Adult ADHD care for San Jose residents.

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

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Local Context

Care that fits San Jose

San Jose is the largest city in the Bay Area and the engine of Silicon Valley. Long workdays, dense calendars, and engineering or operations roles where attention is the constraint make adult ADHD care feel both more necessary and harder to fit in.

Care is built for adults in San Jose: engineers, operators, healthcare workers, parents, and adults who have been putting off evaluation because the previous telehealth attempts were not careful enough.

Local Note

What San Jose weeks actually look like

A practical detail, not a marketing line.

South Bay schedules are the kind that get measured in standups, sprints, and on-call rotations rather than calendar dates. Treatment that lives in secure messaging and short calls accommodates that cadence; clinic appointments that require a midday drive across the valley do not.

Telehealth Fit

Why telehealth, carefully

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

Telehealth through Spruce means you do not lose travel time to a Bay Area commute or a clinic across the valley. Dr. D meets you on a secure call. The team handles pharmacy and prior-authorization work between visits.

One doctor, one team, one standard of care. Dr. D follows treatment closely and stays involved. No rotating providers, no clinic volume targets setting the pace.

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 San Jose

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.