Adult ADHD care for Palo Alto residents.

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

Check availability See cost

Local Context

Care that fits Palo Alto

Palo Alto sits at the center of the Peninsula and the Stanford ecosystem. Founders, students, faculty, clinicians, and operating leaders all run on calendars where attention is the limiting resource and clinic visits are a tax on the week.

Care is built for adults in Palo Alto who want a doctor who reads broadly and treats ADHD as a clinical relationship, not a transactional prescription decision. Dr. D is an Autodidact Polymath, MD, and Stanford MBA.

Local Note

What Palo Alto weeks actually look like

A practical detail, not a marketing line.

Calendar density on the Peninsula is its own kind of pressure: campus, research, fundraising, family. ADHD care that holds the relationship steady across that pressure (one doctor, proactive follow-up, pharmacy handled in the background) matters more than another competing clinic appointment.

Telehealth Fit

Why telehealth, carefully

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

Telehealth through Spruce means appointments do not interrupt research, teaching, founder calendars, or family obligations. Dr. D sees you on a secure call. The team handles pharmacy work and authorizations between visits.

Private-pay, out-of-network, superbills provided. Insurance is required because broader care (labs, primary care coordination, pharmacy requirements, authorizations) is part of how adult ADHD care actually works.

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 Palo Alto

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.

Cost

Simple private-pay pricing

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.