City Survivability Rankings for Mental Health Clinic

StreetSpring's 2026 analysis ranks the top cities for Mental Health Clinics across the US by Survivability Scores. See which cities offer the best chances for a Psychiatry or Psychology Practice to succeed.

•17 min read

Quick Summary

  • Survivability Score: the projected chance a business type lasts two or more years at a specific address
  • The highest-ranked city for Mental Health Clinic is Houston: 89.6% at a good address, 83.4% at a typical address
  • Dallas is left out of this ranking while a gap in its input data is repaired, and San Antonio is left out because it has too few scored locations to rank fairly
  • 19 of 22 analyzed US metros average above 70% for Mental Health Clinic survivability at a typical address
  • The lowest-ranked city is New York City at 81.9%
  • National average chance of lasting two or more years for Mental Health Clinic: 74.2%
  • Data reflects 2026 StreetSpring survivability analysis across 22 US metro areas · Full methodology →

Table of Contents

Summary

According to StreetSpring's 2026 nationwide analysis, Houston ranks as the #1 city for opening a Psychiatry or Psychology Practice in the United States, with an 89.6% chance of lasting two or more years at a good address. Following close behind are Charlotte with 88.7%, and Phoenix with 88.7%. Our 22-city dataset shows Mental Health Clinics achieving 74.2% average survivability nationally: Houston pulling notably ahead of the pack. Remember that a city's average score smooths over wide variation: your exact neighborhood could significantly outperform the city average. Pair these survivability scores with StreetSpring's live tool to get a real-time view before making a final decision.

Survivability ranges reflect best and worst storefront conditions within each city. See our full methodology →

Mental Health Clinics city survivability range chart: Houston vs New York City (2026)

Best-to-worst Mental Health Clinic survivability within individual metros: Houston, Charlotte, Chicago, Boston and New York City. Each box spans the middle of that metro's range; whiskers are its best and worst locations (2026).

All 22 Cities Ranked for Mental Health Clinics

Based on StreetSpring's analysis of 22 major metropolitan areas, these cities offer the strongest prospects for Mental Health Clinics:

#MetroMetro areaChance of lasting two or more years at a good address
1HoustonHouston-Pasadena-The Woodlands, TX89.6%
2CharlotteCharlotte-Concord-Gastonia, NC-SC88.7%
3PhoenixPhoenix-Mesa-Chandler, AZ88.7%
4AtlantaAtlanta-Sandy Springs-Roswell, GA88.7%
5DenverDenver-Aurora-Centennial, CO88.7%
6SeattleSeattle-Tacoma-Bellevue, WA88.3%
7OrlandoOrlando-Kissimmee-Sanford, FL87.5%
8PhiladelphiaPhiladelphia-Camden-Wilmington, PA-NJ-DE-MD87.0%
9MinneapolisMinneapolis-St. Paul-Bloomington, MN-WI87.0%
10Washington DCWashington-Arlington-Alexandria, DC-VA-MD-WV87.0%
11St. LouisSt. Louis, MO-IL86.6%
12ChicagoChicago-Naperville-Elgin, IL-IN86.6%
13San DiegoSan Diego-Chula Vista-Carlsbad, CA86.2%
14BaltimoreBaltimore-Columbia-Towson, MD86.2%
15Los AngelesLos Angeles-Long Beach-Anaheim, CA86.2%
16MiamiMiami-Fort Lauderdale-West Palm Beach, FL86.2%
17DetroitDetroit-Warren-Dearborn, MI84.5%
18San FranciscoSan Francisco-Oakland-Fremont, CA84.5%
19PortlandPortland-Vancouver-Hillsboro, OR-WA84.5%
20Tampa BayTampa-St. Petersburg-Clearwater, FL84.0%
21BostonBoston-Cambridge-Newton, MA-NH82.8%
22New York CityNew York-Newark-Jersey City, NY-NJ81.9%

1. Houston Metro: Houston-Pasadena-The Woodlands, TX

2. Charlotte Metro: Charlotte-Concord-Gastonia, NC-SC

3. Phoenix Metro: Phoenix-Mesa-Chandler, AZ

4. Atlanta Metro: Atlanta-Sandy Springs-Roswell, GA

  • At a good address: 88.7%
  • At a typical address: 78.4%
  • Best scored location: 90.0%
  • Weakest scored location: 56.0%

5. Denver Metro: Denver-Aurora-Centennial, CO

6. Seattle Metro: Seattle-Tacoma-Bellevue, WA

7. Orlando Metro: Orlando-Kissimmee-Sanford, FL

8. Philadelphia Metro: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD

9. Minneapolis Metro: Minneapolis-St. Paul-Bloomington, MN-WI

10. Washington DC Metro: Washington-Arlington-Alexandria, DC-VA-MD-WV

11. St. Louis Metro: St. Louis, MO-IL

12. Chicago Metro: Chicago-Naperville-Elgin, IL-IN

  • At a good address: 86.6%
  • At a typical address: 72.9%
  • Best scored location: 90.0%
  • Weakest scored location: 56.0%

13. San Diego Metro: San Diego-Chula Vista-Carlsbad, CA

14. Baltimore Metro: Baltimore-Columbia-Towson, MD

  • At a good address: 86.2%
  • At a typical address: 73.6%
  • Best scored location: 90.0%
  • Weakest scored location: 56.0%

