North Carolina Psychologist — Requirements & Free Practice
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Health Services Provider Psychologist (HSP-P)
Health services certification for a permanently licensed psychologist.
Licensing authority: North Carolina Psychology Board · Application information
HSP P by ABPP health services diploma
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is a diplomate in good standing of the American Board of Professional Psychology in Clinical Psychology, Counseling Psychology, or School Psychology;
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), abpp
Reapplication after HSP certificate denial or revocation
- Application
- Submit a new HSP application, fee and required documentation; any separate license reapplication follows its own examination route.
- License
- Hold the applicable license and meet current certification qualifications and Board disciplinary conditions.
- Waiting period
- One calendar year must pass after certificate denial or revocation before reapplication.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.148(g), reapplication after denial or revocation
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(a), HSP-P standard qualifications
HSP P by APA accredited doctoral program and internship
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is a graduate from a doctoral program which was accredited at the time of the applicant's graduation by the American Psychological Association in Clinical Psychology, Counseling Psychology, School Psychology, or Combined Professional-Scientific Psychology and which included an internship accredited by the American Psychological Association, and who completes a postdoctoral year of supervised experience as defined in either Paragraph(d) or (e) of this Rule;
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), apa-internship
HSP P by National Register approval or listing
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is currently approved for listing, or is currently listed, in the National Register of Health Service Providers in Psychology;
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), national-register
Conditional HSP P pending National Register listing
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- File an affidavit of eligibility for National Register listing under .2704(g); the Board may issue the certificate conditioned on direct confirmation within 60 days, with an extension possible for additional Register review time.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(g), conditional National Register approval
HSP P by qualifying doctoral degree received before 1979
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is a graduate who received a doctoral degree prior to 1979 from a program which included course work which demonstrates an academic foundation in the provision of health services as defined in Rule .2701(a) of this Section, and which included the equivalent of a one year supervised internship in an American Psychological Association accredited program providing health services, in a Veterans Administration setting providing health services, or at a site providing health services which was specifically acceptable to the applicant's doctoral training program, and who completes a postdoctoral year of supervised experience as defined in either Paragraph (c) or (d) of this Rule; or
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), pre1979
Restoration of HSP certification with underlying license reinstatement
All of the following:
- License
- Meet the underlying license reinstatement requirements, including State Examination and any EPPP ordered under .1901(a)(1).
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior certificate
- Previously held this HSP certificate; it is reinstated with the applicable license without a new HSP application.
HSP P by APA school psychology program and qualifying school internship
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is a graduate from a doctoral program which was fully accredited at the time of the applicant's graduation by the American Psychological Association in School Psychology and which included an internship meeting the guidelines of the Council of Directors of School Psychology Programs as documented by the program chair, and who completes a postdoctoral year of supervised experience as defined in either Paragraph (d) or (e) of this Rule;
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), school-internship
HSP P by senior psychologist health services experience
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
- Qualification
- is approved for licensure under senior psychologist requirements specified in 21 NCAC 54 .1707 and demonstrates that at least 25 percent of his or her qualifying practice has been in the provision of direct health services, as defined in Rule .2701(a) of this Section.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), deemed qualification routes
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(f), senior
HSP P by qualifying education and supervised health services experience
- Application
- Submit the HSP-P application, fee and required education and supervised experience evidence.
- Education
- Document a health services academic foundation under .2704(c), through the specified register/diploma/accredited psychology program or qualifying curriculum.
- Experience
- Document two years of supervised health services experience under .2704(d)-(e), one postdoctoral, including the specified organized training, direct-service content and supervision.
- License
- Hold permanent North Carolina psychologist licensure.
- Mandatory
- HSP-P is mandatory if providing or offering health services; it does not transfer from another licensure level.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(b), HSP-P authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2704(a), HSP-P standard qualifications
Health Services Provider Psychological Associate (HSP-PA)
Health services certification for a psychological associate.
Licensing authority: North Carolina Psychology Board · Application information
Reapplication after HSP certificate denial or revocation
- Application
- Submit a new HSP application, fee and required documentation; any separate license reapplication follows its own examination route.
- License
- Hold the applicable license and meet current certification qualifications and Board disciplinary conditions.
- Waiting period
- One calendar year must pass after certificate denial or revocation before reapplication.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.148(g), reapplication after denial or revocation
- North Carolina Psychology Practice Act
G.S. 90-270.153(c), HSP-PA authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2706(a), HSP-PA qualification
HSP PA qualification by pre 2013 licensure and health services experience
- Application
- Submit the required independent practice and health services documentation under the Board's instructions.
