Mental health care that truly listens
MWI Health is a psychiatry-driven behavioral health practice with clinics across South Dakota, North Dakota, and Iowa. Psychiatry, therapy, medication management, and advanced care like TMS and Spravato, all built around you, not a one-size-fits-all protocol.
Welcome to MWI Health
Compassionate mental health care, when you need it most
When you are struggling, the hardest part is often just knowing where to turn. MWI Health brings psychiatry, therapy, and medication management together under one roof, so whether you are searching for a caring therapist or a psychiatrist who truly listens, you meet a team that builds a plan around you.
You do not have to keep waiting for things to feel better on their own. Our providers offer anxiety therapy, depression counseling, ADHD care, and advanced treatments like TMS therapy and Spravato, with prompt availability and no referral needed, in person at clinics across South Dakota, North Dakota, and Iowa or from home by secure telehealth.
Services
Comprehensive behavioral health, in one place
Psychiatry and therapy under one roof, plus advanced options for depression that has not responded to other treatments.
Advanced care
When depression hasn't responded, SPRAVATO® may help
If you have tried antidepressants without lasting relief, you are not out of options. In this short video, Dr. Clay J. Pavlis explains how Spravato (esketamine) works for treatment-resistant depression and what to expect from care at MWI Health.
- FDA-approved esketamine nasal spray for treatment-resistant depression
- Given in a calm, monitored, in-office setting by our team
- Prescribed and overseen by board-certified psychiatry
Spravato is available at select MWI Health clinics for eligible patients. Call to confirm availability at your nearest location.
Our clinics
Find MWI Health near you
Six clinics across South Dakota, North Dakota, and Iowa, plus secure telehealth throughout all three states.
Sioux Falls
Sioux Falls, SD 57106
Downtown Sioux Falls
Sioux Falls, SD 57104
Rapid City
Rapid City, SD 57702
Yankton
Yankton, SD 57078
Fargo
Fargo, ND 58102
Fri, 8:00am–12:00pm
West Des Moines
West Des Moines, IA 50266
Fri, 8:00am–5:00pm
Intensive Outpatient Program (IOP)
Recovery support that fits your life
Reaching out for help with drinking or drug use is hard. We make the next step simpler. Our team supports your recovery with regular sessions you can plan around work, family, and daily life.
- A trained, caring team by your side
- Mental health support built right in
- Sessions that work around your schedule
This program is for people with a substance use diagnosis. Offered at our Downtown Sioux Falls clinic.
Why MWI Health
A real team you can see, not a directory listing
When you search for a therapist or psychiatrist, you deserve a real team you can see in person, not just a name on a list.
Board-certified psychiatry
Led by a board-certified psychiatrist and Chief Medical Officer, with an experienced provider team.
Prompt availability
New patients welcome with no referral needed, so you are not waiting months to be seen.
Care in one place
Psychiatry, therapy, medication management, TMS, and Spravato, coordinated by one team.
In-person or telehealth
See us at any clinic or from home by secure telehealth across SD, ND, and IA.
Patient reviews
Trusted across our communities
Named a Top 5 Mental Health Clinic for 2026 by BusinessRate, based on verified patient feedback and Google Reviews from clinics across our practice.
"Kristen is amazing with my kids. We went to several professionals to manage my son's ADHD. She was the first one to actually listen to him and not just want to put him on more meds. She looks at what you need, doesn't over-medicate, and gives you the resources to help with your situation."
"I've only been going here for a short time but I absolutely LOVE MWI! I was one of those people who thought going to a psychiatrist and therapy was rubbish. In the short time I've been going I have learned A LOT about myself, and my life seems to have turned around. I will ALWAYS choose MWI!"
"All of the staff that I've had the pleasure speaking to are above and beyond. I'm always heard and understood instead of just pushed away with a prescription. They actually want to see you thrive instead of run you for your money. 10/10!!!"
"Excellent care received! Highly recommend MWI Health."
