Private-Pay Therapy Trends in California · CEREVITY
Knowledge Base / Paying for Therapy / August 2026
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Therapist Insights / Paying for Therapy

Private-pay therapy in California is a documented shift not a marketing story.

Two things are true about private-pay therapy among California high earners. The backdrop is genuinely measurable: employer surveys, federal audits and commercial claims research all describe the same narrowing. The client preferences on top of it are not measured anywhere, and this article says which is which rather than blending them.

THE QUICK TAKEAWAY

Private-pay therapy in California sits on a documented backdrop and a set of undocumented preferences, and the two should not be blended. Only 52% of California firms offering health benefits said in 2025 that their largest plan had enough providers for timely access to mental health services, against 70% of employers nationally. Commercial claims from 2019 to 2021 show psychologist office visits going out of network 10.6 times as often as medical office visits. CEREVITY has surveyed nobody, no dataset breaks any of this down to Newport Beach or Palo Alto, and what clinicians describe below is clinical observation, labelled as such.

§01 / 09 / Definition

What private pay actually changes.

Private pay changes the record, not the therapy. California professionals who pay directly generate no insurance claim, which means no diagnosis code sent to a payer, no utilization reviewer assigned and no adjudication file. CEREVITY clinicians still keep a clinical chart, because every licensed clinician is required to.

Start with the artifact, because the artifact is what this decision is actually about. When a therapy session is billed to a health plan, a claim is created. That claim carries the member's name and identification number, the date of service, a procedure code describing the type and length of the appointment, the rendering clinician and their national provider identifier, and a diagnosis code drawn from the DSM-5-TR and its ICD-10 equivalent. A claim without a diagnosis is not a payable claim; the diagnosis is the element that makes the service reimbursable. That record then sits with the plan and its administrators, is used to adjudicate payment, and becomes the raw material for utilization review. None of this is sinister and none of it is concealed. Anyone who has read an explanation of benefits already knows most of it. What changes when the same person pays directly is narrow and specific. No claim is generated, so no diagnosis code reaches a payer, no reviewer is assigned to decide whether the next block of sessions is warranted, and no adjudication file accumulates. The clinical record still exists, held by the clinician under the same confidentiality rules that apply everywhere. The difference is how many organizations end up holding a copy, and what they are entitled to do with it once they do.

Six things the payment route decides before the first session

01

Whether a diagnosis is created for a payer

Billing a plan requires a diagnosis code. Paying directly does not. That single mechanical fact is the reason most often given by professionals who could easily afford to use their benefit and choose not to, and it is a fact about billing rather than an opinion about privacy.

02

Who decides whether care continues

Under a benefit plan, continuation can be subject to concurrent review. The 2024 MHPAEA Report to Congress names prior authorization and concurrent care review as active enforcement priorities for mental health benefits. Paying directly moves that decision back to the clinician and the client.

03

How long an appointment is allowed to be

Procedure codes describe session length, and what a plan will pay for shapes what gets offered. Private pay decouples appointment length from the code set, which is why extended formats appear far more often outside of insurance than inside it.

04

Which clinicians are reachable at all

Only 52% of California firms offering health benefits told the 2025 California Health Benefits Survey that their largest plan had enough providers for timely access to mental health services. A narrower panel is a narrower shortlist, before anyone considers fit.

05

How many organizations hold a copy

A claim travels through the plan and its administrators and vendors. A direct payment does not create that trail. Neither arrangement makes a record disappear, and any clinician who says otherwise is overselling; what changes is the number of parties in the chain.

06

What the calendar has to bend around

Panel clinicians with full caseloads offer the slots they have. Clinicians working outside of insurance can hold early, late and cross-time-zone slots, which matters more to California professionals with hard schedules than almost anything else on this list.

