Adult ADHD care for Napa residents.

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

Napa County combines hospitality, viticulture, healthcare, and small-business communities. Specialty adult ADHD providers are often a long drive away. Telehealth that is run carefully fits where Napa schedules actually are.

Care is built for adults in Napa County: hospitality and wine professionals, healthcare workers, educators, parents, and adults whose work weeks make clinic visits especially costly to fit in.

A practical detail, not a marketing line.

Hospitality and wine-industry weeks do not respect a standard clinic schedule. Crush, harvest, weddings, busy hospitality seasons: care that lives in secure messaging between scheduled visits fits those calendars without forcing a long drive at the worst possible time.

Pharmacy coverage thins north of the city of Napa. The team coordinates substitutions across the valley so a stock gap in one town does not stop a treatment week.

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

Telehealth through Spruce means you do not drive south or east for a 30-minute appointment. Dr. D meets you on a secure call. The team handles pharmacy red tape and prior-authorization work between visits.

Private-pay, out-of-network, superbills provided. One doctor, one team, one standard of care. Dr. D follows treatment closely and stays involved.

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.

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.

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

Step 01Choose a first appointment.
Step 02Pay $50 to reserve.
Step 03Share pre-visit history in Spruce.
Step 04Meet with Dr. D on a secure call.
Step 05Begin care if appropriate.
Step 06Continue through Spruce.

Four numbers. Superbills provided.

$50to reserve your first appointment.
$199charged after the appointment if care begins.
$249total start-of-care cost, including the first appointment, activation, and first 4 weeks of care.
$99every 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.