- Experience
- Demonstrate 4,000 supervised health services hours accumulated over at least 24 and less than 60 consecutive months as stated in .153(i).
- License
- Have been licensed as an associate before June 30, 2013.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(c), HSP-PA authority
- North Carolina Psychology Practice Act
G.S. 90-270.153(i), associate licensed before June 30, 2013
Restoration of HSP certification with underlying license reinstatement
All of the following:
- License
- Meet the underlying license reinstatement requirements, including State Examination and any EPPP ordered under .1901(a)(1).
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior certificate
- Previously held this HSP certificate; it is reinstated with the applicable license without a new HSP application.
HSP PA by senior associate health services experience
- Application
- Submit the HSP-PA application and fee.
- Experience
- At least 25 percent of qualifying practice must have been direct health services.
- License
- Be approved for associate licensure under senior psychologist requirements.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(c), HSP-PA authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2706(c), senior associate health services route
HSP PA by qualifying health services education and training
- Application
- Submit the HSP-PA application, fee and required documentation.
- Education
- Document a health services psychology academic foundation, curriculum and planned supervised experience under .2706(b), including 500 training hours over at least 12 weeks, with at least 400 in health services.
- License
- Hold North Carolina associate licensure.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(c), HSP-PA authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2706(a), HSP-PA qualification
Health Services Provider Psychologist (Provisional) (HSP-PP)
Health services certification for a provisionally licensed psychologist.
Licensing authority: North Carolina Psychology Board · Application information
Reapplication after HSP certificate denial or revocation
- Application
- Submit a new HSP application, fee and required documentation; any separate license reapplication follows its own examination route.
- License
- Hold the applicable license and meet current certification qualifications and Board disciplinary conditions.
- Waiting period
- One calendar year must pass after certificate denial or revocation before reapplication.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.148(g), reapplication after denial or revocation
- North Carolina Psychology Practice Act
G.S. 90-270.153(d), HSP-PP authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2705(a)-(c), HSP-PP qualifications
HSP PP by qualifying health services education
- Application
- Submit the completed HSP-PP application and fee; certificate does not transfer to permanent licensure.
- Education
- Provide documentation of qualifying health services education as stated in .2705 and the related .2704 academic foundation provisions.
- License
- Hold provisional psychologist licensure.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.153(d), HSP-PP authority
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2705(a)-(c), HSP-PP qualifications
Restoration of HSP certification with underlying license reinstatement
All of the following:
- License
- Meet the underlying license reinstatement requirements, including State Examination and any EPPP ordered under .1901(a)(1).
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior certificate
- Previously held this HSP certificate; it is reinstated with the applicable license without a new HSP application.
Licensed Psychologist
Permanent doctoral psychology license.
Licensing authority: North Carolina Psychology Board · Application information
Standard licensure with ABPP national examination waiver
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Diploma
- Be an ABPP diplomate in good standing; obtain direct verification.
- Education
- Meet the standard doctoral education and supervised experience requirements.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- National waiver
- G.S. 90-270.146(d) directs the Board to waive the national written examination.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Reapplication following license denial or revocation
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet the current requirements for the requested license level.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
- Waiting period
- At least one calendar year must pass after denial or revocation before reapplication; comply with applicable Board disciplinary conditions.
Initial licensure with a foreign degree
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Doctoral psychology degree satisfying .1803; permanent licensure requires 3,000 supervised hours over two years, including at least 1,500 postdoctoral hours over one calendar year, under .2009.
- Foreign credentials
- Provide a course-by-course evaluation from a NACES member, verification of degree, curriculum and experience equivalence, original documents and approved English translations.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Initial licensure by examination
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Doctoral psychology degree satisfying .1803; permanent licensure requires 3,000 supervised hours over two years, including at least 1,500 postdoctoral hours over one calendar year, under .2009.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Licensure by mobility credential: American Board of Professional Psychology diploma
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Board mobility instruction
- The Board mobility page states: National Examination . The Examination for Professional Practice in Psychology (EPPP) is not required for applicant’s whose credentials are approved under mobility application provisions.
- Mobility credential
- Maintain American Board of Professional Psychology diploma in good standing; obtain direct verification.
- Previous score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior license
- Hold a psychologist license or certification in good standing in another jurisdiction, a doctoral degree in psychology and no unresolved complaints.