▶ Research

In October 2025 the HHS Office of Inspector General published data brief OEI-02-23-00540, examining 60 managed care plans across ten counties in five states using 2023 encounter data, state licensing records and directories collected in late 2023, followed by a survey of 247 listed providers. Three-quarters of the Medicare Advantage plans included fewer than a quarter of their county's behavioral health workforce. Fifty-five percent of the behavioral health providers listed in Medicare Advantage directories delivered no service to any enrollee that year, and 28% of those listed by Medicaid plans did the same. One plan listed 356 providers; three of them delivered services. Of the listed providers who responded, 72% said they should not have been shown as network providers at all, 46% no longer worked at the listed location and 21% said they did not participate with the plan. That audit covers Medicare Advantage and Medicaid managed care, not the commercial plans most California high earners hold, and it is quoted here as documented evidence that a directory listing and an available appointment are different objects.1

What these numbers cover, and what they do not

The California figure is statewide, not city-level

The 52% figure describes California employers as a group. No published survey breaks provider sufficiency, private-pay share or client preference down to Newport Beach, Palo Alto, Manhattan Beach or Beverly Hills. Anyone quoting a percentage for a named California city should be asked who collected it and from how many people, because the answer is usually that nobody did.

The ghost-network audit is not about commercial plans

The Office of Inspector General studied Medicare Advantage and Medicaid managed care. Extending its percentages to a commercial PPO held by a California partner or founder would be an invented statistic. What transfers is the mechanism, which is that directory listings are maintained by plans and go stale, and that a listing is not a commitment to see anyone.

The one income signal that exists is national

NCHS Data Brief 564, drawn from the 2024 National Health Interview Survey, reports 14.0% of US adults receiving counseling or therapy from a mental health professional in the past 12 months. Broken out by family income, adults above 400% of the federal poverty level were at 15.3%, higher than the 12.0% and 12.7% in the two middle bands. That is an income band across the whole country, not a California city, and it says nothing about how the care was paid for.

One plan listed 356 behavioral health providers and paid for services from three of them. A directory is not a network, and a network is not an appointment.

Three parties a claim introduces

Paying through a benefit plan is not a two-party transaction. It adds parties, each with a legitimate function and each with its own file. Naming them is more useful than describing insurance as invasive, because two of the three are doing exactly what they were designed to do.

01

The utilization reviewer

Someone at the plan, or at a vendor the plan contracts with, applies medical necessity criteria to decide whether care is covered and whether it should continue. The 2024 MHPAEA Report to Congress documents plans applying stricter prior authorization and medical necessity review to mental health benefits than to medical and surgical benefits, which the Departments treat as a parity violation.

02

The plan and its administrators

Claims data is held by the health plan and the business associates that process it, under HIPAA. Employers do not receive individual mental health claims as a routine matter, and plan sponsors operate under restrictions on how protected health information may be used. The honest statement is that a file exists in more hands, not that a colleague can read it.

03

The organization arranging care, where there is one

Where a group is buying therapy for its people rather than an individual buying it for themselves, the design questions are different: access standards, referral routes and what the organization does and does not see. CEREVITY's therapy vendor for California surgical groups sets out that version for medical group leadership rather than for a patient.

§02 / 09 / Telehealth

What the documented trend actually shows.

Documented evidence about private-pay therapy describes California and the nation, not individual cities. California employers report thinner mental health networks than employers nationally, commercial claims show psychotherapy going out of network at many times the medical rate, and federal auditors have found directories listing clinicians who saw nobody.

A

California employers report the network problem directly

The 2025 California Health Benefits Survey, sponsored by the California Health Care Foundation and KFF, designed and analyzed by KFF researchers and administered by Davis Research, completed 464 interviews with California employers between January and July 2025. Only 52% of California firms offering health benefits said their largest plan had a sufficient number of providers for timely access to mental health services. The national figure from KFF's parallel employer survey was 70%. Among small California firms with 10 to 199 workers, the split was 52% against 70% nationally. Twenty-four percent of California firms offered at least one narrow network plan.

B

Out-of-network use is not evenly distributed

RTI International health economists Tami Mark and William Parish analyzed commercial claims and enrollment data covering more than 22 million people a year from 2019 to 2021, in research commissioned by the Mental Health Treatment and Research Institute. Office visits with behavioral health clinicians were 3.5 times more likely to be out of network than medical and surgical office visits. For psychiatrists the figure was 8.9 times. For psychologists it was 10.6 times. Sub-acute behavioral inpatient care ran 19.9 times.

