of-medicine regime (physician/same-profession-only PC/PLLC ownership) with two notable exceptions: pharmacy ownership is NOT restricted to pharmacists (Educ. Law §6808), and midwifery (CNM) is its own fully independent practice act (Art. 140), unlike the physician-collaboration model governing NP/PMHNP. CRNA has no dedicated practice statute at all — governed only by DOH facility regulation. NP/PMHNP independence (≥3,600 hours) is a repeatedly-extended sunset provision (currently through July 1, 2030), not permanent law.

Other clinicians in New York: see the state overview.