PMHNP MBABusiness school for private psychiatric practice

For psychiatric NPs, psychiatrists and PAs

Start the practice.
Keep what it earns.

"I should start my own practice" is forty decisions, not one: the split, the platform's cut, the collab fee, the credentialing clock. Which one first? I run a practice, and these lessons take the forty one at a time, in the order that doesn't waste a year. They're free, and lesson 1 is already up.

COMPOSITE · MOVE THE NUMBERS
THE SAME VISIT. TWO CHAIRS.
EMPLOYED · YOU KEEP · VISIT
79
YOUR PRACTICE · YOU KEEP · VISIT
110
A YEAR, 46 WEEKS
$200K → $278K
Composite math on your inputs, never a patient's, never advice. Employed: your share minus $25 a visit in admin and collab. Own practice: minus $38 a visit in overhead. Lesson 1 works the split; the cash lesson works the overhead.
Employed, doing the math at night?

Lesson 1 is yours. Read your split the way you'd read a lab, then decide with a number, not a feeling.

Launching?

The sequence is cash, then the four gates, then the collab term sheet. That order is the one that doesn't cost you thirty weeks.

Open, and paid less than it looks?

The codes, the two report cards, the platform's cut and the show rate. Find the leaks before you add slots.

Canybec Sulayman, PMHNP-BC, MBA

Canybec Sulayman, PMHNP-BC, MBA

I own Horizon Peak Health, diagnostic psychiatry in California and Arizona: three offices, two state licenses, in-network and cash. I built Psynopsis, the software it runs on. UCLA Anderson MBA, 2016. The practice now has a second PMHNP on it, so I sit in both chairs: the one signing the offer and the one writing it. Every number in these lessons has a real counterpart in a practice that's open right now.

The free lessons · one decision each · read them now
  1. 01 59 A 70/30 Split Is Not a Business →
  2. 02 1,680 90833 Is Not a Growth Lever →
  3. 03 99214 + 90833 Two Report Cards for the Same Visit →
  4. 04 3,060 A Take Rate Is Not a Marketing Department →
  5. 05 8 WEEKS Profit Is Opinion, Cash Is Fact →
  6. 06 30 WEEKS An NPI Is Not Permission to Get Paid →
  7. 07 6,000 You Paid $18k With No Alternative →
  8. 08 143 / HR A Full Calendar Can Still Be Underpaid →
The worksheetsSeventeen printable pages, one under every lesson, and they're free. The question universeEvery recurring question, sorted by the stage you're in, each pointed at the lesson that answers it. The two toolsMarket Pulse turns one 30-day window into one decision. The NPI audit reads what's on your live record.

What one lesson looks like

The case

A psych NP on a telehealth platform sees 68 patients a month. The platform sends the patients, runs the billing, and keeps $45 of every visit, for as long as she stays. She calls it her marketing. Is it?

The chart

$45 × 68 visits is $3,060 a month. After the first visit those patients come back for her, not for the platform, and the $45 keeps coming out.

The name

Schools call this a take rate. Once it has a name you can measure it, and once you can measure it you can negotiate it, or leave it.

All eight are already written out, each with its board, its two cases and its worksheet. The list gets one a week from the day you join, and the videos go up on YouTube one a week. The Psychology Today brief, written by hand, lives inside the business fellowship.

Send me lesson 1
The odds · the part nobody says out loud
1 in 2 Year 1 · 78%Year 5 · 51%Year 10 · 34% still open, half are gone by year five U.S. Bureau of Labor Statistics, Business Employment Dynamics
60% → 42% 60.1%42.2%53.2%35.4%20122024 physicians in private practice, with an ownership stake AMA Physician Practice Benchmark Survey, 2024
1 in 20 6 of every 100 nurse practitioners who are self-employed AANP National NP Sample Survey (5.7%)

"Create your own freedom" is the top layer. Underneath it, half of new businesses close, the physicians who had a head start are leaving private practice, and nobody publishes the closure rate for NP practices. I've watched colleagues close theirs. So what did the ones that stayed open do differently? Not better ideas. They made the forty decisions in the right order, and that's the only part of this that can be taught.

Suppose you went · two years, ~$160,000 in tuition
Canybec Sulayman at UCLA Anderson commencement, in cap and gown, holding the University of California diploma
UCLA Anderson commencement, June 2016.

Say you took two years off, paid UCLA Anderson's tuition, and walked back into your practice on a Monday. What would you actually use?

  • You'd price the collaborating physician against a real second option, not against fear.
  • You'd read the platform's $45 like a lab value: name it, trend it, ask what it buys.
  • You'd sequence credentialing like a discharge, the one chain that gates everything else.
  • You'd know your real hourly the way you know your no-show rate.

That short list is the part of the $160,000 you'd actually keep.

Then · the two rooms

The same school, on your numbers.

The lessons are the same in both rooms, and that's on purpose. What you're paying for in the second one is an hour of mine on a real practice: Wednesday's lesson, Sunday's case review, and a reply within a day.

Free · on Skool

PMHNP MBA: Foundations

The eleven lessons and their worksheets, indexed, and a room to ask about your own numbers. I read every post.

Join Foundations →

It's the founding price for the first fifty, locked, and membership is verified. Join any week; your first week is the same whenever you arrive. A full year costs less than one week of that MBA tuition.