Licensure by mobility credential: Certificate of Professional Qualification (CPQ)
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Board mobility instruction
- The Board mobility page states: National Examination . The Examination for Professional Practice in Psychology (EPPP) is not required for applicant’s whose credentials are approved under mobility application provisions.
- Mobility credential
- Maintain Certificate of Professional Qualification (CPQ) in good standing; obtain direct verification.
- Previous score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior license
- Hold a psychologist license or certification in good standing in another jurisdiction, a doctoral degree in psychology and no unresolved complaints.
Licensure by mobility credential: National Register of Health Service Providers in Psychology registration
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Board mobility instruction
- The Board mobility page states: National Examination . The Examination for Professional Practice in Psychology (EPPP) is not required for applicant’s whose credentials are approved under mobility application provisions.
- Mobility credential
- Maintain National Register of Health Service Providers in Psychology registration in good standing; obtain direct verification.
- Previous score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Prior license
- Hold a psychologist license or certification in good standing in another jurisdiction, a doctoral degree in psychology and no unresolved complaints.
Standard application by a holder of another jurisdiction's license
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Doctoral psychology degree satisfying .1803; permanent licensure requires 3,000 supervised hours over two years, including at least 1,500 postdoctoral hours over one calendar year, under .2009.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Other license
- The standard application applies if the applicant does not qualify for senior or mobility provisions. Arrange direct license status and disciplinary verification; prior licensure does not create reciprocity.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Conversion from provisional to permanent licensure
All of the following:
- Experience
- Document at least 1,500 postdoctoral supervised practice hours over at least 12 months and the required predoctoral experience; submit the conversion application and specialized supervisor reports.
- Hsp
- HSP certification does not transfer between licensure levels; apply for HSP-P separately if providing health services.
- License
- Hold a provisional psychologist license.
- Previous scores
- The current examinations required for permanent licensure have already been passed for provisional licensure; .1901 permits the qualifying prior EPPP score.
Reapplication after discontinued application or failed examination
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Application status
- Submit all .1701 and applicable .1702 materials anew; review uses the statutes and rules in effect when reapplying.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Previous scores
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Reinstatement: Suspended more than 30 days or voluntarily relinquished with Board consent
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspended more than 30 days or voluntarily relinquished with Board consent
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
Reinstatement: Suspension for nonrenewal; apply within 30 days
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspension for nonrenewal; apply within 30 days
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
First biennial renewal
- Board first renewal exception
- The Board 2026 renewal page states: So, if you were licensed after October 1, 2024, you are not required to obtain any continuing education credits or complete the Ethics Refresher for the upcoming renewal on October 1, 2026. The .1901(a)(3) ethics examination requirement is retained under the contract's rule-over-implementation hierarchy.
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Subsequent biennial renewal
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Licensure as a senior psychologist
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Discipline
- No disciplinary sanction during licensure and no unresolved disciplinary complaint during application.
- Education
- Hold a psychology degree at the relevant level; a qualifying degree received before January 1, 1978 need not be in psychology under .1707(b) or (d).
- National waiver
- The EPPP is expressly not required for senior applicants under .1901(a)(1).
- Prior licensure
- Have 12 continuous years of licensure by ASPPB-member state or provincial boards at the relevant doctoral or master's level, including at least 10 years of practice for at least 20 hours weekly.
Licensed Psychological Associate
Permanent psychology license; the Act also permits qualifying doctoral applicants to receive this license.
Licensing authority: North Carolina Psychology Board · Application information
Reapplication following license denial or revocation
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet the current requirements for the requested license level.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
- Waiting period
- At least one calendar year must pass after denial or revocation before reapplication; comply with applicable Board disciplinary conditions.
Associate licensure for a doctoral applicant lacking permanent supervised experience
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet all psychologist requirements other than the two years of supervised experience; the Board may issue an associate license without a master's or specialist degree under .139(d)(3).
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Meet associate supervision requirements unless independently approved under current statute.
Associate licensure for a doctoral applicant passing at associate level
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet doctoral licensure requirements but pass the examination at associate rather than psychologist level; a master's or specialist degree is not required.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Request
- Request associate licensure in writing within 30 days of notification of examination score under .1802(e).
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Initial licensure with a foreign degree
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Master's or specialist psychology degree meeting .1802, including the required resident study, course content and supervised training.
