Membership

Membership in the NIP Professional Association is open tomembers of the NIP community, upon payment of dues and agreement to abide by the rules and regulations of the Association.

Click here for a description of different membership types (Associate vs. Full membership).

Email questions related to NIPPA Membership to nippaorg@gmail.com.
If you are having any technical issues with the membership form, please reach out to Kenny Phu (646-783-7720, kphu@nipinst.org)

Please select the membership type. Full Membership - $185 Associate Membership - $185 First Year Graduate - $145 Current NIP Candidate/Student - $75
NIP Affiliation (Programs) *
Legend: C&A3 - 3-Year Training Program in Child and Adolescent Psychoanalysis & Comprehensive Psychotherapy C&A1 - Relational Psychoanalytic Approaches to Working with Children & Adolescents (1-Year Program) CSP - The Center for Spirituality & Psychotherapy IPSS - Institute for the Psychoanalytic Study of Subjectivity ITP - Integrative Trauma Program LQP - License Qualifying Program NIP - Four-Year Training Program in Adult Psychoanalysis & Comprehensive Psychotherapy NTP - National Training Program in Contemporary Psychoanalysis OYE - One-Year Evening Program PEx - Psychology Externship & Internship Program PIP - Psychotherapy Integration Program R - Recovery Program STP - Supervisory Training Program
For any programs that you are affiliated with, please indicate the following: If you are a graduate, indicate the year you graduated. (Ex: NIP: 2010) If you are a current student, indicate your current program year. (Ex: NIP: 3rd Yr) If you are are advisor (Adv), faculty (F), or supervisor (S), please indicate this. For ITP, indicate whether you are Trauma Affiliate (TA) or Trauma Certificate (TC). (Ex: ITP: TA) For OYE, indicate whether you are clinical (C). (Ex: OYE: C 2nd Yr) These indicators may be combined. (Ex. 4-Year program graduate who is currently a Supervisor would indicate this - NIP: 1987 S)
NIP Affiliation (Other) *
Legend: AC NIP - NIP TI Advisory Committee Adv - Advisor ASP - Advanced Seminar Program Bd NIP - NIP TI Board of Directors CD - Career Development Conf co - Conference Coordinator Cont Ed - Continuing Education CRC - Candidate Recruitment Committee Curr - Curriculum Committee EC NIPPA - NIP TI Professional Assoc. Executive Council Edu - Education Committee F - Faculty FP - Final Project Committee Jour - Psychoanalytic Perspectives Committee PC - Psychiatric Consultant S - Supervisor Trau - Trauma Program Planning Committee Tx Ctr - Treatment Center Committee
Please enter your Credentials (PhD, LCSW, etc.) separated by commas
Mailing Information
Office 1 Street Address *
Office 1 Street Address
Office 2 Street Address
Office 2 Street Address
Home Street Address
Home Street Address
Preferred Mailing Address *
Please choose your preferred mailing address.
Phone Numbers
Home Phone
Home Phone
Work Phone
Work Phone
Mobile Phone
Mobile Phone
Fax
Fax
Directory Listing
Please list all health insurance plans you accept. Type each one on a separate line if more than one is accepted.
Besides English, please list all languages you use in your practice. Write one language per line.
Therapist Specialties
Select up to 3 primary specialties.
Please select the primary region served by your practice.
Please select the primary region served by your practice.
Are you interested in becoming more involved with NIPPA?
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