Adult ADHD care for Sacramento residents.

Telehealth-first care from Dr. D for California adults in Sacramento: one doctor, secure texting with the practice, pharmacy support, and follow-up between visits.

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Local Context

Care that fits Sacramento

Sacramento runs on state government, healthcare, education, agriculture, and a regional small-business economy. Adult ADHD care that meets people in their actual week, not at a clinic across town, fits how Sacramento residents schedule their lives.

Care is built for adults in Sacramento and the surrounding region: state employees, healthcare and education professionals, parents, small-business owners, and adults who want a real doctor relationship, not a transactional telehealth product.

Local Note

What Sacramento weeks actually look like

A practical detail, not a marketing line.

Sacramento weeks blur city, suburb, and freeway. Commutes from Folsom, Roseville family schedules, downtown state-agency calendars, Elk Grove appointments: the region is big enough that any single clinic location is a logistical compromise. Telehealth-first care removes that compromise without making the care thinner.

The team works pharmacy stock and substitutions across the Sacramento region: city-of-Sacramento locations, Folsom, Roseville, Elk Grove, and farther out where patients actually pick up their medications.

Telehealth Fit

Why telehealth, carefully

Old-school private practice judgment. New-tech access.

Telehealth through Spruce means you do not lose half a day to a clinic visit. Dr. D sees you on a secure call. The team handles pharmacy work and authorizations between visits with pharmacies in Sacramento, Folsom, Roseville, Elk Grove, and the broader region.

One doctor, one team. Dr. D follows you closely, messages first after care begins, and keeps the practice small enough that operational details do not disappear into a portal.

NorCal ADHD is telehealth-first. No walk-in clinic. Scheduled in-person care can be arranged in select Northern California locations when clinically needed. California residents only. See what this practice is not.

What's Included

How care actually works

A first appointment, then ongoing care through Spruce.

24/7 secure texting with the practice. Guaranteed reply within 24 hours. Real proactive follow-up from Dr. D after care begins. Not an emergency service.

Pharmacy red tape handled. Stock checks, substitution options, prior authorizations, and dose or formulation options when appropriate.

First-in-class treatment when appropriate. Dr. D follows you closely and helps keep care safe, informed, and optimized.

One doctor, one team, one standard of care. No rotating providers, no investor playbook.

Intake

Six steps from Sacramento

Start at the first appointment. Continue through Spruce if care begins.

Step 01 Choose a first appointment.

Step 02 Pay $50 to reserve.

Step 03 Share pre-visit history in Spruce.

Step 04 Meet with Dr. D on a secure call.

Step 05 Begin care if appropriate.

Step 06 Continue through Spruce.

Cost

Simple private-pay pricing

Four numbers. Superbills provided.

$50 to reserve your first appointment.

$199 charged after the appointment if care begins.

$249 total start-of-care cost, including the first appointment, activation, and first 4 weeks of care.

$99 every 4 weeks for ongoing care after that.

NorCal ADHD is an out-of-network private practice. Patients pay directly. Superbills are provided for possible reimbursement. Insurance is required. NorCal ADHD does not bill insurance directly.

See /pricing/ for the full breakdown and insurance and superbills.