- Foreign credentials
- Provide a course-by-course evaluation from a NACES member, verification of degree, curriculum and experience equivalence, original documents and approved English translations.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Approval for independent psychological associate practice
- Application
- Apply before beginning independent practice and file a new supervision contract documenting the new status within 30 days.
- Experience
- Document 4,000 postlicensure supervised psychological service hours accumulated over at least 24 and less than 60 consecutive months, with all performance ratings average or above.
- Health services
- Hold HSP-PA, or have been licensed before June 30, 2013 with the qualifying 4,000 supervised health services hours; the experience route follows .153(i).
- License
- Hold an associate license.
- Scope
- Neuropsychology and forensic psychology require the specialized education and training specified by .145(b)(3).
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.139(e1), independent practice approval
- North Carolina official independent material
Applying for Independent Practice, requirements and application
Initial licensure by examination
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Master's or specialist psychology degree meeting .1802, including the required resident study, course content and supervised training.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Standard application by a holder of another jurisdiction's license
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Master's or specialist psychology degree meeting .1802, including the required resident study, course content and supervised training.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Other license
- The standard application applies if the applicant does not qualify for senior or mobility provisions. Arrange direct license status and disciplinary verification; prior licensure does not create reciprocity.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Reapplication after discontinued application or failed examination
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Application status
- Submit all .1701 and applicable .1702 materials anew; review uses the statutes and rules in effect when reapplying.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Previous scores
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Approval for Level 2 reduced supervision
- Application
- Use the Board reduced supervision application and revised supervision contract; required supervision is one hour monthly.
- Experience
- Have three calendar years and 4,500 postlicensure supervised practice hours, all ratings average or above, at least one year with the most recent supervisor and that supervisor's recommendation.
- Score
- This route applies when the EPPP score does not meet 500; holding the associate license is the prerequisite.
Official no-examination sources
Effective from 2026-09-22.
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2008(h)(2), Level 2 approval
Approval for Level 3 supervision with five years of experience
- Application
- Apply for Level 3 and file the revised contract; minimum supervision is one hour every three months.
- Experience
- Have five calendar years of postlicensure supervised experience, average-or-above ratings, at least one year with the most recent supervisor and the supervisor's recommendation.
- License
- Hold an associate license with EPPP score below 500.
Official no-examination sources
Effective from 2026-09-22.
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2008(h)(3), Level 3 opening
- Rules of the North Carolina Psychology Board
21 NCAC 54 .2008(h)(3)(B)-(D), performance and supervisor recommendation
Approval for Level 3 supervision with EPPP score of 500
- Application
- Apply for Level 3 and file the revised contract; minimum supervision is one hour every three months.
- Experience
- Have three calendar years and 4,500 postlicensure supervised hours, average-or-above ratings, at least one year with the most recent supervisor and the supervisor's recommendation.
- License
- Hold an associate license.
- Score
- Have an EPPP scaled score of at least 500 under .1901(a)(1) and .2008(h)(3).
Reinstatement: Suspended more than 30 days or voluntarily relinquished with Board consent
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspended more than 30 days or voluntarily relinquished with Board consent
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
Reinstatement: Suspension for nonrenewal; apply within 30 days
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspension for nonrenewal; apply within 30 days
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
First biennial renewal
- Board first renewal exception
- The Board 2026 renewal page states: So, if you were licensed after October 1, 2024, you are not required to obtain any continuing education credits or complete the Ethics Refresher for the upcoming renewal on October 1, 2026. The .1901(a)(3) ethics examination requirement is retained under the contract's rule-over-implementation hierarchy.
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Subsequent biennial renewal
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Licensure as a senior psychologist
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Discipline
- No disciplinary sanction during licensure and no unresolved disciplinary complaint during application.
- Education
- Hold a psychology degree at the relevant level; a qualifying degree received before January 1, 1978 need not be in psychology under .1707(b) or (d).
- National waiver
- The EPPP is expressly not required for senior applicants under .1901(a)(1).
- Prior licensure
- Have 12 continuous years of licensure by ASPPB-member state or provincial boards at the relevant doctoral or master's level, including at least 10 years of practice for at least 20 hours weekly.
Licensed Psychologist (Provisional)
Doctoral license before completion of permanent licensure supervised experience.
Licensing authority: North Carolina Psychology Board · Application information
Reapplication following license denial or revocation
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet the current requirements for the requested license level.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
- Waiting period
- At least one calendar year must pass after denial or revocation before reapplication; comply with applicable Board disciplinary conditions.
