Healthcare & Clinic Software
3.6/5.0
VerifiedContact SalesLast technical review:
Markdown for AI (.md)

TherapyNotes

Behavioral health practice management and EHR software for clinics.

Pricing

Contact

Contact Sales
Score

3.6/5

Certifications
2
Last technical review
2026-11-02
Available plansVisit website (opens in a new tab)

Technical Overview

TherapyNotes is a practice management software built for behavioral health professionals, helping securely manage records, book appointments, write clinical notes, and handle billing. Deployed as a cloud-based SaaS solution for mental health practitioners.

Analyst Evaluation: Pros and Limitations

Verified Advantages

  • Tailored specifically for behavioral health and mental health workflows
  • Combined clinical records and electronic billing capabilities
  • Structured tools for clinical note-taking and appointment scheduling

Technical Considerations

  • Opaque pricing requiring sales contact for custom quotes
  • Historical community discussions regarding industry security incidents

Technical Capabilities & Features

3/7
Not available:REST & GraphQL API
Not available:SSO / SAML Authentication
Not available:Self-Hosted Option
Included:Full Data Export
Included:Role-Based Access Control (RBAC)
Not available:Custom Domains & SSL
Included:Immutable Audit Logs
Scorecard
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Technical Scorecard: TherapyNotes

65/100
DX & Tech Documentation
Favorable
60/100
Pricing Fairness
Improvable
55/100
Security & Governance
Favorable
70/100
Data Portability & Sovereignty
Favorable
65/100
Performance & Reliability
Favorable
75/100

Time to Value & Fit by Segment: TherapyNotes

Estimated Time-to-Value1 - 7 days (Agile)

Standard sprint integration without complex external dependencies.

Learning CurveModerate (Standard)

Requires consulting technical documentation and basic credentials setup.

Fit Index by Organization Size

Startup & Agile Teams1 to 50 members
70%
Mid-Market & Scaleup50 to 500 members
60%
Corporate Enterprise500+ members
40%
Pricing & TCO
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Pricing

Contact Sales/mo

Model: CONTACT.

Available plans:

  • Plan ProfesionalCustom
Get TherapyNotes (opens in a new tab)

Billing Risks & Hidden Clauses: TherapyNotes

Audited Billing Critical Points:
  • Contact-based pricing makes budget forecasting difficult without direct sales outreach.
Total Cost of Ownership (TCO) Projection: TherapyNotesCONTACT
Deterministic cost estimation at 12 and 36 months based on team size, including SSO tax premiums and annual prepay discounts.
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Indie / Solo (1 active user)

Solo developer or independent technical founder.

Base Monthly Cost
$12/month
1 active user
12-Month Investment
$122/year
Includes ~15% savings via annual billing
3-Year TCO Projection (36m)
$366total
Consolidated software licensing expenditure

Estimated Self-Hosted VPS + DevOps Cost

Break-Even Point: Profitable starting at 3 active users

Calculated infrastructure: VPS 1 vCPU / 2GB RAM (~$5) + 0.5h DevOps/mes ($20)

Annual VPS + DevOps Cost$300/year
Differential vs SaaS LicensingSaaS is $178/year
Startup (10 active users)

Agile engineering team in validation and early traction stage.

Base Monthly Cost
$120/month
10 active users
12-Month Investment
$1,224/year
Includes ~15% savings via annual billing
3-Year TCO Projection (36m)
$3,672total
Consolidated software licensing expenditure

Estimated Self-Hosted VPS + DevOps Cost

Break-Even Point: Profitable starting at 10 active users

Calculated infrastructure: VPS 2 vCPU / 8GB RAM (~$15) + 2h DevOps/mes ($80)

Annual VPS + DevOps Cost$1,140/year
Differential vs SaaS LicensingSavings of $84/year
Growth (25 active users)

Scaling company with team governance and granular access control requirements.

Base Monthly Cost
$300/month
25 active users
12-Month Investment
$3,060/year
Includes ~15% savings via annual billing
3-Year TCO Projection (36m)
$9,180total
Consolidated software licensing expenditure

Estimated Self-Hosted VPS + DevOps Cost

Break-Even Point: Profitable starting at 28 active users

Calculated infrastructure: Cluster VPS 4 vCPU / 16GB RAM (~$45) + 6h DevOps/mes ($240)

Annual VPS + DevOps Cost$3,420/year
Differential vs SaaS LicensingSaaS is $360/year
Scaleup (100 active users)

Established organization with enterprise security policies and mandatory SAML/SSO.

