When Stephen Smith began NOCD 11 years in the past, he wished to construct an app for folks like himself—one of many 8.2 million Americans with obsessive-compulsive dysfunction (OCD)—to trace their signs and time their remedy workouts.
Since 2018, NOCD (pronounced “No-CD”) has supplied digital appointments with therapists specializing in OCD-focused publicity and response prevention (ERP) remedy. With greater than 140 million folks in a position to entry NOCD by way of their insurance coverage, the corporate at the moment supplies a minimum of 1 million remedy classes yearly.
Now, NOCD—final valued at practically $270 million in 2024, based on PitchBook—is making an acquisition and forming a mum or dad model that can place it as the biggest telehealth supplier of specialty remedy.
The corporate on Tuesday introduced its acquisition of Rebound Health, a self-guided psychological well being platform targeted on post-traumatic stress dysfunction (PTSD) and trauma. The deal—the monetary phrases of which weren’t disclosed—passed off in November 2025.
Beginning right now, each firms will function underneath Noto, a mum or dad model that takes its title from the AI-powered software program platform that has fueled NOCD’s progress.
Rebound’s specialised give attention to PTSD and trauma care will likely be built-in into Noto’s platform, which Smith says will assist each firms attain extra sufferers and expedite the method of getting them help.
A typical pairing
In 2022, Smith and his workforce observed there was a major subset of NOCD customers who suffered from each OCD and PTSD. These people, he says, profit from a remedy known as extended publicity (PE) remedy, which asks sufferers to confront reminiscences with a view to course of them.
Like ERP, PE is an exposure-based technique of remedy, so NOCD skilled about 100 of its 1,000 therapists to specialise in PE remedy.
By 2025, Smith felt assured that PE had confirmed efficient and helpful for NOCD’s affected person base. “We noticed that that phase [of therapists] was delivering best-in-class outcomes,” he says. Given the outcomes, he felt a have to scale the remedy as rapidly as potential.
That’s the place Rebound Well being is available in. Based in 2023, the corporate focuses on PTSD and trauma, and has primarily supported sufferers when a therapist shouldn’t be instantly accessible to them because of timing or price.
Below Noto, it can launch Rebound Remedy, a reside remedy providing that will likely be accessible within the subsequent two months. Noto is within the technique of working with payers to enroll sufferers in Rebound Remedy, and the service must be accessible to most Rebound and NOCD customers as a lined profit someday this 12 months.
Revving a progress engine
With the Rebound acquisition increasing NOCD’s scope, Smith wished to create a mum or dad model that highlights the expertise that has helped the corporate develop to the purpose that it logged its first quarter of optimistic money move final 12 months.
“Noto is actually the engine of the NOCD automobile,” he says. By way of consciousness campaigns that concentrate on each customers and suppliers, Noto is ready to establish sufferers who’ve OCD however could have been misdiagnosed and miscoded in a medical system, then enroll them in a NOCD care plan.
Noto’s knowledge additionally confirmed that providing PE remedy to NOCD sufferers experiencing PTSD resulted in long-term enchancment of their mental health.
When searching for the suitable enterprise to assist scale NOCD’s PE capabilities, Smith says Rebound stood out as a result of CEO Raeva Kumar has private expertise with PTSD, and her cofounder and chief product officer, Erin Berenz, has medical expertise treating the dysfunction. Smith says the 2 noticed the acquisition as a chance to get reside remedy to their customers.
“With Noto, we’re in a position to simply work with payers, enroll hard-to-engage members, and disseminate gold-standard trauma remedy,” Kumar stated in a press launch in regards to the acquisition.
“[Rebound] realized that they might supply scale remedy in a a lot shorter period of time on the Noto infrastructure, as a result of we already had all of it constructed,” Smith says, suggesting Noto could add extra remedy areas because it grows. “We constructed this unimaginable basis serving a posh, hidden, however treatable inhabitants. Sooner or later, we understand there could possibly be extra.”