Provisional licensure with a foreign degree
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet the doctoral equivalence requirements of .1702 and .1803; the two years of permanent supervised experience remain incomplete.
- Foreign credentials
- Submit NACES member course-by-course evaluation, original documentation and approved translations.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Initial provisional psychologist licensure
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- Education
- Meet all permanent doctoral licensure requirements except the two years of supervised experience.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Receive at least one hour weekly of individual face-to-face supervision when practicing in North Carolina until permanent status is granted.
Reapplication after discontinued application or failed examination
All of the following:
- Application
- Submit the required application, fees, consent and fingerprints, accurate supervision contract, graduate transcripts, three professional references and supervisory documentation under 21 NCAC 54 .1701; complete the application within three months. Apply within 30 days of offering or beginning practice unless exempt.
- Application status
- Submit all .1701 and applicable .1702 materials anew; review uses the statutes and rules in effect when reapplying.
- Character
- Be at least 18 and of good moral character under G.S. 90-270.145.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Previous scores
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Comply with the applicable supervision and reporting requirements until the Board grants the appropriate license status.
Reinstatement: Suspended more than 30 days or voluntarily relinquished with Board consent
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspended more than 30 days or voluntarily relinquished with Board consent
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
Reinstatement: Suspension for nonrenewal; apply within 30 days
All of the following:
- Application
- Submit the reinstatement application, 24 CE hours in the preceding two years, applicable supervisory reports and renewal/reinstatement fees; the longer-lapse route also requires fingerprints, license verifications, graduate transcripts and three references.
- National score
- A previous qualifying EPPP score satisfies .1901(a)(1) unless the Board orders a current EPPP under .148.
- Prior status
- Suspension for nonrenewal; apply within 30 days
- State exam
- Take the State Examination under .2103(e).
- Temporary license
- A temporary license may be issued while awaiting the first admitted examination and terminates as .1703(c) specifies.
First biennial renewal
- Board first renewal exception
- The Board 2026 renewal page states: So, if you were licensed after October 1, 2024, you are not required to obtain any continuing education credits or complete the Ethics Refresher for the upcoming renewal on October 1, 2026. The .1901(a)(3) ethics examination requirement is retained under the contract's rule-over-implementation hierarchy.
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Subsequent biennial renewal
- Continuing education
- For the second and subsequent renewals complete 24 CE hours, including at least 15 Category A hours and three ethics hours, and submit CE documentation through CE Broker.
- Deadline
- Renew on or before October 1 of each even-numbered year; pay renewal fee and submit the prescribed online application.
- License
- Hold the applicable North Carolina license.
- Supervision reports
- Associates and provisional psychologists must submit required supervision reports; independent associates must also report their current status.
Temporary License to Practice Psychology
Temporary licensure for nonresident practice or while seeking reinstatement.
Licensing authority: North Carolina Psychology Board · Application information
Thirty day nonresident temporary license
- Application
- Apply at least 10 business days before practice; provide the equivalence affidavit, purpose, disciplinary disclosures, direct good-standing verification, supervision statement and fee.
- Duration
- Only one 30-day license may be issued per calendar year; follow supervision requirements applicable in the verifying jurisdiction.
- Residency
- Be a nonresident psychologist licensed or certified by a similar board whose standards the Board finds substantially equivalent or higher.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.139(f), nonresident temporary licensure and certification
- Rules of the North Carolina Psychology Board
21 NCAC 54 .1703(a)-(b), nonresident submission and duration
Temporary license while seeking reinstatement
All of the following:
- Application
- Meet the reinstatement information requirements under .2103.
- Duration
- Valid until the first admitted examination results and payment of the reinstatement fee; not issued, reissued or extended after examination failure, nonappearance or untimely fees.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Supervision
- Meet supervision requirements for the licensure level approved for reinstatement.
Temporary Health Services Provider Certification
Temporary health services certification issued with a temporary psychology license.
Licensing authority: North Carolina Psychology Board · Application information
Temporary HSP certification for a nonresident temporary license
- Experience
- Demonstrate two years of acceptable supervised health services experience; the Board may issue temporary HSP certification simultaneously.
- License
- Qualify for the nonresident temporary psychology license.
- Supervision
- Comply with temporary practice supervision requirements.
Official no-examination sources
Effective from 2026-09-22.
