Book an appointmentTelehealth psychiatry · California
Board-certified psychiatric medication management for adults and teenagers, by video, anywhere in California.
Check available timesWeekdays 6–10pm · Weekends 10am–10pm
Real availability, updated live.
Booking is a request — we confirm it, usually the same day. No referral needed.
How it works
Choose a slot that works for you and submit it. Booking is a request — we confirm it, usually the same day. No referral needed.
About 60 minutes by video. Your history, current symptoms, what you have already tried, medical background, and what matters to you.
You leave with a documented direction: what we believe is happening, what we recommend, and what we expect to change.
Around 30 minutes, every few weeks at first. This part is not optional — medication needs monitoring for safety and for effect.
What we treat
If you are not sure whether your situation is treatable, booking a first appointment is the right way to find out.
Persistent worry, low mood, lost energy, reduced motivation. Medication managed carefully, with follow-ups that actually happen.
Post-traumatic stress disorder, and histories that have never been properly worked through. Prescribing that works alongside the therapy you are already doing.
Not sleeping, or never resting. We look at what is driving it before adding anything to the list.
Attention deficit hyperactivity disorder, including adults diagnosed late or passed from provider to provider.
Cycles that are hard to name. Part of the work is establishing a baseline you can trust.
A diagnosis you do not believe, or a plan that never quite worked. We start from your history, not the label.
Fit
Being honest about both saves everyone time.
Your provider
Psychiatric Mental Health Nurse Practitioner, Board Certified.
David has spent 22 years in behavioral health. Seven years as a certified nursing assistant on a behavioral health unit, then fifteen as a registered nurse — through psychiatric hospitals, crisis care, detoxification, admissions, and behavioral health leadership. He now holds a Master’s in Nursing as a Psychiatric Mental Health Nurse Practitioner.
He built Firefly Global LLC as a solo practice on purpose. What he kept seeing, over two decades, was not only a shortage of clinicians but a system that burns out the ones it has — administration, documentation, and broken handoffs taking time away from patients. This practice is deliberately small so that does not happen.
You should never have to guess what is happening with your own care. You will hear the clinical reasoning, the alternatives, and how progress will be measured.
Your history is held by one person, not reconstructed at each visit.
Adjustments come with a rationale. Side effects are treated as seriously as symptom improvement.
Care that fits around work and school, rather than assuming you can take a weekday morning off.
The full price is published on this page before you book, and you receive a written estimate before anything is charged.
Fees and payment
Psychiatric care is expensive enough without having to guess. These are the full prices, published.
A full psychiatric evaluation. History, current symptoms, what you have already tried, and a plan you can read.
Ongoing medication management. What is working, what is not, side effects, and any adjustment — with the reasoning explained.
The practice currently operates on a cash-pay basis. Payment is due at the time of service.
Insurance access is being added. We are not putting a date on it until the contracts are signed. Leave a contact and we will get in touch the day it opens.
This opens a text message to the practice with your details ready to send. Send it and you are on the list.
Before your first appointment you receive a written Good Faith Estimate, as required by federal law for self-pay patients. Nothing is charged that was not estimated.
Every visit comes with an itemised receipt you can submit to your insurer. Please give at least 24 hours’ notice to change or cancel an appointment.
Evenings and weekends. Video, anywhere in California. Adults and teenagers. Not a crisis service — call 988 if you need help now.
Hours and location
Appointments run into the evening and through the weekend, so care fits around work and school.
Filled bars show open hours against a 10:00am – 10:00pm day. Weekday evenings 6:00pm – 10:00pm. Weekends 10:00am – 10:00pm.
Questions
The first appointment is $150 for 60 minutes — a time-limited launch price, normally $250. Follow-ups are $120 for 30 minutes, normally $150. You are given a written Good Faith Estimate before your first appointment, so the figure is confirmed before anything is charged.
No. You can book directly. If your therapist or doctor has suggested a psychiatric opinion, that is useful context to bring, but nothing needs to be arranged beforehand.
Appointments are available Monday to Friday in the evening and throughout the weekend. Submit a time and we confirm it, usually the same day.
Often, yes — when the picture is clear enough to prescribe safely. Where more information is needed, or where something needs checking first, a prescription may wait until the next appointment. Either way you will be told why.
Yes. All appointments are by secure video, anywhere in California. There is no clinic to travel to.
Not yet. The practice is currently self-pay. Insurance contracts are being worked on and we are not putting a date on it until they are signed. Leave your details and we will tell you the day it opens.
Yes. Care for adolescents includes appropriate coordination with parents or guardians, while keeping clinical confidentiality where it applies.
These are prescribed only in limited circumstances, with careful documentation and monitoring. That is discussed openly at your evaluation so you know what to expect.
Both. Medication management is the core, and talking approaches including cognitive behavioural therapy (CBT) can be part of your care.
Please give at least 24 hours’ notice. Confirmation and reminder messages make it straightforward to change a time.
Firefly Global LLC is an outpatient practice and is not a crisis service. We do not provide emergency or crisis stabilisation, and messages are not monitored around the clock.
If you are in immediate danger or need urgent support, call or text 988 (the Suicide and Crisis Lifeline), call 911, or go to your nearest emergency room. You can also text HOME to 741741 to reach the Crisis Text Line.
Firefly Global LLC · David Fairbanks, PMHNP-BC · 13925 City Center Dr, Suite 200, Chino Hills, CA 91709 · 909-203-3184 · Mon–Fri 6–10pm, Sat–Sun 10am–10pm
Privacy · Notice of Privacy Practices · Terms · © 2026 Firefly Global LLC Not a crisis service — call or text 988 or call 911