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.
Quick Summary
- The highest-survivability city for Mental Health Clinic is San Antonio — 63% average survivability
- 0 of 24 analyzed US metros score above 70% for Mental Health Clinic survivability
- The lowest-ranked city is Philadelphia at 59%
- National average survivability score for Mental Health Clinic: 60.9%
- Data reflects 2026 StreetSpring survivability analysis across 24 US metro areas · Full methodology →
Table of Contents
- Summary
- Top Cities for Mental Health Clinics
- Key Insights
- What Makes These Cities Stand Out?
- Related Resources
- How current is this ranking?
- Can a Psychiatry or Psychology Practice succeed in cities not ranked in the top 10?
- What tools can help me choose the right city for a Psychiatry or Psychology Practice?
- Which US city has the best survivability for Mental Health Clinics?
Summary
According to StreetSpring's 2026 nationwide analysis, San Antonio ranks as the #1 city for opening a Psychiatry or Psychology Practice in the United States, with an average 63% chance of surviving more than 2 years. Following close behind are Dallas with 63%, and Orlando with 62%. Mental Health Clinics consistently deliver a 60.9% survivability average across our 24 analyzed metros, with top-ranked San Antonio demonstrating the strongest conditions. Still, specific site selection matters — some of the best-performing blocks can be found in cities that might not look ideal on average. The best way to use these rankings is as a starting point — layer in your own market research and local knowledge before committing.
Survivability ranges reflect best and worst storefront conditions within each city. See our full methodology →
Mental Health Clinic city survivability rankings — San Antonio leads among 24 US metros at 63% in 2026
Every Major US Metro Ranked for Mental Health Clinics
Based on StreetSpring's analysis of 24 major metropolitan areas, these cities offer the strongest prospects for Mental Health Clinics:
1. San Antonio Metro: San Antonio-New Braunfels, TX
- Best locations: 72.2% – 83.0%
- Average locations: 60.3% – 65.7%
- Challenging locations: 38.0% – 55.8%
- Explore Mental Health Clinic neighborhoods in San Antonio →
The metro-level signals behind these scores
2. Dallas Metro: Dallas-Fort Worth-Arlington, TX
- Best locations: 70.8% – 80.0%
- Average locations: 60.3% – 65.2%
- Challenging locations: 39.0% – 55.9%
- Explore Mental Health Clinic neighborhoods in Dallas →
3. Orlando Metro: Orlando-Kissimmee-Sanford, FL
- Best locations: 72.1% – 84.0%
- Average locations: 59.8% – 65.0%
- Challenging locations: 41.0% – 56.0%
- Explore Mental Health Clinic neighborhoods in Orlando →
4. Portland Metro: Portland-Vancouver-Hillsboro, OR-WA
- Best locations: 72.0% – 84.0%
- Average locations: 59.3% – 64.8%
- Challenging locations: 38.0% – 54.9%
- Explore Mental Health Clinic neighborhoods in Portland →
5. Charlotte Metro: Charlotte-Concord-Gastonia, NC-SC
- Best locations: 71.1% – 82.0%
- Average locations: 59.4% – 64.5%
- Challenging locations: 39.0% – 55.2%
- Explore Mental Health Clinic neighborhoods in Charlotte →
6. St Louis
- Best locations: 71.5% – 83.0%
- Average locations: 59.0% – 64.6%
- Challenging locations: 36.0% – 54.3%
- Explore Mental Health Clinic neighborhoods in St Louis →
7. San Francisco Metro: San Francisco-Oakland-Fremont, CA
- Best locations: 71.3% – 83.0%
- Average locations: 58.6% – 64.3%
- Challenging locations: 35.0% – 53.7%
- Explore Mental Health Clinic neighborhoods in San Francisco →
8. Phoenix Metro: Phoenix-Mesa-Chandler, AZ
- Best locations: 71.7% – 84.0%
- Average locations: 59.0% – 64.4%
- Challenging locations: 39.0% – 54.9%
- Explore Mental Health Clinic neighborhoods in Phoenix →
9. Los Angeles Metro: Los Angeles-Long Beach-Anaheim, CA
- Best locations: 72.6% – 86.0%
- Average locations: 58.4% – 64.6%
- Challenging locations: 35.0% – 53.6%