Base Monthly Cost
$1,200/month
100 active users
12-Month Investment
$12,240/year
Includes ~15% savings via annual billing
3-Year TCO Projection (36m)
$36,720total
Consolidated software licensing expenditure

Estimated Self-Hosted VPS + DevOps Cost

Break-Even Point: Profitable starting at 78 active users

Calculated infrastructure: Infraestructura HA redundante + Backups (~$150) + 16h DevOps/mes ($640)

Annual VPS + DevOps Cost$9,480/year
Differential vs SaaS LicensingSavings of $2,760/year
Usage Surcharges & Bill Shock Simulator: TherapyNotesWhat usage costs as you scale
Detect overage penalties before they impact engineering budget.
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Prototype / MVP (10 GB)

Included base quota in plan: 20 GB.
Low Risk / Predictable Bill
Base Monthly Rate
$20/mo
Fixed subscription or contracted tier
Overage Penalty
$0/month extra
Usage covered within plan quota
Estimated Monthly Invoice
$20/mo
Total monthly cost before taxes
Technical Mitigation Recommendation:

Suitable for development; verify concurrent connection limits.

Base Production (50 GB)

Included base quota in plan: 20 GB.
Low Risk / Predictable Bill
Base Monthly Rate
$20/mo
Fixed subscription or contracted tier
Overage Penalty
+$5/month extra
Variable surcharge for consumption above plan quota
Estimated Monthly Invoice
$25/mo
Total monthly cost before taxes
Technical Mitigation Recommendation:

Implement table compression policies and temporal partitioning.

Active Growth (250 GB)

Included base quota in plan: 20 GB.
High Risk / Accelerated Overages
Base Monthly Rate
$20/mo
Fixed subscription or contracted tier
Overage Penalty
+$41/month extra
Variable surcharge for consumption above plan quota
Estimated Monthly Invoice
$61/mo
Total monthly cost before taxes
Technical Mitigation Recommendation:

Offload cold backups to standard object storage (S3).

Large Scale (1.000 GB (1 TB))

Included base quota in plan: 20 GB.
Critical Risk / Severe Bill Shock
Base Monthly Rate
$20/mo
Fixed subscription or contracted tier
Overage Penalty
+$176/month extra
Variable surcharge for consumption above plan quota
Estimated Monthly Invoice
$196/mo
Total monthly cost before taxes
Technical Mitigation Recommendation:

Migrate to dedicated instance or self-hosted cluster to curtail I/O fees.

Procurement Strategy & Discounts: TherapyNotesB2B Negotiation Playbook
Corporate executive level with highest authority to approve budgetary exceptions.
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Fair Market Price & B2B Procurement Benchmark

Non-renewal notice: 30 days before expirationMedian achieved discount: -12%
Public List Price
Custom / Contact
100% baseline
Audited Market Average
-12% median
~88% of list price
Optimized Target Price
-20% target
Max achievable discount (Q4 / multi-year): -20%

Verified Tactical Savings Levers

  • Annual Upfront PrepayUp to -15%

    Consolidated discount for upfront annual billing versus monthly rate.

  • Volume Seat TiersUp to -20%

    Tiered volume pricing discounts when exceeding team seat thresholds.

Security & Data Exit
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Compliance & Security Standards: TherapyNotes

SOC 2 Type IINot reported
ISO 27001Not reported
GDPR / RGPDAudited
HIPAAAudited
PCI-DSSNot reported
Jurisdiction & Legal Sovereignty
🇺🇸United States [US]Subject to US CLOUD ActGDPR DPA Available
SSO Availability (SAML Enterprise)
Enterprise-Only SSO
Data Residency
USAWS
AI Privacy Policy
Not evaluated
Data Liberation & Migration Runbook: TherapyNotesPDF · CSV
Actionable escape runbook and credential export guarantees to mitigate vendor lock-in.
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Supported Structured Export Formats
PDFCSV
Password Hash Portability
Subject to Support Ticket (Manual Process)

Credential hash export requires commercial mediation or formal support ticket approval.

Deployment & Infrastructure Requirements: TherapyNotesDocker
Hardware specs and Docker directives to run on local servers, dedicated VPS, or Kubernetes without telemetry leak to the cloud.
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Minimum Memory1 GB RAM (Recommended)
Compute CPU1 vCPU
Runtime / LanguageTypeScript / Go / Rust
Code LicenseOpen Source
Docker CLI Directive
docker run -d --name therapynotes -p 8080:8080 therapynotes:latest
Companion Services & Dependencies:
PostgreSQL 15+Redis 7+
Community & Repository
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Technical Reputation of TherapyNotes

62/100 Technical Trust

Frequent Praises in Production

  • Tailored specifically for behavioral health and mental health workflows
  • Combined clinical records and electronic billing capabilities
  • Structured tools for clinical note-taking and appointment scheduling

Reported Production Frictions

  • Opaque pricing requiring sales contact for custom quotes
  • Historical community discussions regarding industry security incidents
Commercial Treatment & Vendor Lock-in:Requires Sales Contact

Assisted cancellation requiring meeting with account team or contract notice period.

Frequently Asked Technical Questions (TherapyNotes)

Who is TherapyNotes built for?

It is designed specifically for therapists, psychologists, psychiatrists, and behavioral health professionals needing clinical record and schedule management.

Does TherapyNotes include billing tools?

Yes, the platform integrates payment processing, electronic billing, and insurance claims tracking functions.

How is TherapyNotes accessed?

It operates as a cloud-based SaaS service accessed via standard web browsers without requiring local server infrastructure.

Direct Alternatives

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