C

Reimbursement gaps are documented, not alleged

The same RTI analysis found medical and surgical office visits reimbursed on average 22% higher than behavioral health clinician visits, rising to 48% higher at the 75th percentile and 70% higher at the 95th. Physician assistants were paid 19% more than psychiatrists and 23% more than psychologists for comparable visits. The 2024 MHPAEA Report to Congress records one issuer paying medical and surgical claims at 120 to 123 percent of Medicare's rates while paying mental health and substance use claims at 88 to 98 percent, and being unable to explain how one methodology produced both.

§03 / 09 / Mechanism

What the benefit decides for you.

Health plans decide four things about therapy that California professionals often assume are clinical: whether a diagnosis is recorded, whether continued sessions are authorized, which clinicians are reachable, and what an appointment may look like. Private pay returns all four to the room, at the cost of the benefit.

Utilization review is the mechanism most people have heard of and fewest have seen. A plan applies medical necessity criteria to decide whether a course of therapy is covered and whether it should continue, sometimes before care starts through prior authorization and sometimes during it through concurrent review. Both are named as enforcement priorities in the 2024 MHPAEA Report to Congress, issued by the Departments of Labor, Health and Human Services, and the Treasury in January 2025, which documents plans applying stricter prior authorization and medical necessity review to mental health benefits than to comparable medical benefits. The same report describes a plan whose network access goal was one obstetrician or gynecologist for every 500 participants and one psychiatrist for every 2,000. Whatever else that is, it is a design decision about how quickly a member should be able to see someone, and it was made long before any individual member picked up the phone.

The question of session limits is where accuracy matters most, because the popular version is wrong in both directions. Very few commercial plans publish a hard annual cap on psychotherapy visits, so the frequent claim that insurance covers a fixed number of sessions is usually not the operative constraint. What operates instead is medical necessity applied over time, which is a softer instrument and a less predictable one. A course of care can continue for as long as it is judged warranted, and it can also be judged no longer warranted at a point that has nothing to do with whether the work is finished. For someone treating therapy as a multi-year commitment rather than a symptom-relief episode, the unpredictability is the problem, not the arithmetic.

Then there is the superbill, which is the most misunderstood object in this entire subject. A superbill is an itemized receipt a clinician provides so that a client can seek out-of-network reimbursement from their own plan. It carries the diagnosis code, the procedure code, the dates of service and the clinician's identifying details, because a payer will not reimburse without them. When the client submits it, the plan processes it as a claim. A diagnosis therefore lands on the payer record exactly as it would have if the clinician had billed directly. Understanding this is the difference between an informed decision and a false sense of separation, and it is precisely why a meaningful number of California professionals accept the full fee and never submit anything.

► Standard advice vs. CEREVITY's approach

Standard therapy

"Assume a superbill keeps therapy off the payer record"

CEREVITY

"Understand that submitting one creates a claim with a diagnosis on it"

Standard therapy

"Trust a plan directory as a list of clinicians who will see you"

CEREVITY

"Treat the directory as a starting point and confirm availability directly"

Standard therapy

"Quote a private-pay statistic for a specific California city"

CEREVITY

"Cite what was actually measured, at the level it was actually measured"

► Standard insurance-based therapy vs. CEREVITY's specialized approach for High earning California professionals
Standard insurance-based therapyCEREVITY's specialized approach
"Assume a superbill keeps therapy off the payer record""Understand that submitting one creates a claim with a diagnosis on it"
"Trust a plan directory as a list of clinicians who will see you""Treat the directory as a starting point and confirm availability directly"
"Quote a private-pay statistic for a specific California city""Cite what was actually measured, at the level it was actually measured"

A break from the page

The decision is about the record, not the rate.

Most California professionals weighing this already know what therapy costs. What they want settled is what gets written down and who holds it. CEREVITY is a nationwide network of independent licensed clinicians working private-pay, with no claim submitted and no diagnosis sent to a payer. To ask that question directly, start with a private inquiry.