15. Los Angeles Metro: Los Angeles-Long Beach-Anaheim, CA

16. Miami Metro: Miami-Fort Lauderdale-West Palm Beach, FL

17. Detroit Metro: Detroit-Warren-Dearborn, MI

18. San Francisco Metro: San Francisco-Oakland-Fremont, CA

19. Portland Metro: Portland-Vancouver-Hillsboro, OR-WA

20. Tampa Bay Metro: Tampa-St. Petersburg-Clearwater, FL

21. Boston Metro: Boston-Cambridge-Newton, MA-NH

  • At a good address: 82.8%
  • At a typical address: 68.9%
  • Best scored location: 90.0%
  • Weakest scored location: 56.0%

22. New York City Metro: New York-Newark-Jersey City, NY-NJ

Key Insights

Moderate variation between cities: The difference between the #1 city (Houston at 89.6%) and the #22 city (New York City at 81.9%) is 7.70 percentage points. Houston leads Charlotte by 0.9 points. For Mental Health Clinics, the metro matters far less than the block.

Strong performers: 1 city shows Survivability Scores above 80%, indicating highly favorable conditions for Mental Health Clinics.

National average: Across all 22 analyzed cities, the average survivability for a Psychiatry or Psychology Practice is 74.2%.

What Makes These Cities Stand Out?

The top-ranked cities share several characteristics that favor Mental Health Clinics:

  • Strong survivability signals: Houston leads with a 83% average chance of lasting two or more years for Mental Health Clinics: significantly above the national average for this business category.
  • Competition density: The top cities show favorable competitor-to-opportunity ratios for Mental Health Clinics, meaning lower saturation and higher odds of capturing an underserved customer base.
  • Neighborhood diversity: Within each top city, high-survivability zones appear across multiple neighborhood types, from dense urban cores to established suburban strips.
  • Foot traffic infrastructure: High-scoring cities combine transit access, walkable commercial corridors, and anchor tenants that drive consistent daily traffic past storefronts.

The predictions here are powered by AI models validated against actual business outcomes nationwide. We apply advanced machine learning to massive commercial real estate datasets to build accurate models. These forecasts are generated by our exclusive analytical framework, built from the ground up for commercial real estate.

City-specific guides: For detailed neighborhood-level analysis, explore our city guides:

National guides:

How current is this ranking?

Rankings are updated quarterly. The current data reflects StreetSpring's 2026 analysis, with the next full dataset refresh scheduled for Q3 2026. As market conditions shift across major metros, individual city scores can move meaningfully between updates: particularly for Mental Health Clinics, where local competition density and consumer spending patterns respond quickly to new entrants and neighborhood change. For the most current score at any specific address, use StreetSpring's live survivability tool rather than the static ranking above.

Can a Psychiatry or Psychology Practice succeed in cities not ranked in the top 10?

Yes, our top 10 ranking reflects cities with the strongest average conditions, but lower-ranked metros can still contain exceptional individual neighborhoods. Many operators successfully open Mental Health Clinics in cities that don't appear in our top 10. Mental Health Clinics in particular can find strong performance in secondary markets where the right demographic concentration, household income, and limited direct competition within walking distance align, even outside our highest-ranked cities. StreetSpring's neighborhood-level data surfaces these pockets of opportunity in every city we analyze, regardless of where the city as a whole ranks nationally.

What tools can help me choose the right city for a Psychiatry or Psychology Practice?

StreetSpring's Survivability Score tool provides address-level predictions for Mental Health Clinics across all 22 metros we track. For this category specifically, the model reads competition density, the consumer spending index for Mental Health Clinics, and Census neighborhood characteristics such as the housing vacancy rate, and turns them into the projected chance that a Psychiatry or Psychology Practice lasts two or more years at a given address. You can check any specific address before signing a lease and compare multiple neighborhoods side by side to identify the highest-survivability site within your target city.

Try the Survivability Score tool →

Which US city has the best survivability for Mental Health Clinics?

Houston ranks as the #1 city in the US for Mental Health Clinics survivability in StreetSpring's 2026 analysis, with an average 83% chance of lasting two or more years. This means that across well-selected neighborhoods in Houston, a Psychiatry or Psychology Practice has approximately a 83% chance of still operating after two years, above the national average for this category. Charlotte ranks second, followed by Phoenix. The full ranking reflects data across 22 major US metro areas: see the complete list above for all scores and neighborhood-level links.

Last reviewed: October 2026 by Robert Koons, Founder & CEO, StreetSpring

Technical note: Aggregated national survivability rankings across all 24 metros are available in machine-readable format for research and integration purposes.

View national technical data

StreetSpring recalculates survivability using the latest competitive, demographic, and walkability data, so the live score may differ from the static ranges shown here.

Methodology: Each metro's figures pool the scored locations in its published neighborhoods. Metros are ranked the way the national data file ranks them, on the chance of lasting two or more years at a good address; the typical-address figure is shown alongside. Coverage includes 22 major US metropolitan areas: Houston, Charlotte, Phoenix, Atlanta, Denver, Seattle, Orlando, Philadelphia, Minneapolis, Washington DC, St. Louis, Chicago, San Diego, Baltimore, Los Angeles, Miami, Detroit, San Francisco, Portland, Tampa Bay, Boston, New York City. StreetSpring scores 500+ business types: 153 base business types, most of them at 5 price points, which is 569 type-and-price combinations you can choose in the tool.