"They have a great appointment reminder service, right up until 20 minutes before you arrive, and I appreciate that. The front reception staff are super friendly and helpful, and my counselor is great. Keep up the good work."
"I'd recommend them to anyone. They call me by name and have helped me a lot in the short time I've been going there."
Reviews are real patient feedback from Google. Individual results and experiences vary.
In the news
MWI Health, covered locally
Argus Leader
How MWI Health is expanding mental health support
Read the story →
Rapid City Journal
Celebrating a new mental health office in Rapid City
Read the story →
KELOLAND Living
MWI Health: It's Okay Not to Be Okay
Watch the segment →
BusinessRate
Top 5 Mental Health Clinic 2026 · West Des Moines
2026 recognition →
Meet our Medical Director
Care led by a psychiatrist who believes in listening first
MWI Health was founded by Dr. Clay J. Pavlis, a board-certified adult psychiatrist who built the practice around a simple idea: mental health care should be individualized, judgment-free, and never rushed. As Medical Director and Chief Medical Officer, he sets the clinical standard for every provider across our clinics.
- ABPN Diplomate, board-certified adult psychiatrist
- USD School of Medicine · Sanford residency
- NeuroStar TMS & Buprenorphine certified
- Forensic psychiatry · Adjunct professor, USD & SDSU
Good to know
Frequently asked questions
We have clinics in Sioux Falls (two locations), Rapid City, and Yankton, South Dakota; Fargo, North Dakota; and West Des Moines, Iowa. We also offer secure telehealth across South Dakota, North Dakota, and Iowa.
Yes. Our psychiatrists, psychiatric nurse practitioners, and therapists are accepting new patients now, often with prompt availability. No referral is needed. Call (605) 573-2000 to get started.
MWI Health accepts most major insurance plans, including Cigna, Aetna, Blue Cross Blue Shield, Medicare, and Tricare, plus most commercial plans. Our team verifies your benefits before your first visit. Call (605) 573-2000 to confirm your coverage.
Both. Our team includes licensed therapists and counselors alongside psychiatric providers, so you can receive talk therapy, medication management, or a combination, all coordinated under one roof.
Yes. TMS therapy, a non-invasive, FDA-cleared treatment for depression, and Spravato (esketamine) for treatment-resistant depression are available at select MWI Health clinics in a monitored, in-office setting. Call to confirm availability at your nearest location.
Yes. We care for children, teens, and adults. When you reach out for a child or teen, our team will help match them with the right provider for their age and needs.
Yes. Many visits can be done from home by secure telehealth across South Dakota, North Dakota, and Iowa, in addition to in-person appointments at any of our clinics.
No referral is needed, and we often have prompt availability for new patients. Call (605) 573-2000 or use the online patient portal, and our team will help you find the soonest appointment that fits your schedule.
Your first visit is a conversation. Your provider takes time to understand what you are going through and what you want from care, then works with you on a personalized plan, whether that is therapy, medication management, or both.
Coverage
Insurance accepted
We accept most major plans and verify your benefits before your first visit.
Not sure if your plan is covered? Call your local MWI Health clinic to verify your insurance before your first visit.
Medically reviewed
Reviewed by Clay J. Pavlis, MD
Board-certified psychiatrist and Chief Medical Officer of MWI Health.
Start care with a team you can trust
New patients are welcome now for psychiatry, therapy, and counseling. No referral needed, and we verify your insurance before your first visit. In-person and telehealth appointments available, so do not wait to feel better.
In a crisis
Get help right now
MWI Health is an outpatient clinic and cannot respond to emergencies. If you or someone you know is in danger or thinking about suicide, use these free, confidential resources, available 24/7.
- Call 911Life-threatening emergency, or someone at immediate risk of harm.
- Call or text 988Suicide & Crisis Lifeline, 24/7. Chat at 988lifeline.org/chat.
- Dial 988, then press 1Veterans Crisis Line, or text 838255.
- Dial 2-1-1Everyday support and community resources. Call 211 or text your ZIP code to 898211.