Skip to main content
MEMBER LOG IN
NCSPP
Northern California Society for Psychoanalytic Psychology
About
About NCSPP
Board of Directors
Community Service Award
Faculty
History of NCSPP
Mailing List Policy
NCSPP By-Laws
NCSPP Committees
Past Presidents
Related Organizations
Who Is NCSPP?
Membership
Courses/Events
Courses and Events
Calendar
Call for Proposals
Policies & CE Info
Scholarship Fund
Submit Course Proposal
OnDemand Video Library
Publications
Annual Writing Award
fort da
Online
Impulse
Online
Donate Now
Search form
Search
Primary tabs
Create new account
(active tab)
Log in
Request new password
Vertical Tabs
Account Information
First Name
*
Last Name
*
Degree
- None -
BA
BS
DMH
DO
Ed.D.
LADC
LCSW
LMFT
M.D.
MA
MFT
MFTi
MS
MSW
Other
Ph.D.
Psy.D.
RN
E-mail
*
A valid e-mail address. All e-mails from the system will be sent to this address. The e-mail address is not made public and will only be used if you wish to receive a new password or wish to receive certain news or notifications by e-mail.
Confirm e-mail address
*
Please re-type your e-mail address to confirm it is accurate.
Password
*
Confirm password
*
Provide a password for the new account in both fields.
License Information
License State
*
AK
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
License Type
*
Licensed Clinical Social Worker
Licensed Marriage & Family Therapist
Licensed Physician
Licensed Psychologist
Marriage & Family Therapy Intern
Registered Nurse
Registered Psychological Assistant
Registered Psychologist
Social Work Intern
NONE
OTHER
License Number
Year Became Licensed
Date
Format: 2024
APA Member
Are you a current APA member?
Div 39 Member
Are you a current Division 39 member?
Additional Information
Website
Order
Website
Title
The link title is limited to 128 characters maximum.
URL
Weight for row 1
0
Community Mental Health Agency (REQUIRED if applying for CMH membership)
- None -
Access Institute
Ann Martin Center
Instituto Familiar de la Raza
Larkin Street Youth Services
Lincoln Child Center
McAluey Institute
New Bridge Foundation
RAMS
Westcoast Children's Clinic
Other
This is REQUIRED for those applying for CMH membership.
Community Mental Health Role (REQUIRED if applying for CMH membership)
- None -
Administrator
Clinician
Supervisor
Teacher
Other
This is required only for those applying for CMH membership.
Work At Least 50% Of Time At CMH Clinic (REQUIRED if applying for CMH membership)
No
Yes
This is required only for those applying for CMH membership.
Grad School/Psychoanalytic Institute Training
- None -
Alliant University (formerly CSPP)
Argosy University
California Institute for Integral Studies
John F. Kennedy University
Jungian Institute
PINC
San Francisco State University
SF-CP
Stanford University
University of California, Berkeley
Wright Institute
OTHER
Please select all that apply. To select multiple choices hold the shift or command button on your keyboard.
Professional Affiliations
- None -
Alliant University (formerly CSPP)
American Psychiatric Association (APA)
American Psychological Association (APA)
Argosy University
C.G. Jung Institute of S.F.
California Association of Marriage & Family Therapists (CAMFT)
California Institute for Integral Studies
California Psychological Association (CPA)
Division 39
John F. Kennedy University
OTHER
PINC
PINC Community Member
San Francisco State University
SF-CP
SF-CP Community Member
Stanford University
The Psychotherapy Institute (TPI)
University of California, Berkeley
Wright Institute
Please select all that apply. To select multiple choices hold the shift or command button on your keyboard.
Modality
- None -
Brief Therapy
Child/Play Therapy
Clinical Consultation and/or Supervision
Couples Therapy
Depth Therapy
Family Therapy
Group Therapy
Individual therapy
Parent/Infant Dyads
Psychiatric Medication Consultation/Management
Psychoanalysis
Psychological Assessment/Testing
OTHER
Please select all that apply. To select multiple choices hold the shift or command button on your keyboard.
Age Breakdown
- None -
Children 0 to 5
Latency age children
Teens
Young Adults
Adults
Elderly
Please select all that apply. To select multiple choices hold the shift or command button on your keyboard.
Specialties
- None -
Abuse and/or Torture Survivors
Adolescent issues
Adoption and/or Foster Care Issues
Anxiety
Arts (Film, Literature, Writing, Visual Arts, Music, etc)
Asperger's/Autism Spectrum Disorders
Bereavement, Grief and Loss
Body Image Issues
Caregiver Issues
Chronic Pain/Pain Management
Compulsive and/or Addictive Behaviors
Creative Blocks & Creativity
Crisis Intervention
Custody Evaluations
Depression
Dissociative Disorders
Domestic Violence
Eating Disorders
Families/Loved Ones of People with Mental Illness
Gender Issues
Illnesses: Chronic and/or Terminal
Immigration and Acculturation issues
Issues related to Aging
Learning Disabilities/ADHD/ADD
LGBTQIQ Issues
Life Transitions
Mediation
Multi-Cultural Issues
Parenting Issues
Peri-Natal and/or Post-Partum Issues
Personality Disorders
Pregnancy, Infertility and/or family planning issues
Psychotic Disorders
PTSD
Self-Destructive Behaviors
Sexuality and/or Sexual Identity Issues
Spiritual and/or Religious Issues
Substance Abuse and/or Dependency
Trauma
Work & Professional Issues
OTHER
Please select all that apply. To select multiple choices hold the shift or command button on your keyboard.
More Info
Mailing Address (required)
Mailing Address (only visible to NCSPP administrator)
Country
*
Argentina
Australia
Brazil
Canada
Chile
Costa Rica
France
Germany
Israel
Italy
Spain
Sweden
Switzerland
United Kingdom
United States
Address 1
*
Address 2
City
*
State
*
- Select -
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
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
--
Armed Forces (Americas)
Armed Forces (Europe, Canada, Middle East, Africa)
Armed Forces (Pacific)
American Samoa
Federated States of Micronesia
Guam
Marshall Islands
Northern Mariana Islands
Palau
Puerto Rico
Virgin Islands
ZIP code
*
Phone
*
Private
Tick this if you want to hide this value from non-administrators.
Office Address #1
Same as Mailing Address
Office Address #1
Country
- None -
Austria
Brazil
Canada
Chile
Costa Rica
France
Germany
Israel
Italy
Spain
Sweden
Switzerland
United Kingdom
United States
Private
Tick this if you want to hide this value from non-administrators.
Office Phone #1
Private
Tick this if you want to hide this value from non-administrators.
Fax #1
Private
Tick this if you want to hide this value from non-administrators.
Office Address #2
Office Address #2
Country
- None -
Argentina
Australia
Brazil
Canada
Chile
Costa Rica
France
Germany
Israel
Italy
Spain
Sweden
Switzerland
United Kingdom
United States
Private
Tick this if you want to hide this value from non-administrators.
Office Phone #2
Private
Tick this if you want to hide this value from non-administrators.
term length
To prevent automated spam submissions leave this field empty.
CAPTCHA
This question is for testing whether you are a human visitor and to prevent automated spam submissions.
Math question
*
7 + 2 =
Solve this simple math problem and enter the result. E.g. for 1+3, enter 4.