§04 / 09 / Cases

Common challenges we address.

The executive with excellent coverage who will not use it

The patternSomeone whose plan is genuinely good, whose out-of-network benefit is generous, and who has decided not to touch either. Colleagues read this as paranoia. Read against the mechanics it is closer to preference expressed accurately: the person has understood that using the benefit creates a diagnosis on a payer record and has decided the trade is not worth it to them.

What we addressThe work does not begin with talking anyone out of that. It begins by making the trade explicit, including the part where paying directly costs more and buys no reimbursement, and then getting on with the actual clinical problem, which in this population is usually high-functioning anxiety or low mood that has never once interrupted the performance visible to anyone else.

The physician who cannot treat this as a private matter

The patternA clinician with licensure, credentialing and hospital privileges attached to their name, for whom questions about mental health treatment are not hypothetical and appear on real forms. The caution here is not a symptom. It is an accurate reading of the professional environment, and treating it as avoidance is a fast way to lose the person.

What we addressCare is arranged so the caution does not have to be argued with. Confidential therapy for physicians is built around exactly this constraint, with no claim, no diagnosis routed to a payer, and appointment times that survive a clinical schedule.

§05 / 09 / Methods

Evidence-based treatment approaches.

Five requests come up repeatedly from California professionals choosing private-pay therapy, according to what CEREVITY clinicians describe hearing rather than any survey: availability this month, clarity about the record, appointment lengths that fit the work, continuity across states, and the option to bring a partner in.

Modality 01

A clinician who is actually available now

The first request is almost always about time to first appointment rather than about method. This is clinical observation and not a measured figure, and the documented backdrop makes it plausible: only 52% of California employers said their largest plan had enough providers for timely access, and federal auditors have shown that a directory listing frequently corresponds to no delivered service at all.

Modality 02

A clear answer about what is written down

The second request is for someone to state plainly what exists in writing, where it sits and who can ask for it. Vague reassurance fails badly with this group. The accurate answer is that a clinical chart exists in every arrangement, that private pay means no claim and no diagnosis sent to a payer, and that confidentiality has published legal limits which apply to every licensed clinician regardless of fee.

Modality 03

Appointment lengths chosen for the work

The third request is for the session to be sized to the problem rather than to a billing code. Weekly work on chronic overload sits comfortably in what fits inside a standard 50-minute session. Trauma processing, decision work and anything that should not be interrupted mid-thread generally needs more room in a single sitting.

Modality 04

Continuity that survives travel and relocation

The fourth request comes from people who move. A California founder who spends a quarter of the year elsewhere, or a physician taking a post in another state, does not want to restart with a new clinician. CEREVITY works by secure telehealth nationwide across all 50 states, which is what makes the same clinician viable through a move rather than a reason to start again.

Modality 05

The option to bring a partner into the room

The fifth request tends to arrive later, once individual work has surfaced something that belongs to two people rather than one. Money, hours, relocation and the effects of a demanding career are jointly held problems, and partner and spouse sessions address them as such rather than through one person reporting back.

§06 / 09 / Investment

Understanding the investment in private-pay care.

Private-pay, nationwide, and priced without a claim

At CEREVITY, our online individual therapy sessions are structured as a direct investment in your mental agility and overall well-being. The investment includes:

  • Licensed mental health professional specializing in private-pay therapy for people with demanding schedules
  • Evidence-based, one-on-one approaches proven effective for anxiety, burnout, depression and chronic work stress
  • Flexible online scheduling including evenings and weekends
  • Complete privacy with no insurance involvement or red tape
  • High earning California professionals expertise and understanding
  • Outcome tracking and progress measurement
View rates & investment options

The cost of private-pay therapy going unaddressed

Consider what is at stake when private-pay therapy goes unaddressed:

What paying directly costs and what it removes

Private pay costs more than a copay and removes a set of specific things: no claim submitted, no diagnosis code sent to a payer, no reviewer deciding whether a further block of sessions is warranted, and no benefit design narrowing which clinicians are reachable. Nothing here is free, and the honest framing is a trade rather than an upgrade. View our current rates here: cerevity.com/our-pricing-for-therapy/. Ways to arrange payment are set out on the payment options page.

