Assistant Clinical Director for Mental Health Startup

Assistant Clinical Director | Integrative Psych | Chelsea, Manhattan | $170–205K total comp

Most of outpatient mental health has reorganized around volume: brief episodes, 15-minute med checks, therapist churn. Integrative Psych is built on the opposite conviction — that serious conditions deserve complete treatment. Our patients are in care for 16 to 150 sessions, weekly stepping down to monthly, with a defined method (long-term psychodynamic therapy, CBT, DBT, ERP, EMDR), targeted medication, and real changes in daily life.

The practice was founded by Ryan Sultan, MD — Columbia professor of clinical psychiatry, NIH-funded researcher with 440+ citations, double board-certified in adult and child/adolescent psychiatry.

The practice has grown to the edge of what one founder's calendar can hold. We're hiring the person who takes over that whole loop.

• Clinical quality across the team: weekly supervision focused on the things that keep patients in treatment — the alliance, treatment plans patients can repeat back, and method fidelity at session 40, not just session 4
• Growth, measured: new patient volume, retention through the treatment arc, clinician utilization — reviewed with Dr. Sultan weekly on one page
• The practice's public presence: talks at schools, therapist offices, and local organizations; a referral network you build and keep warm; expert content in your own name — written, video, interviews, podcasts
• Your own caseload, capped at 20 clinical hours so the leadership half of the job stays real

• Depth training in at least two of our methods (psychodynamic, CBT, DBT, ERP, EMDR)
• Evidence you've built something — a caseload, a program, a service line, a referral network — and can name the number it moved
• The ability to teach: clinicians in supervision, and rooms full of strangers at a talk

Full-time W-2, Chelsea office (on-site majority of the week). Total compensation $170–205K depending on licensure ($225K+ for therapy-trained PMHNPs), structured as base + clinical production + a bonus tied to the growth numbers you own. Guaranteed floor during your first six months while your caseload builds. Health stipend, 4 weeks PTO, CME budget.