← Back to blog
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 each group top to bottom. Within a category, rows are sorted in this order: public API and a stated customer count first, then public API only, then a stated customer count only, then neither. Inside each of those, larger counts come first.
Compare reach only within the same unit. Vendors count practices, providers, facilities or users. A figure in one unit says nothing about a figure in another. Some counts include other specialties, and the table says so.
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. Tross builds connections to EHRs and payer portals, and its FAQs list TherapyNotes among its supported platforms.
Where the table points, by buyer type
These shortlists use only the facts in the table below: a stated customer count and a public API or developer docs page on the vendor's site.
Community mental health and human services agencies: Qualifacts (2,200+ agencies, FHIR docs), Foothold Technology (1,000+ agencies, FHIR docs) and Core Solutions (500,000+ lives served, API documentation).
Addiction treatment centers: Kipu (6,000+ facilities, API page and certified partners page). Behave Health states 2,000+ facilities. Lightning Step and Sunwave are now one company.
Outpatient mental health and psychiatry: ICANotes (20,000+ clinicians, FHIR API page) and CarePaths (developer program with API docs). Ensora Health states 28,000+ practices.
Solo and group therapists: SimplePractice (250,000+ practitioners, API launched for its Enterprise plan only), Carepatron (100,000+ clinicians, public API) and Zanda (44,000+ users, API docs exist).
ABA and autism providers: CentralReach (4,000 practices, API page) and AlohaABA (API docs, no customer count). RethinkBH (96,000 providers) and MeasurePM (10,000+ providers) publish counts but have no public API page that we saw.
Multi-specialty and wellness: Practice Better (50,000+ practitioners, API in beta), Healthie (40,000 providers, 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, now part of Sunwave per its 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. Its FAQs lists Athena, eClinicalWorks, ModMed, Netsmart, TherapyNotes and many more EHRs. Their supported platforms are available instantly and new ones typically take within a week.
5 Best Tools for eClinicalWorks Write Access Without Its Partner Program in 2026
5 Best Redox Alternatives to Integrate with EHRs in 2026
Get APIs for any EHR or Payer Portal
Bridge the gap to EHR and Payer data with enterprise-grade APIs designed for scale
Book a demo
Get APIs for any
EHR or Payer Portals
Tross
© 2026 Tross. All rights reserved.