Whether you're starting a new psychiatry practice or scaling the one you already have, we help you build it to run — and sell — without you. For psychiatrists anywhere in the U.S.
Built by Dr. Rana Kaleemullah, MD, and Isaac in our own Southlake, Texas practice — and we work with psychiatrists across the U.S. We take on a few practices at a time, by waitlist.
Illustrative client scenario. Before: A solo, ADHD-focused practice: fully booked on the owner's own calendar, credentialed entirely through a platform, with no way to add a clinician. What we did: We moved the highest-value payers onto contracts in the practice's name, documented intake and operations, then credentialed a PMHNP under those contracts. After: The practice now earns on visits the owner never has to attend — and for the first time has insurance contracts and providers a future buyer can actually value.
Illustrative example of the work and sequence — not a specific client's guaranteed result. Outcomes vary by practice.
We're Dr. Rana Kaleemullah, MD, and Isaac — the founders of SLS Psychiatry in Southlake, Texas. We started exactly where most solo practices start: one physician, one calendar, every dollar tied to whether Dr. K was in the room.
The turning point was realizing that a practice built entirely around the doctor pays well but can't be sold for much — almost none of it transfers. So we rebuilt it on purpose: selected payer contracts in our own name, an AI-driven intake and phone system that greets every new patient before staff do, and operations documented so the practice runs on process instead of memory.
Now other psychiatrists ask how we did it. Because we stay hands-on with every practice we take on, we only work with a few at a time — which is why this runs from a waitlist.
Decide which payers to take, which to avoid, and how to structure the practice so insurance adds value instead of chaos.
“You don't need to take every insurance plan. You need a selective payer strategy that fills the practice with commercially insured patients while protecting your time and margins.”
Proof: In our own practice, moving to selected contracts in our name turned insurance from a margin drain into a transferable asset.
Add PMHNPs, PAs, therapists, or another psychiatrist under your practice — the step that turns a job into a business.
“A buyer pays more for a practice that generates revenue without the owner seeing every patient. Adding providers is one of the biggest steps from job to business.”
Proof: Our first associate provider generates revenue on visits neither founder has to attend.
Put the whole practice on systems — including the AI stack we run ourselves — so it runs on process, not memory. This is the groundwork that makes adding providers safe.
“Before adding providers, we need the practice to run on systems, not memory.”
Proof: Our AI phone agent and intake screening handle first contact before a human ever touches the file.
Once contracts and operations are ready, build a reliable patient acquisition channel so the schedule fills predictably.
“Once the payer contracts and operations are ready, we make sure the practice has a reliable patient acquisition channel.”
Proof: This very site is the example — condition-specific pages bring in new patients predictably through search.
The cheapest time to set a practice up correctly is before you open the doors. If you're starting a new private psychiatry practice — anywhere in the U.S. — we help you build the same valuable, scalable structure from the very first decision, instead of spending years undoing the shortcuts most new owners take.
Most owners spend years reversing setup decisions made in month one. Start with the structure your future buyer — and your future self — will thank you for.
If you got credentialed through a platform like Headway, Alma, or Grow Therapy, your insurance contracts probably aren't in your name — they're under the platform's group. That's fine to get started, but most owners never realize what it costs them:
We move you to contracts you own — deliberately, without disrupting patient care — so your insurance becomes an asset instead of a leak.
High-ticket decisions deserve arithmetic, not adjectives. Here's the shape of the math — illustrative, so plug in your own numbers:
Illustrative figures for explanation only — not a forecast, valuation, or promise of results. Actual multiples and revenue vary widely by market, payer mix, and practice.
A strong fit:
Probably not a fit:
Not ready for a full engagement — or not sure you're a fit for the waitlist? Book a focused, one-time strategy call with both founders. We dig into your specific practice and leave you with a concrete, prioritized action plan you can run yourself.
One-time, no ongoing commitment. Request below and we'll email you payment and scheduling details. Request a strategy call.
It's hands-on help starting or scaling a psychiatric practice into a more valuable, scalable business — building the infrastructure a future buyer cares about: selective insurance contracts, clean billing, a stronger intake system, provider expansion, repeatable patient acquisition, and documented operations. We focus specifically on psychiatry and small practices because that's what we run ourselves.
At a high level: form the right business entity, get your NPI and licensing in order, decide on a payer strategy and get credentialed with insurance contracts held in your own name (not a platform's), set up intake, phone, scheduling, billing, and documentation systems, and build a patient-acquisition channel so your schedule fills predictably. The trap is making month-one decisions that quietly cap your practice's value later. We guide psychiatrists through starting a new practice end to end so it's built to scale — and one day sell — from day one.
Yes. About half of what we do is helping psychiatrists open a brand-new private practice the right way — entity and practice setup, insurance credentialing with contracts in your name, the systems and AI stack we run ourselves, and a patient-acquisition channel — so you start with the structure most owners take years to retrofit.
No — we work with psychiatrists anywhere in the United States. Our own clinical practice is in Southlake, Texas, but the consulting playbook (payer strategy, credentialing, provider expansion, systems, and growth) applies nationally. State-specific details like licensing and payer enrollment vary, and we account for your state when we build your roadmap.
If you were credentialed through a platform like Headway, Alma, or Grow Therapy, your payer contracts are usually held under the platform's group, not in your practice's name. That caps you in three ways: you can't credential an associate under contracts you don't hold, the contracts don't transfer to a buyer (so they add little to your sale value), and the platform takes a cut of every reimbursement. We help you move to contracts you own, deliberately and without disrupting patient care.
Dr. Rana Kaleemullah, MD, and Isaac — the founders of SLS Psychiatry, an adult psychiatry practice in Southlake, Texas. We built these exact systems in our own practice, so the guidance comes from doing it, not theorizing about it.
No — that's the opposite of the goal. We help you build value while protecting your clinical standards. Insurance contracts are chosen selectively, for the predictable, transferable revenue a buyer values, not to cram your schedule. The aim is a practice that's worth more and depends on you less.
We stay hands-on with every practice we work with, so we only take on a small number at a time. Applying to the waitlist lets us learn about your practice and reach out when we have capacity and it's a clear fit.
Absolutely. Most of the practices we help are solo or small group, and the playbook — payer strategy, acquisition and intake, provider expansion, and documented operations — applies whether you see patients in person, via telehealth, or both.
We review your application personally. If it looks like a fit, we'll reach out to schedule a call and go deep on your practice. There's no obligation to apply, and applying simply puts you on our radar for when we have capacity.
Yes. If you want senior eyes on your practice without a full engagement, you can book a one-time strategy call ($1,000) with both founders. We dig into your specific situation and give you a prioritized action plan you can run yourself — a good option if you're mostly full, working solo, or simply want direction. Payment and scheduling are arranged by email after you request the call.
Apply to the waitlist — tell us about your practice and we’ll review it personally and reach out when it’s a fit. No obligation, no cost to apply.