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Which EHRs Should a Behavioral Health AI Startup Integrate With in 2026?
This post lists 48 behavioral health EHRs, with what each one is, whether it sells its own AI tool, and a link to its source. Use it to see which EHRs fit your buyers and which ones already sell their own AI tool.
Tross builds connections to EHRs and payer portals for health tech teams, so you can integrate with many EHRs through one API instead of building each connection yourself.
How to use this list
Start with who buys your product. Find your buyer in the Category column: community mental health agencies, addiction treatment centers, outpatient practices, solo therapists, ABA providers, or multi-specialty groups.
Read one category at a time. Rows are grouped by category, so you can go straight to the group that matches your buyer.
Compare reach only within the same unit. In the shortlists below, vendors count practices, providers, facilities or users. A figure in one unit says nothing about a figure in another.
Check overlap. If the EHR already sells its own AI tool, your product may overlap with something its customers can already buy from it.
Decide how to build each connection. Each EHR you add is another integration to build and maintain.
Where to start, by buyer type
These shortlists use only facts stated on each vendor's own site: a customer count and a public API or developer docs page. Many of these APIs still need registration, approval, a paid plan or an API key before you can use them.
Community mental health and human services agencies: Qualifacts (2,200+ agencies, FHIR docs, production access only for licensed customers), Foothold Technology (1,000+ agencies, FHIR docs, each agency approves developer access) and Core Solutions (500,000+ lives served, API documentation, registered credentials needed).
Addiction treatment centers: Kipu (6,000+ facilities, API page, API key needed, and certified partners page). Behave highlights a NARR strategic alliance spanning 2,000+ recovery facilities. Lightning Step and Sunwave have come together, per Sunwave's site.
Outpatient mental health and psychiatry: ICANotes (20,000+ clinicians, FHIR API page, for integration partners) and CarePaths (developer program with API docs). Ensora Health states 28,000+ practices.
Solo and group therapists: SimplePractice (245,000+ practitioners, API launched for its Enterprise plan only), Carepatron (100,000+ clinicians, public API, first release only exports contacts) and Zanda (44,000+ users, API docs exist).
ABA and autism providers: CentralReach (4,000 practices, API page, access through your CentralReach rep) and AlohaABA (API docs, no customer count). RethinkBH states 96,000 providers, and MeasurePM states 10,000+ providers.
Multi-specialty and wellness: Practice Better (50,000+ practitioners, API in beta, paid plans and approval needed), Healthie (40,000 providers and high-growth businesses, API docs) and AdvancedMD (13,000 private practices, developer portal).
List of Behavioral Health EHRs
EHR | Category | What it is | Sells its own AI tool | Source |
|---|---|---|---|---|
Qualifacts | Community mental health | EHR for community behavioral health agencies | ||
Foothold Technology | Community mental health | AWARDS EHR for human services agencies | - | |
Core Solutions | Community mental health | Cx360 EHR for behavioral health and IDD | ||
PIMSY | Community mental health | Mental health EHR | ||
Accumedic | Community mental health | EHR with methadone dispensing | - | |
ClinicTracker | Community mental health | EHR and billing for mental health clinics | ||
GoHealth Solutions | Community mental health | EHR with integrated billing and claims management | - | |
Exym | Community mental health | EHR for behavioral health agencies | - | |
MindWise Health | Community mental health | Platform for group homes and behavioral health | - | |
Streamline Healthcare | Community mental health | SmartCare EHR for CCBHCs and IDD | ||
Welligent | Community mental health | Cloud EHR for mental health and human services | - | |
Kipu | Addiction treatment | EMR and billing for treatment centers | ||
Behave Health | Addiction treatment | EHR and CRM for addiction treatment | ||
Opus | Addiction treatment | CRM, EHR and billing for treatment centers | ||
Alleva | Addiction treatment | EMR for IOP, PHP and residential programs | ||
AZZLY | Addiction treatment | Rize EHR for addiction treatment | ||
BestNotes | Addiction treatment | EHR for addiction and behavioral health | - | |
Lightning Step | Addiction treatment | CRM and EHR, has come together with Sunwave, per Sunwave's site | ||
MedEZ | Addiction treatment | Software for substance abuse facilities | - | |
Ritten | Addiction treatment | Cloud EMR for residential and outpatient programs | ||
Sigmund Software | Addiction treatment | AURA EHR for substance use treatment | ||
Sunwave | Addiction treatment | EHR and CRM for substance use programs | ||
ICANotes | Outpatient mental health | Behavioral health EHR | ||
CarePaths | Outpatient mental health | Behavioral EHR with teletherapy and billing | ||
Valant | Outpatient mental health | EHR for therapists and psychiatrists | ||
Ensora Health | Outpatient mental health | TheraNest EHR for mental health practices | ||
Psykdesk | Outpatient mental health | Practice management and EMR | - | |
TherapyNotes | Outpatient mental health | Practice management for behavioral health | ||
SimplePractice | Therapist practice platforms | EHR for therapists and psychiatrists | ||
Carepatron | Therapist practice platforms | Practice management for many practitioner types | ||
Zanda | Therapist practice platforms | Practice management for therapy professions | ||
TherapyAppointment | Therapist practice platforms | EMR for mental health practitioners | ||
Sessions Health | Therapist practice platforms | EHR for solo and group practices | ||
My Best Practice | Therapist practice platforms | EHR for mental health clinicians | ||
CounSol | Therapist practice platforms | Practice management for counselors | - | |
CentralReach | ABA and autism care | EMR for autism and IDD care | ||
AlohaABA | ABA and autism care | ABA practice management | - | |
RethinkBH | ABA and autism care | ABA practice management | ||
MeasurePM | ABA and autism care | ABA data collection and billing | - | |
Raven Health | ABA and autism care | ABA practice management | ||
Hi Rasmus | ABA and autism care | Clinical platform for ABA practices | ||
Noteable | ABA and autism care | EHR for ABA and community agencies | - | |
S Cubed | ABA and autism care | Platform for pediatric therapy practices | - | |
Practice Better | Multi-specialty and wellness | EHR for wellness and mental health practitioners | ||
Healthie | Multi-specialty and wellness | EHR for behavioral health and nutrition | ||
AdvancedMD | Multi-specialty and wellness | Multi-specialty EHR that lists mental health | ||
Harmony Medical | Multi-specialty and wellness | Mental Health System for psychiatry | - | |
Remedly | Multi-specialty and wellness | EHR and billing for mental health practices |
What to do next
Once you have your shortlist, each EHR is another integration to build and maintain. Tross builds these connections for health tech teams.
Once you know which EHRs matter, the next decision is how to connect to them. Compare API platforms for EHRs and payers or Redox alternatives. If eClinicalWorks is on your shortlist, see the eClinicalWorks write-access guide.
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