- Explore Mental Health Clinic neighborhoods in Los Angeles →
10. Tampa Bay Metro: Tampa-St. Petersburg-Clearwater, FL
- Best locations: 72.1% – 85.0%
- Average locations: 58.6% – 64.4%
- Challenging locations: 37.0% – 54.2%
- Explore Mental Health Clinic neighborhoods in Tampa Bay →
11. San Diego Metro: San Diego-Chula Vista-Carlsbad, CA
- Best locations: 71.5% – 84.0%
- Average locations: 58.1% – 64.0%
- Challenging locations: 35.0% – 53.4%
- Explore Mental Health Clinic neighborhoods in San Diego →
12. Houston Metro: Houston-Pasadena-The Woodlands, TX
- Best locations: 70.8% – 83.0%
- Average locations: 57.9% – 63.4%
- Challenging locations: 37.0% – 53.6%
- Explore Mental Health Clinic neighborhoods in Houston →
Reading the gap from #1 to the median city
13. New York City Metro: New York-Newark-Jersey City, NY-NJ
- Best locations: 72.1% – 86.0%
- Average locations: 57.5% – 63.8%
- Challenging locations: 34.0% – 52.7%
- Explore Mental Health Clinic neighborhoods in New York City →
14. Denver Metro: Denver-Aurora-Centennial, CO
- Best locations: 69.2% – 80.0%
- Average locations: 57.5% – 62.8%
- Challenging locations: 36.0% – 53.1%
- Explore Mental Health Clinic neighborhoods in Denver →
15. Washington DC Metro: Washington-Arlington-Alexandria, DC-VA-MD-WV
- Best locations: 69.6% – 81.0%
- Average locations: 57.1% – 62.7%
- Challenging locations: 34.0% – 52.4%
- Explore Mental Health Clinic neighborhoods in Washington DC →
16. Boston Metro: Boston-Cambridge-Newton, MA-NH
- Best locations: 71.3% – 85.0%
- Average locations: 57.0% – 63.1%
- Challenging locations: 34.0% – 52.3%
- Explore Mental Health Clinic neighborhoods in Boston →
17. Minneapolis Metro: Minneapolis-St. Paul-Bloomington, MN-WI
- Best locations: 71.3% – 85.0%
- Average locations: 56.9% – 63.1%
- Challenging locations: 34.0% – 52.2%
- Explore Mental Health Clinic neighborhoods in Minneapolis →
18. Miami Metro: Miami-Fort Lauderdale-West Palm Beach, FL
- Best locations: 68.9% – 80.0%
- Average locations: 57.0% – 62.3%
- Challenging locations: 36.0% – 52.7%
- Explore Mental Health Clinic neighborhoods in Miami →
19. Atlanta Metro: Atlanta-Sandy Springs-Roswell, GA
- Best locations: 69.7% – 82.0%
- Average locations: 56.8% – 62.3%
- Challenging locations: 36.0% – 52.5%
- Explore Mental Health Clinic neighborhoods in Atlanta →
20. Baltimore Metro: Baltimore-Columbia-Towson, MD
- Best locations: 69.5% – 82.0%
- Average locations: 56.7% – 62.1%
- Challenging locations: 37.0% – 52.6%
- Explore Mental Health Clinic neighborhoods in Baltimore →
21. Chicago Metro: Chicago-Naperville-Elgin, IL-IN
- Best locations: 69.9% – 83.0%
- Average locations: 56.3% – 62.1%
- Challenging locations: 35.0% – 51.9%
- Explore Mental Health Clinic neighborhoods in Chicago →
22. Detroit Metro: Detroit-Warren-Dearborn, MI
- Best locations: 71.2% – 86.0%
- Average locations: 56.3% – 62.4%
- Challenging locations: 35.0% – 51.9%
- Explore Mental Health Clinic neighborhoods in Detroit →
23. Seattle Metro: Seattle-Tacoma-Bellevue, WA
- Best locations: 69.4% – 82.0%
- Average locations: 56.1% – 61.8%
- Challenging locations: 35.0% – 51.8%
- Explore Mental Health Clinic neighborhoods in Seattle →
24. Philadelphia Metro: Philadelphia-Camden-Wilmington, PA-NJ-DE-MD
- Best locations: 70.1% – 84.0%
- Average locations: 55.7% – 61.7%
- Challenging locations: 34.0% – 51.3%
- Explore Mental Health Clinic neighborhoods in Philadelphia →
Patterns Across the National Picture
| Signal | Where strong-survivability cities outperform | What drags weaker cities down |
|---|---|---|
| Average commercial rent per sqft | Cities where the median commercial rate fits the subtype's typical revenue-per-sqft envelope (rent < 10% of expected gross). | Cities where rents have outpaced revenue growth, pushing rent-burden ratios past 15%. |
| Income distribution shape | Cities with a broad middle-class income band that supports the subtype's price tier. | Cities with bifurcated income distributions where the subtype's price point falls into the middle gap. |