- North Carolina Psychology Practice Act
G.S. 90-270.139(f), nonresident temporary licensure and certification
Temporary HSP certification while seeking reinstatement
All of the following:
- Duration
- Temporary licensure and certification remain subject to the first examination, required fees, applicable supervision and Board reinstatement requirements.
- License
- Apply for reinstatement and a temporary psychology license under .139(g), .1703(c) and .2103.
- National score
- An existing EPPP passing score can satisfy the requirement if it met the North Carolina passing point in effect on its administration date; the Board may order a current EPPP under G.S. 90-270.148. The current passing point is 500 for psychologists and 440 for associates.
- Previous certificate
- Document prior HSP status or current qualifying education and experience.
North Carolina Psychology State Examination
Examination outline
- Psychology Practice Act (Chapter 90, Article 18G)
- 21 NCAC 54 — Psychology
- Ethical Principles of Psychologists and Code of Conduct
- Chapter 8 — psychologist privilege and marital counseling nondisclosure
- Chapter 7B, Article 3 — Screening of Abuse and Neglect Complaints
- Chapter 108A, Article 6 — Protection of the Abused, Neglected, or Exploited Disabled Adult Act
Examination sources
- Rules of the North Carolina Psychology Board
21 NCAC 54 .1901(a)(2), adoption, scope and passing point
- North Carolina official laws material
North Carolina Psychology, named Act and chapter of rules
- North Carolina official laws material
Privileged Communication, named Chapter 8 provisions
- North Carolina official laws material
Privileged Communication, G.S. 8-53.6 heading
- North Carolina official privilege material
G.S. 8-53.3, expressly named reporting laws
- Americans with Disabilities Act, Department of Justice
42 U.S.C. 12189, examinations and courses
- North Carolina official oah material
21 NCAC 54 .1901(a)(2), complete State Examination scope
- North Carolina official exam material
State Examination, format and correct-answer requirement
- North Carolina official exam material
State Examination, admission and link delivery
EPPP (Part 1-Knowledge)
- Provider
- Association of State and Provincial Psychology Boards (ASPPB); delivered by Pearson VUE at Pearson Professional Centers
- Format
- Computer-based multiple-choice examination; each item has three or four possible responses, only one of which is correct; the score is the number of correct responses. A French form (FEPPP) is available only to candidates whose licensing authorities legally require a French form.
- Exam questions
- 225 items: 175 scored and 50 unscored pretest items
- Time limit
- 4 hours and 15 minutes for completion of the exam items
- Passing score
- Scaled score (200-800 scale); ASPPB recommended passing scores of 500 for independent practice and 450 for supervised practice; each licensing authority sets its own passing standard
- Exam fee
- $600 USD exam fee per sitting plus $91.88 test sitting fee (English EPPP (Part 1-Knowledge))
Examination outline
Domain 1. Biological Bases of Behavior (10%)
- KN1. Functional correlates and determinants of the neurobiological and genetic bases of behavior pertaining to perception, cognition, personality, and mood and affect in normal, acute and chronic neurobehavioral disease processes and disease comorbidities
- KN2. Drug classification, mechanisms of action, and desired/adverse effects of therapeutic agents, drugs of abuse, and complementary or alternative agents
- KN3. Results from major trials and general guidelines for pharmacological, psychotherapeutic, and combined treatment of psychological disorders
- KN4. Behavioral genetics, transmission and expression of genetic information and its modification, and the role and limitations of this information in understanding disorders
- KN5. Applications of structural and functional brain imaging methods, electrophysiological methods, therapeutic drug monitoring methods, and genetic screening methodologies, and the evidence for their effectiveness
Domain 2. Cognitive-Affective Bases of Behavior (13%)
- KN6. Major research‐based theories and models of intelligence and their application
- KN7. Major research-based theories, models, and principles of learning and their application
- KN8. Major research‐based theories and models of memory and their application
- KN9. Major research‐based theories and models of motivation and their application
- KN10. Major research-based theories and models of emotion and their application
- KN11. Elements of cognition, including sensation and perception, attention, language, information processing, visual-spatial processing, executive functioning
- KN12. Relations among cognitions/beliefs, behavior, affect, temperament, and mood
- KN13. Influence of psychosocial factors on cognitions/beliefs and behaviors
Domain 3. Social and Cultural Bases of Behavior (11%)
