Account Registration Please fill out the following information if you are interested in joining our community. Membership is intended for health professionals specializing in GastroPsych research or practice. Fields marked by * are required. Account Details Username* Email Address* Choose a Password* Confirm Password* Upload Profile Photo (Must be at least 200 by 200 pixels) Directory Profile Details Who can view your profile?* Please select.. GastroPsych members only (select this if you are not a practicing clinician) Everyone First Name* Show this on your searchable profile? Last Name* Show this on your searchable profile? Gender I identify as* Please select.. Male Female Other Prefer not to disclose Show this on your searchable profile? Professional Title* Please select.. Clinical Research Assistant Doctoral Student, Psychology Doctoral Student - Other Fellow - Gastroenterology Fellow - Other Fellow - Psychiatry Internist Medical Student Nurse Nurse Practitioner - GI Nurse Practitioner - Other Other Therapist/Mental Health Provider Pediatric Gastroenterologist Pediatrician Physician - Gastroenterology Physician - Other Physician - Psychiatry Physician Assistant Post-doctoral Fellow Psychiatrist Psychiatry Resident Psychologist Researcher Social Worker Other Show this on your searchable profile? Enter your professional title* Have you completed a professional (e.g. graduate) degree?* Please select.. Yes No Show this on your searchable profile? Year Completed Please select.. 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 2020 2021 2022 2023 Show this on your searchable profile? Anticipated Year Please select.. 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Show this on your searchable profile? For student requests, what degree are you pursuing? Show this on your searchable profile? What is your highest degree?* Please select.. PhD PsyD MD DO CNP DNP RN LCSW MSW LMHC MA/MS BA/BS Other Show this on your searchable profile? Enter your highest degree: Are you licensed in the state or area that you practice?* Please select.. Yes No Not Applicable Show this on your searchable profile? Do you accept clinical referrals? Please select.. Yes No Show this on your searchable profile? Years in Practice 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 Show this on your searchable profile? Phone Number Show this on your searchable profile? Website Show this on your searchable profile? Street Address Show this on your searchable profile? City Show this on your searchable profile? Country* Please select.. United States Australia Canada Ireland New Zealand United Kingdom Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Sint Eustatius, and Saba Bosnia and Herzegovina Botswana Brazil British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Cayman Islands Central African Republic Chad Chile China Colombia Comoros Congo Republic Costa Rica Croatia Cuba Curaçao Cyprus Czechia Denmark Djibouti Dominica Dominican Republic DR Congo East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Eswatini Ethiopia Federated States of Micronesia Fiji Finland France French Guiana French Polynesia Gabon Gambia Georgia Germany Ghana Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Israel Italy Ivory Coast Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mexico Moldova Monaco Mongolia Montenegro Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Nicaragua Niger Nigeria North Korea North Macedonia Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Poland Portugal Puerto Rico Qatar Réunion Romania Russia Rwanda Saint Lucia Saint Martin Saint Vincent and the Grenadines Samoa San Marino São Tomé and Príncipe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Korea South Sudan Spain Sri Lanka St Kitts and Nevis Sudan Suriname Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Minor Outlying Islands U.S. Virgin Islands Uganda Ukraine United Arab Emirates Uruguay Uzbekistan Vanuatu Vatican City Venezuela Vietnam Wallis and Futuna Yemen Zambia Zimbabwe Åland Show this on your searchable profile? State/Province Please select country first.. Show this on your searchable profile? Zipcode/Postal Code* Show this on your searchable profile? What is your professional affiliation (e.g., institution, practice name)?* Show this on your searchable profile? Bio Show this on your searchable profile? Teleheath Please select.. Yes No Telehealth Only Show this on your searchable profile? 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 Allow outside messages* Yes No Treatment Categories Show this on your searchable profile? Abdominal Bloating and Distension Adolescents (14-18) Aerophagia Anorectal/Pelvic Floor Disorders Anxiety/Panic Disorders Autism Spectrum Disorders Belching and Aerophagia Cannabis Use Chronic Illness Chronic Pain Depression Dyspepsia Eating Disorders Encopresis Esophageal Disorders Fecal Incontinence Feeding Disorders Gastroparesis Grief/Loss Health and Wellness Inflammatory Bowel Diseases Irritable Bowel Syndrome Life Transitions Lower GI Motility Disorders Narcotic Bowel Syndrome Nausea/Vomiting Neuropsychology Obesity/Weight Loss Obsessive-Compulsive Disorder Opioid Misuse Parenting Pediatrics 0-5 Pediatrics 6-13 Personality Disorders Phobias Physical Illness/Impairment Rumination Syndrome Sexual Abuse/Rape Sleep Disorders Substance Abuse/Misuse Trauma/PTSD Upper GI Motility Disorders Treatment Modalities Show this on your searchable profile? Acceptance and Commitment Therapy Applied Behavioral Analysis Behavioral Weight Loss Biofeedback Cognitive-Behavioral Therapy Dialectical Behavior Therapy Exposure Therapy Eye Movement Desensitization Reprocessing (EMDR) Group Therapy Hypnosis Interpersonal Therapy Mindfulness and other meditation methods Neuromodulators Opioid Detoxification Psychodynamic Therapy Psychopharmacology Stress Management/Relaxation Trauma Focused Therapy Vagal Nerve Stimulation Insurance Accepted Show this on your searchable profile? Do you accept insurance? Yes No Accepts many, call for further information AETNA Health, Inc. AETNA Inc. (Open Choice) American LIFECARE, Inc. BestCare, Inc. Blue Cross and Blue Shield (HMO) BlueCross BlueShield (GroupCare) CIGNA HealthCare (PPO) Coventry Health Care Coventry Health Care (PPO) FARA PPO Network Health Plus Horizon Behavioral Services Magellan Behavioral Health Managed Health Network Medicaid Medicare Ochsner Health Plan PacifiCare Behavioral Health PPOplus, LLC Private Healthcare Systems Tenet Choices, Inc. Tenet Choices, Inc. (Medicare PPO) United Behavioral Health United Healthcare United HealthCare (Options PPO) Vantage Health Plan, Inc.