| Market size vs saturation | Mid-sized metros with established demand but room for new entrants — under-served pockets in 1.5M–5M population markets. | Either tier-1 cities saturated with national chains, or thin markets under 500K population where demand can't sustain a category. |
Wide variation between cities: The difference between the #1 city (San Antonio at 63.4%) and the #24 city (Philadelphia at 58.7%) is 4.7 percentage points. A 0.2-point gap separating San Antonio and Dallas indicates that for Mental Health Clinics, choosing the right metro is a higher-stakes decision than for many other business types.
How to read these insights against your own market
Challenging markets: 7 cities fall below 60% survivability, suggesting more difficult market conditions.
National average: Across all 24 analyzed cities, the average survivability for a Psychiatry or Psychology Practice is 60.9%.
What Makes These Cities Stand Out?
The top-ranked cities share several characteristics that favor Mental Health Clinics:
- Strong survivability signals: San Antonio leads with a 63% average survivability score 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.
Powered by advanced AI, StreetSpring predicts how businesses will perform in neighborhoods across the country. Our models are built using machine learning trained on millions of commercial real estate data points. Every score is produced by our in-house models, continuously refined against real-world business outcomes.
Visual Data
Related Resources
Same business type in other cities:
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How fresh is this city-survivability data?
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.
Are top-10 cities the only viable markets for Mental Health Clinics?
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.
Which tools rank cities for a Mental Health Clinic survivability?
StreetSpring's Survivability Score tool provides address-level predictions for Mental Health Clinics across all 24 metros we track. For this category specifically, the tool surfaces competition density, consumer spending index for Mental Health Clinics, and commercial vacancy rates — the factors that most consistently predict whether a Psychiatry or Psychology Practice will still be operating after two years. 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 city ranks first for Mental Health Clinics?
San Antonio ranks as the #1 city in the US for Mental Health Clinics survivability in StreetSpring's 2026 analysis, with an average score of 63%. This means that across well-selected neighborhoods in San Antonio, a Psychiatry or Psychology Practice has approximately a 63% chance of still operating after two years — above the national average for this category. Dallas ranks second, followed by Orlando. The full ranking reflects data across 24 major US metro areas — see the complete list above for all scores and neighborhood-level links.
Last reviewed: April 30, 2026 by Bobby Koons, StreetSpring founder — updated weekly
Technical note: Aggregated national survivability rankings across all 24 metros are available in machine-readable format for research and integration purposes.
StreetSpring recalculates survivability using the latest competitive, demographic, and foot traffic data, so the live score may differ from the static ranges shown here.
Methodology: City rankings aggregate neighborhood-level Survivability Scores (max, average, and min) across all analyzed neighborhoods in each metro area. Rankings reflect average conditions but do not account for variation within cities. Coverage includes 24 major US metropolitan areas: San Antonio, Dallas, Orlando, Portland, Charlotte, St Louis, San Francisco, Phoenix, Los Angeles, Tampa Bay, San Diego, Houston, New York City, Denver, Washington DC, Boston, Minneapolis, Miami, Atlanta, Baltimore, Chicago, Detroit, Seattle, Philadelphia.