Formats, depth and access

Care is delivered by secure telehealth nationwide across all 50 states. Ongoing weekly work fits a standard appointment; work that needs to open and close something in one sitting is better served by sessions long enough to finish what you started. Where a schedule makes a fixed weekly slot unreliable, priority access to a clinician removes the scheduling problem before it becomes a clinical one. How CEREVITY approaches this work and the full list of services set out the rest.

§07 / 09 / Evidence

What the research shows.

Set the marketing aside and the documented picture is consistent across four independent bodies of evidence. California employers themselves report the narrowest part of it: in the 2025 California Health Benefits Survey, sponsored by the California Health Care Foundation and KFF and based on 464 employer interviews, only 52% said their largest plan carried enough providers for timely access to mental health services, against 70% of employers nationally, with 24% of California firms offering at least one narrow network plan. Commercial claims research from RTI International covering more than 22 million people a year from 2019 to 2021 found behavioral health office visits 3.5 times more likely to be out of network than medical and surgical visits, rising to 8.9 times for psychiatrists and 10.6 times for psychologists, alongside reimbursement for medical and surgical visits averaging 22% higher.

► Three measured findings, at the level they were measured

52%

of California firms offering health benefits said their largest plan had enough providers for timely access to mental health services, against 70% nationally.

California Health Care Foundation and KFF, 2025

10.6x

more often psychologist office visits went out of network than medical and surgical office visits, in commercial claims from 2019 to 2021.

RTI International, 2024

55%

of behavioral health providers listed in Medicare Advantage plan directories delivered no service to any enrollee during 2023.

HHS Office of Inspector General, 2025

Three separate collectors, three different populations. The California figure is statewide, the claims figure is commercial, and the directory figure covers Medicare Advantage rather than commercial plans.

The second half of the picture is regulatory. The 2024 MHPAEA Report to Congress, issued by three federal departments in January 2025, documents prior authorization and concurrent review applied more strictly to mental health benefits, network access goals set at one psychiatrist per 2,000 participants against one obstetrician per 500, and an issuer paying medical and surgical claims at 120 to 123 percent of Medicare rates while paying mental health claims at 88 to 98 percent. The October 2025 Office of Inspector General data brief adds the directory problem, with 55% of behavioral health providers listed by Medicare Advantage plans delivering no service to any enrollee in 2023. What none of this evidence contains is a figure for private-pay demand in a named California city. That figure does not exist, CEREVITY has not produced one, and the client preferences described in this article are what clinicians report hearing, which is a different class of claim and is labelled that way throughout.

§§ / 09 / Recap

Key takeaways.

Six things to remember

  1. The documented part is about networks and records California employers report thinner mental health networks than employers nationally, psychotherapy goes out of network at many times the medical rate, and federal auditors have found listed clinicians who saw nobody. Those are measured findings with named collectors and stated samples.
  2. The city-level version of this does not exist No survey measures private-pay therapy demand in Newport Beach, Palo Alto or Beverly Hills. A statement about California that is true beats a statement about a coastal ZIP code that was invented, and any article quoting the latter should be read for its source list first.
  3. A superbill still creates a claim Submitting a superbill for out-of-network reimbursement puts a diagnosis on the payer record just as direct billing would. Anyone choosing private pay in order to keep a diagnosis off that record needs to know this before deciding whether to seek reimbursement.
  4. Session limits are a soft constraint, not a published cap Most commercial plans do not print an annual visit ceiling for psychotherapy. Medical necessity applied over time through concurrent review is the operative mechanism, and its unpredictability is what unsettles people treating therapy as a long commitment.
  5. Clinical observation is not data, and should not be dressed as data What California professionals ask for, availability, clarity about the record, appointment length, continuity and the option to include a partner, is what CEREVITY clinicians describe hearing. Reported as observation it is useful. Reported as a percentage it would be fabricated.
  6. CEREVITY provides this through online individual therapy nationwide, with full privacy through its private-pay concierge network and no insurance involvement.

§08 / 09 / FAQ

Frequently asked questions.

