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Although many people use videoconferencing technology to eliminate distance concerns as they conduct personal and professional activities, a large majority of psychologists have never used telepsychology. This is a barrier to mental health services for millions of people needing help but are limited by time or distance from traditional in-person therapy. The purpose of this study was to identify demographic, organizational, and clinical statistical predictors of psychologists’ use of telepsychology in their clinical practice. The sample consisted of 1,791 psychologists currently practicing psychotherapy, representing all 50 US states, and averaging more than 26 years in practice. Results suggested that psychologists were much more likely to use telepsychology if they practiced in organizations where policies supporting telepsychology exist, more likely if they had received telepsychology training, and less likely if they …