- KN14. Major research‐based theories and models of social cognition (e.g., person perception, development of stereotypes, prejudice)
- KN15. Social interaction and relationships (e.g., attraction, aggression, altruism, organizational justice, verbal and non‐verbal communication, internet communication, mate selection, empathy)
- KN16. Group and systems processes (e.g., school, work, and family systems, job satisfaction, team functioning, conformity, persuasion) and social influences on functioning
- KN17. Major research‐based personality theories and models
- KN18. Cultural and sociopolitical psychology (e.g., privilege, cross‐cultural comparisons, political differences, international and global awareness, religiosity and spirituality, acculturation)
- KN19. Identity diversity and intersectionality (e.g., psychological impact of diversity on individuals, families, and systems)
- KN20. Causes, manifestations, and effects of oppression
Domain 4. Growth and Lifespan Development (12%)
- KN21. Normal growth and development across the lifespan
- KN22. Influence of individual‐environment interaction on development over time (e.g., the relationship between the individual and the social, academic, work, community environment)
- KN23. Major research‐based theories and models of development
- KN24. Influence of diverse identities on development
- KN25. Family development, configuration, and functioning and their impact on the individual across the lifespan
- KN26. Life events that can influence the course of development across the lifespan
- KN27. Risk and protective factors that may impact a developmental course (e.g., nutrition, prenatal care, health care, social support, socioeconomic status, abuse, victimization, and resiliency)
- KN28. Disorders and diseases that impact the expected course of development over the lifespan
Domain 5. Assessment and Diagnosis (16%)
- KN29. Psychometric theories, item and test characteristics, test construction and standardization procedures, reliability and validity, sensitivity and specificity, and test fairness and bias
- KN30. Assessment theories and models (e.g., developmental, behavioral, ecological, neuropsychological)
- KN31. Assessment methods and their strengths and limitations (e.g., self‐report, multi-informant reports, psychophysiological measures, work samples, assessment centers, direct observation, structured and semi‐structured interviews)
- KN32. Commonly used instruments for the measurement of characteristics and behaviors of individuals and their appropriate use with various populations
- KN33. Issues of differential diagnosis and integration of non‐psychological information into psychological assessment
- KN34. Instruments and methods appropriate for the assessment of groups and organizations (e.g., program evaluation, needs assessment, organizational and personnel assessment)
- KN35. Criteria for selection and adaptation of assessment methods (e.g., evidenced-based knowledge of assessment limitations, cultural appropriateness, trans‐cultural adaptation, and language accommodations)
- KN36. Classification systems and their underlying rationales and limitations for evaluating client functioning; dimensional vs. categorical approaches to diagnosis
- KN37. Factors influencing evidence-based interpretation of data and decision‐making (e.g., base rates, group differences, cultural biases and differences, heuristics)
- KN38. Constructs of epidemiology and base rates of psychological and behavioral disorders
- KN39. Major research-based theories and models of psychopathology
- KN40. Measurement of outcomes and changes due to prevention or intervention efforts with individuals, couples, families, groups, and organizations
- KN41. Use of technology in implementing tests, surveys, and other forms of assessment and diagnostic evaluation (e.g., validity, cost-effectiveness, consumer acceptability)
Domain 6. Treatment, Intervention, and Prevention and Supervision (15%)
- KN42. Factors related to treatment or intervention decision-making (e.g., relevant research, matching treatment to assessment/diagnosis, matching client or patient with psychologist characteristics, knowledge and use of allied services, cost and benefit, readiness to change)
- KN43. Contemporary research-based theories and models of treatment, intervention, and prevention
- KN44. Treatment techniques and interventions and the evidence for their comparative efficacy and effectiveness
- KN45. Methods and their evidence base for prevention, intervention, and rehabilitation with diverse and special populations
- KN46. Interventions to enhance growth and performance of individuals, couples, families, groups, systems, and organizations
- KN47. Research-based consultation models and processes
- KN48. Research-based models of vocational and career development
- KN49. Telepsychology and technology‐assisted psychological services
