Career Survey - Animo Sano Psychiatry

Collaborating / Supervising Physician for Advanced Practice Providers

Animo Sano Psychiatry is looking for passionate and innovative Collaborating / Supervising Physician for Advanced Practice Providers(s). We are a North Carolina-based behavioral health specialty practice focused on transforming the provision of mental healthcare; specifically ADHD care.

In what state(s) do you currently hold your valid, unexpired, license to practice

I do not currently hold a license

In what state(s) do you currently hold a valid, unexpired, DEA license?

I do not currently hold a DEA license.

Would you be able to apply for and receive a physician assistant license and DEA license in the state of North Carolina prior to the start of this position?

Yes No

How many years of experience do you have practicing as a psychiatric physician assistant

How many of those years were in behavioral health care

Has a professional license in your name ever been denied or revoked or; do you have any past or current professional society investigations in your name or; have any prior employers, medical boards, or licensing authorities, or legal bodies taken disciplinary action against you or; have you had past or current investigations of payer claims fraud or abuse?

Yes No

Please Explain

We are actively growing and want to keep you on our call list for future position, please attach your resume or CV below and we will reach out when the time is right.

First Name

Last Name

Phone Number

Email Address

Optional Attach CV here

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Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming