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2027 Edition

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Best PsyD Programs in North Carolina (2027)

The ranking finds two PsyD programs in North Carolina that hold APA accreditation and take new students, each in its own city. At 41st nationally and 59.3 out of 100, Western Carolina University in Cullowhee, North Carolina is first among the PsyD programs in North Carolina.

Layered Blue Ridge Mountain ridgelines above a bank of morning fog near Asheville, North Carolina. The photograph opens the ranking of PsyD programs in North Carolina.

By APA area of accreditation, that is 1 clinical and 1 combined clinical and school programs. Public universities run two of them (Western Carolina University and Appalachian State University).

North Carolina licenses a new doctoral graduate provisionally through the postdoctoral year, and a program outside APA or CPA accreditation has to keep its students and faculty on a physical campus. BLS reports a median of $92,130 for clinical and counseling psychologists in North Carolina (May 2025), against $100,580 nationwide.

PsyD Programs in North Carolina at a Glance

  • Two PsyD programs in North Carolina are ranked. Each holds current APA accreditation and takes new students, and the highest-ranked of them stands 41st nationally. How the programs are scored.
  • North Carolina counts 3,000 supervised hours, at least 1,500 of them after the doctorate. Graduates finishing those hours hold a provisional license, and every candidate takes the EPPP and a State Examination.
  • Clinical and counseling psychologists in North Carolina earn a median of $92,130. That is BLS pay for SOC 19-3033 in May 2025, with the 10th to 90th percentile running from $52,890 to $213,160.
  • APA lists Appalachian State University as “Accredited, on contingency”. Its card shows that exact status.

Top PsyD Programs in North Carolina

Both ranked PsyD programs in North Carolina, in order. The number on each card is its place in North Carolina, and its national rank is beside the school.

Rank 1

Western Carolina University’s Clinical and School Psychology program page for the Psy.D.

Cullowhee, NC · Clinical and School Psychology · No. 41 nationally · On campus

59.3

$21,514
first-year cohort, 2026-2027, out-of-state
100%
6 first-time takers
78%
18 of 23 applicants
3
2025-2026 graduates

Factor scores, out of 10

  • Cost 8.6
  • Completion 2.1
  • Outcomes 7.2
  • Track record 2.2
  • Credential 10.0
  • Reputation 3.0

Western Carolina University's post-master's Psy.D. in Cullowhee, North Carolina, combines clinical and school psychology in a three-year, full-time, in-person program, and every admitted student is offered a graduate assistantship.

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Western Carolina University's Doctor of Psychology (PsyD) in Health Service Psychology (Combined Clinical- School) follows the practitioner-scholar model and runs three years: two academic years on campus and one calendar year of a full-time, 2,000-hour clinical internship. Applicants choose one concentration area, Clinical or School Psychology. Students who have met their prerequisites begin seeing clients in their first semester, train for at least one year at the McKee Assessment and Psychological Services Clinic and at least one year with a community partner, and complete an empirical dissertation of journal-manuscript length under a faculty mentor and committee. Students are generally on campus or at practicum sites Mondays through Thursdays, with Fridays reserved for research and special meetings.

This is a post-master's program: applicants need an MA, MS or SSP degree in clinical psychology, school psychology or a closely related area with certain prerequisite coursework, and those missing no more than 24 credit hours of prerequisites can complete them while enrolled. Applications are due February 1 each year. The program is full-time and in person at the campus in Cullowhee, North Carolina, does not admit part-time students and offers no distance or online courses. All admitted students are offered a 20-hour-per-week graduate assistantship that the program commits to for the first two academic years (the internship site pays students in the third year), and a summer research fellowship and a PsyD scholarship are also available.

  • The program runs three years, including a one-year, 2,000-hour internship.
  • Applicants need an MA, MS or SSP degree.
  • The program does not admit part-time students and offers no online courses.
  • Every admitted student is offered a 20-hour-per-week graduate assistantship.
  • Applications are due February 1 each year.
APA area
Combined, Clinical-School Psychology
Program unit
Department of Psychology
APA number
2467
Accredited since
March 1, 2022
Next site visit
2036
Schedule
full-time
Entry
master's degree
Length
three years: two academic years on campus and one calendar year of full-time internship
Tuition, in-state
$10,735 (first-year cohort, 2026-2027)
Tuition, out-of-state
$21,514 (first-year cohort, 2026-2027)
EPPP
100% of 6 first-time takers passed (ASPPB)
Internship match
18 of 23 applicants matched to an APA- or CPA-accredited internship (APPIC)

Scored under methodology v2.0

Sources: APA record of Western Carolina University (Clinical and School Psychology), ASPPB, APPIC and APA disclosure of Western Carolina University (Clinical and School Psychology), read October 14, 2026.

Rank 2

Appalachian State University’s Psy.D. program page in Clinical Psychology

Boone, NC · Clinical Psychology · No. 80 nationally · On campus

  • Accredited, on contingency

48.5

$26,811
first-year cohort, 2026-2027, out-of-state
73%
8 of 11 applicants
5
2025-2026 graduates

Factor scores, out of 10

  • Cost 6.9
  • Completion 5.6
  • Outcomes 3.4
  • Track record 2.0
  • Credential 5.0
  • Reputation 1.2

Appalachian State University's Psy.D. in Boone, North Carolina, trains about six students a year for practice with rural and other underserved populations and offers every student a four-year graduate assistantship, given adequate progress in the program.

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Appalachian State's Psy.D. in Clinical Psychology is an applied practice degree in health service psychology that aims to train students to serve rural and other underserved populations, following a scholar-practitioner model that stresses generalist training, evidence-based practice and applied research. The program of study requires at least 101 hours and is designed to be completed in five years: at least four years of full-time, on-site training, including a three-year sequence of supervised practicum training and a dissertation that must be proposed before students apply for internship, plus a one-year pre-doctoral internship. Students earn an M.A. degree en route to the Psy.D., and training sites include the department's Psychology Clinic, the Counseling and Psychological Services Center, regional school mental health programs and an integrated care placement at a community health center.

Applicants need a bachelor's degree; the program prefers a GPA of 3.5 or higher, and introductory psychology, statistics, research methods and abnormal psychology are required for admission. The GRE General Test is optional, applications are due December 1 for fall entry, and selected applicants are invited to a remote interview, which is required for admission. Enrollment is limited to approximately six students a year, and the program is full-time and in person in Boone, North Carolina, with no part-time or distance option. Students pay tuition and fees; every student is offered a graduate assistantship for four years, given adequate progress, and out-of-state tuition waivers are available on a competitive basis in the first year.

  • The program of study requires a minimum of 101 hours.
  • Students earn an M.A. degree en route to the Psy.D.
  • The GRE General Test is optional.
  • Every student is offered a graduate assistantship for four years, given adequate progress.
  • Enrollment is limited to approximately six students per year.
APA area
Clinical Psychology
Program unit
Clinical Psychology PsyD Program/Psychology
APA number
2506
Accredited since
February 2, 2024
Schedule
full-time
Entry
bachelor's degree
GRE
optional
Length
five years, including a one-year pre-doctoral internship
Credits
101 credit hours
Tuition, in-state
$6,422 (first-year cohort, 2026-2027)
Tuition, out-of-state
$26,811 (first-year cohort, 2026-2027)
University fees
$4,137
Internship match
8 of 11 applicants matched to an APA- or CPA-accredited internship (APPIC)

Scored under methodology v2.0

Sources: APA record of Appalachian State University (Clinical Psychology), APPIC and APA disclosure of Appalachian State University (Clinical Psychology), read October 14, 2026.

The Numbers Behind the North Carolina Ranking

The figures below come from the two PsyD programs in North Carolina that this ranking includes, each read from the source named beside it.

  • 2

    APA-accredited PsyD programs ranked in North Carolina

    APA directory
  • 2

    Cities with a ranked PsyD program

    APA directory

ASPPB reports a first-time EPPP pass rate of 100% for Western Carolina University.

APPIC’s 2021 to 2025 match data put the accredited internship match rate at 78% for Western Carolina University and 73% for Appalachian State University.

Yearly tuition is $10,735 at Western Carolina University and $6,422 at Appalachian State University. Where a program’s cost table lists both an in-state and an out-of-state price, this page counts the in-state price (Western Carolina University and Appalachian State University); the ranking’s cost score uses the out-of-state price for every program alike.

ASPPB adds its own caution: “Please note that care should be exercised if comparisons across schools and programs are made.”

Psychologist Licensure in North Carolina

A PsyD is a degree, and the license comes from the state. These are the rules a graduate of PsyD programs in North Carolina meets for a license there, each linked to the page it was read on.

Licensing questionNorth Carolina’s answer
Doctoral degree and accreditation
A psychology doctorate from a program accredited by APA or CPA at graduation, or one that meets the board’s campus-residence criteriaThose criteria include students and full-time faculty at the physical campus and a year of residence: 30 semester hours taken in person on that campus within one year. Source: North Carolina Administrative Code, 21 NCAC 54 .1803, read October 21, 2026
Supervised experience
3,000 hours over two years, with at least 1,500 of them in a postdoctoral calendar yearThe other year may be predoctoral, and an APA-accredited internship meets the rule’s training-year criteria. Source: North Carolina Administrative Code, 21 NCAC 54 .2009, read October 21, 2026
Health services certification
Required (as HSP-P) for a psychologist with a permanent license who provides or offers health servicesIt is optional while a psychologist holds a provisional license. Source: North Carolina General Statutes 90-270.153, read October 21, 2026
Licensing examinations
The EPPP, passed at a scaled score of 500, and the board’s State ExaminationThe State Examination covers the Psychology Practice Act, the board’s rules and the APA ethics code, with a pass point of 78 percent of scored items. Source: North Carolina Administrative Code, 21 NCAC 54 .1901, read October 21, 2026

Licensing board: North Carolina Psychology Board.

Psychologist Pay in North Carolina

BLS counts 2,770 clinical and counseling psychologists in North Carolina, with a median annual wage of $92,130. School psychologists number 1,540 at a median of $73,220.

Clinical and Counseling Psychologists in North Carolina

$92,130

Median annual pay for clinical and counseling psychologists in North Carolina

  • BLS OEWS, May 2025
10th percentile
$52,890
25th percentile
$74,460
75th percentile
$122,440
90th percentile
$213,160

Occupation: Clinical and Counseling Psychologists, SOC 19-3033.BLS counts 2,770 employed in North Carolina.

Clinical and Counseling Psychologists Pay by Area in North Carolina

Median annual pay for clinical and counseling psychologists in North Carolina and its metropolitan and nonmetropolitan areas, BLS May 2025
AreaMedian annual pay
North Carolina statewide 2,770 employed $92,130
Charlotte-Concord-Gastonia, NC-SC 720 employed $117,170
Asheville, NC 100 employed $99,070
Raleigh-Cary, NC 520 employed $96,560
Eastern North Carolina nonmetropolitan area 110 employed $94,960
Durham-Chapel Hill, NC 270 employed $93,420
Hickory-Lenoir-Morganton, NC 70 employed $91,290
Virginia Beach-Chesapeake-Norfolk, VA-NC 420 employed $91,010
Greenville, NC 30 employed $90,150
Central North Carolina nonmetropolitan area 140 employed $85,900
Greensboro-High Point, NC 170 employed $80,560
Winston-Salem, NC 150 employed $79,600
Fayetteville, NC 80 employed $78,780
Wilmington, NC 70 employed $76,700
Western North Carolina nonmetropolitan area 110 employed $74,990

School Psychologists in North Carolina

$73,220

Median annual pay for school psychologists in North Carolina

  • BLS OEWS, May 2025
10th percentile
$58,510
25th percentile
$63,580
75th percentile
$80,870
90th percentile
$91,970

Occupation: School Psychologists, SOC 19-3034.BLS counts 1,540 employed in North Carolina.

School Psychologists Pay by Area in North Carolina

Median annual pay for school psychologists in North Carolina and its metropolitan and nonmetropolitan areas, BLS May 2025
AreaMedian annual pay
North Carolina statewide 1,540 employed $73,220
Virginia Beach-Chesapeake-Norfolk, VA-NC 230 employed $86,510
Raleigh-Cary, NC 260 employed $83,340
Charlotte-Concord-Gastonia, NC-SC 410 employed $80,850
Winston-Salem, NC 40 employed $77,230
Greensboro-High Point, NC $76,160
Eastern North Carolina nonmetropolitan area 70 employed $73,000
Wilmington, NC 80 employed $65,750
Asheville, NC 40 employed $64,020
Durham-Chapel Hill, NC 70 employed $62,460
Burlington, NC 30 employed $60,970
Hickory-Lenoir-Morganton, NC 40 employed $60,960
Central North Carolina nonmetropolitan area 50 employed $58,910
Western North Carolina nonmetropolitan area 50 employed $58,910

Percentiles are points in each occupation’s pay distribution, not experience levels. BLS lists an area in every state its counties reach, so a metropolitan area that crosses a state line appears under each state.

Questions About a PsyD in North Carolina

Which Is the Best PsyD Program in North Carolina?

In the 2027 ranking, Western Carolina University in Cullowhee, North Carolina is first among the PsyD programs in North Carolina, with a score of 59.3 out of 100 and 41st place nationally. Its program page is Western Carolina University’s page for the Psy.D. in Clinical and School Psychology. The score weighs cost, graduate earnings, completion, internship and licensure outcomes, track record, credential alignment and program reputation, and the methodology page shows each weight.

Does North Carolina Require an APA-Accredited PsyD?

No. 21 NCAC 54 .1803 accepts APA or CPA accreditation, or a program that meets the board’s criteria, which call for students and full-time faculty at the physical campus and a year of in-person residence. The board’s FAQ says it has denied applications from graduates of programs that taught primarily online.

What Is a Provisional License for North Carolina Psychologists?

It is the license a doctoral graduate holds while finishing supervised experience. Under 21 NCAC 54 .2009, a psychologist who meets every requirement for a permanent license except the two years of supervised experience receives one. The board’s FAQ describes applying for the permanent license once the postdoctoral year, 1,500 hours and 12 months of practice, is complete.

Which Exams Does a North Carolina Psychologist Take?

Two: the EPPP, with a passing scaled score of 500 at the licensed psychologist level, and the board’s own State Examination on the Practice Act, its rules and the APA ethics code. The board’s examinations page describes a two-hour, computer-based, multiple-choice test that need not be taken at a testing center, passed with 50 correct answers.

What Do Psychologists Earn in North Carolina?

BLS reports a median annual wage of $92,130 for clinical and counseling psychologists (SOC 19-3033) in North Carolina for May 2025. The 10th percentile is $52,890 and the 90th is $213,160. School psychologists (SOC 19-3034) have a median of $73,220. Percentiles mark points in the pay distribution of everyone in the occupation, not years of experience.

Sources for North Carolina PsyD Programs