- KN50. Healthcare systems, structures, and economics, and how these impact intervention choice
- KN51. Approaches to health promotion, risk reduction, resilience, and wellness
- KN52. Contemporary theories and models of supervision and their evidence base
Domain 7. Research Methods and Statistics (7%)
- KN53. Sampling and data collection methods
- KN54. Design of case, correlational, quasi‐experimental, and experimental studies
- KN55. Analytic methods, including qualitative (e.g., thematic, phenomenological) and quantitative (e.g., probability theory; descriptive, inferential, and parametric statistics; meta-analysis; factor analysis; causal modeling)
- KN56. Statistical interpretation (e.g., power, effect size, causation vs. association, clinical vs. statistical significance)
- KN57. Critical appraisal and application of research findings (e.g., adequacy of design and statistics, limitations to generalizability, threats to internal and external validity, design flaws, level of evidence)
- KN58. Evaluation strategies and techniques (e.g., needs assessment, process and implementation evaluation, formative and summative program evaluation, outcome evaluation, cost‐benefit analysis)
- KN59. Considerations regarding community involvement and participation in research
- KN60. Dissemination and presentation of research findings
Domain 8. Ethical/Legal/Professional Issues (16%)
- KN61. Current ethical principles and codes for psychologists (APA, CPA)
- KN62. Professional standards and relevant guidelines for the practice of psychology (e.g., standards for educational and psychological testing)
- KN63. Laws, statutes, and judicial decisions that affect psychological practice
- KN64. Identification and management of potential ethical issues
- KN65. Models of ethical decision‐making
- KN66. Approaches for continuing professional development
- KN67. Emerging social, legal, ethical, and policy issues and their impact on psychological practice
- KN68. Client and patient rights
- KN69. Ethical issues in the conduct of research
- KN70. Ethical issues in supervision
- KN71. Ethical issues in technology-assisted psychological services
Examination sources
- ASPPB EPPP Candidate Handbook (January 2026)
p. 21, Appendix A, introduction
- ASPPB EPPP Candidate Handbook (January 2026)
p. 21, Appendix A, Domain 1 heading
- ASPPB EPPP Candidate Handbook (January 2026)
p. 24, Appendix A, Domain 8 heading
- ASPPB EPPP Candidate Handbook (January 2026)
p. 24, Appendix A, last knowledge statement
- ASPPB EPPP Candidate Handbook (January 2026)
p. 5, EPPP (Part 1-Knowledge), item counts
- ASPPB EPPP Candidate Handbook (January 2026)
p. 11, Taking the EPPP, time allowed for EPPP (Part 1-Knowledge)
- ASPPB EPPP Candidate Handbook (January 2026)
p. 12, Taking the EPPP, scoring sentence
- ASPPB EPPP Candidate Handbook (January 2026)
p. 14, Scaled Scores and Passing Scores, scale
- ASPPB EPPP Candidate Handbook (January 2026)
p. 14, Scaled Scores and Passing Scores, recommended passing scores
- ASPPB EPPP Candidate Handbook (January 2026)
p. 6, Applying to sit for the EPPP
- ASPPB EPPP Candidate Handbook (January 2026)
p. 8, Schedule an EPPP testing appointment
- ASPPB EPPP Candidate Handbook (January 2026)
p. 8, Exam & Test Center Appointment Fees, English EPPP (Part 1-Knowledge) bullet
- ASPPB EPPP Candidate Handbook (January 2026)
p. 8, Exam & Test Center Appointment Fees, test sitting fee sub-bullet
- ASPPB EPPP Candidate Handbook (January 2026)
p. 10, French EPPP (FEPPP)
Ethics Renewal Examination
Examination outline
- Psychology Practice Act (Chapter 90, Article 18G)
- 21 NCAC 54 — Psychology
- Ethical Principles of Psychologists and Code of Conduct
- Chapter 8 — psychologist privilege and marital counseling nondisclosure
- Chapter 7B, Article 3 — Screening of Abuse and Neglect Complaints
- Chapter 108A, Article 6 — Protection of the Abused, Neglected, or Exploited Disabled Adult Act
Examination sources
- North Carolina official renewal material
2026 renewal, Step 1, complete content list
- North Carolina official laws material
North Carolina Psychology, named Act and chapter of rules
- North Carolina official laws material
Privileged Communication, named Chapter 8 provisions
- North Carolina official laws material
Privileged Communication, G.S. 8-53.6 heading
- North Carolina official privilege material
G.S. 8-53.3, expressly named reporting laws
- Americans with Disabilities Act, Department of Justice
42 U.S.C. 12189, examinations and courses
- North Carolina official oah material
21 NCAC 54 .1901(a)(2), complete State Examination scope
- North Carolina official ethics-scoring material
Fall 2022 Bulletin Board, page 2, Step 1, correct answers
- North Carolina official renewal material
2026 renewal, Step 1, no-fail assessment
- Rules of the North Carolina Psychology Board
21 NCAC 54 .1901(a)(3), Ethics Renewal Examination
- North Carolina official renewal material
2026 renewal, Ethics Refresher, access and requirement