Live in New Hampshire, Work in Massachusetts? Where to Get Psychiatric Care

Short answer: psychiatrists must be licensed in the state where you are physically located during the visit. If you live in Salem or Nashua but work in Massachusetts, you can be seen in our New Hampshire office or by video while you are in New Hampshire. Video visits from your Massachusetts workplace require a clinician licensed in Massachusetts.

Why location matters

Medical licenses are issued by each state. For telehealth, the rule follows the patient: where you are sitting during the visit determines which license is needed. This affects scheduling for commuters, college students and people who travel.

Practical options for commuters

• Schedule video visits early in the morning or evening from home in NH

• Book in-person visits at our Salem office, close to I-93 and the state line

• Take a video visit from your car while parked in New Hampshire (only when safely parked)

• If you spend most of your time in Massachusetts, consider care with a Massachusetts-licensed practice

Prescriptions across state lines

Most prescriptions can be filled at a pharmacy in either state. Controlled substances, such as ADHD stimulants, follow additional rules, so keep your prescriptions at a consistent pharmacy and check with your psychiatrist before switching.

Insurance

Many commuters have Massachusetts-based employer plans. Psych Nashua accepts many of these plans; see our insurance guide for details.

College students and travel

The same licensing rule applies to students. A New Hampshire teenager attending college in Massachusetts or elsewhere can continue video visits while home on breaks, but during the semester may need a local clinician where the school is located. Planning ahead, including enough medication to bridge the transition, prevents gaps in care. Your psychiatrist can share records with a new clinician once you give permission.

Frequently asked questions

What if I am traveling out of state on the day of my video visit?

Let the office know ahead of time; the visit may need to be rescheduled or moved to a time when you are in New Hampshire.

Does this apply to children at boarding school or college?

Yes. Plan visits for school breaks or arrange local care where the student lives.

Learn about online psychiatry in New Hampshire and telehealth appointments, or request an appointment.

This article is general information, not medical advice. If you are in crisis, call or text 988 or call 911. Psych Nashua is an outpatient psychiatry practice at 215 South Broadway, Unit 129, Salem, NH (603-600-8330).