NPWR is an independent proposal of Sabba Collective

NOTICE OF INTENT

A national registry for the psychedelic workforce.

A single, public system of record for the clinicians and sites of care who deliver psychedelic therapy in the United States.

Read the notice Submit a comment

COMMENTS CLOSE SEPTEMBER 5, 2026

Regulated psychedelic care is arriving. Its workforce has no common record.

The first federal approvals of psychedelic-assisted therapies are approaching — priority review vouchers issued, a psilocybin application under rolling FDA review, a public hearing set for September 14. Oregon and Colorado license facilitators today, and more states are building programs; where portability exists, it is a one-off paper exercise. Every sponsor and every jurisdiction keeps its own list, and none reads across them.

Who is trained, and to which standard. Where they may practice. Whether they remain in good standing. Today, no one can answer these questions in one place.

When the stakes are high enough, American health care has always answered this the same way:
a shared system of record.

THE NAME

Every word carries intention.

National

The first registry beyond the state level. Multi-state licensing now demands interoperability, and federally approved medicines will not stop at state lines. At least ten psychedelic medicines stand in Phase 3 trials or beyond, with more behind them. (drug tracker)

Psychedelic

The full range of psychedelic care as practiced and approved: ketamine therapy in its several forms, psilocybin, MDMA, ibogaine, and 5-MeO-DMT — and the medicines that follow. One registry, not one per molecule.

Workforce

Not a profession — a workforce. Psychologists, psychiatrists, social workers, therapists, nurses, cardiologists, and trained non-licensed roles, working in teams. No single professional board can hold this field; a workforce registry can.

Registry

The instrument American health care reaches for when trust must be verifiable: a permanent, public system of record. The word already names national systems — the National Registry of EMTs since 1970, the nurse aide registries every state keeps by federal law. Not a directory, not a marketplace — a registry.

THE CONCEPT

One permanent record for every qualified practitioner.

Identity, training, credential, jurisdiction, and standing: one record that follows the practitioner across state lines and across programs, verifiable by anyone. Sites of care are recorded alongside the people who staff them, because readiness in this field is a property of teams. Governed in the open, under principles set before anything is built.

§1

One record per practitioner.

A single permanent identifier, issued once and maintained for the length of a career (valid across every state, program, and medicine).

§2

Verified at the source.

Every entry names the body that attested it and the date of verification. Anything self-reported says so.

§3

Public verification.

Anyone may confirm a credential and standing, free, the way a license is checked today. Fuller access is governed by role and consent; institutional services carry the fees that sustain it.

§4

Independent by design.

To be chartered under multi-stakeholder governance, drafted in the open during this comment period (owned by no single company, association, or state).

THE SYSTEM

Attested at the source. Read everywhere.

The bodies that already hold the truth attest it once to the record. Everyone who needs the truth reads it from one place.

ATTESTED BY

TRAINING PROGRAMSSTATE BOARDSCERTIFYING BODIESSPONSOR REMSDEA

PUBLIC RESEARCHDRUG SPONSORSPAYERSASSOCIATIONSEMPLOYERS

READ BY

PRECEDENT

American health care runs on registries.

This is not a novel idea. It is the standard instrument by which the United States has organized every clinical workforce and every high-stakes clinical system for more than a century.

1859

State medical boards

Public rosters of licensed physicians, beginning in North Carolina.

1970

National Registry of EMTs

One national record for a workforce no single profession contains.

1987

State nurse aide registries

Required in all fifty states by federal law — and checked before hiring.

2005

National Provider Identifier

One permanent number for every U.S. provider.

2019

Spravato REMS

Certified sites for one medicine — one system, per drug, per sponsor.

Next

National Psychedelic Workforce Registry

The next entry in the lineage.

PUBLIC COMMENT

The comment period is open.

A registry of this kind belongs to the field it serves. Before anything is designed or built, we are asking for written comment from anyone with a stake in the outcome: regulators, sponsors, payers, training programs, professional associations, clinicians, and the public.

COMMENT IS INVITED ON

01

Governance, independence, and funding. (Q1–Q4)

02

Scope, roles, and standards. (Q5–Q8)

03

Data, access, and verification. (Q9–Q11)

04

Sites, teams, uses, and sequencing. (Q12–Q17)

Seventeen questions (Q1–Q17) in the full notice · Reference NPWR-2026-0001 · Closes September 5, 2026 · Every comment will be read, and a public summary of the record will be published.

1

READ THE NOTICE

The full notice states the case, the proposed principles, and the seventeen questions.

Read the notice

2

SUBMIT A COMMENT

The form includes the seventeen questions, and you can decide which to answer. Organizations may attach a formal letter. You decide your level of attribution.

Submit a comment

Comments may be published as part of the public record, per your attribution choice. A public summary will be submitted to FDA Docket No. FDA-2026-N-7542 ahead of the agency's September 14 hearing.

PARTNERSHIP

Institutions that want this to exist should say so now.

The registry will be built with founding partners: training programs, drug sponsors, payers, professional associations, and philanthropies prepared to help set its standards and stand behind its independence. Early partners will shape the governance charter. Inquiries are private and carry no commitment.

partners@npwr.org

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