Why do therapists not take insurance?

Reimbursement levels and administrative load account for most of it, and both are documented. RTI International's analysis of commercial claims from 2019 to 2021 found medical and surgical office visits reimbursed on average 22% higher than behavioral health clinician visits, rising to 48% higher at the 75th percentile, with physician assistants paid 19% more than psychiatrists for comparable visits. The 2024 MHPAEA Report to Congress records an issuer paying medical and surgical claims at 120 to 123 percent of Medicare rates while paying mental health claims at 88 to 98 percent. When the HHS Office of Inspector General surveyed listed but inactive behavioral health providers in Medicare Advantage and Medicaid plans in 2024, about 21% cited administrative burden including enrollment complexity and prior authorization, and about 14% cited inadequate payment. CEREVITY clinicians work outside of insurance for the second reason more than the first: it keeps the clinical decisions in the room.

How many therapy sessions does insurance cover?

Most commercial plans do not publish a fixed annual number of covered psychotherapy sessions, which is why the question rarely has the clean answer California professionals expect. What governs continuation is medical necessity, applied before care through prior authorization and during care through concurrent review. The 2024 MHPAEA Report to Congress, issued by the Departments of Labor, Health and Human Services, and the Treasury, names both as enforcement priorities and documents plans applying them more strictly to mental health benefits than to comparable medical benefits. Practically, that means a course of therapy continues until a reviewer judges it no longer warranted, which may or may not coincide with the work being finished. Private-pay care removes the reviewer from the decision entirely, at the cost of the benefit.

What is a superbill for therapy?

A superbill is an itemized receipt a clinician gives a client so the client can seek reimbursement from their own health plan for out-of-network care. It lists the dates of service, the procedure codes describing each appointment, the clinician's identifying details and a diagnosis code, because no payer reimburses without a diagnosis. The point California professionals most often miss is what happens next: when the client submits the superbill, the plan processes it as a claim, and the diagnosis lands on the payer record exactly as it would have if the clinician had billed directly. Choosing private pay and then submitting a superbill is a cost decision, not a privacy decision. That distinction is why some clients decline to submit one at all, and it should be understood before the first appointment rather than after the twelfth.

How does out-of-network therapy reimbursement work?

Out-of-network reimbursement runs through the client rather than the clinician. The client pays the full fee, receives a superbill, submits it to their plan, and the plan applies any out-of-network deductible before paying a percentage of its own allowed amount for that service. The allowed amount is set by the plan and is frequently lower than the fee actually charged, so the reimbursed share can be considerably smaller than the coinsurance percentage suggests. For California professionals this matters twice over: the amount is uncertain, and the submission creates a claim carrying a diagnosis. RTI International's commercial claims research found psychologist office visits going out of network 10.6 times as often as medical and surgical office visits, so this is a common route rather than an exotic one.

Do you need insurance for therapy?

No insurance is required to begin therapy. Licensed clinicians may see clients who pay directly, and paying out of pocket is an ordinary arrangement rather than an unusual one. For California professionals the question is usually not whether it is possible but what is gained and lost. Paying directly costs more and returns no reimbursement unless a superbill is submitted, which itself creates a claim. What it removes is the diagnosis sent to a payer, the reviewer deciding whether further sessions are warranted, and the narrowing effect of a panel. CEREVITY is a nationwide network of independent licensed clinicians working entirely private-pay across all 50 states, so the arrangement is the default rather than an exception someone has to request.

Will my employer see that I used my health plan for therapy?

Employers do not receive individual mental health claims as a routine matter. Claims are held by the health plan and by the business associates that process them, under HIPAA, and plan sponsors operate under restrictions on how protected health information may be used and disclosed. What a California professional should take from this is narrower and more accurate than either reassurance or alarm: a colleague in human resources is not reading session notes, and at the same time a record does exist in more organizations than it would if nothing had been billed. Private pay does not make records vanish, because a clinical chart is kept in every arrangement. What it changes is how many parties are in the chain and what any of them are entitled to review.

Are these private-pay trends specific to high-income California cities?

No published dataset breaks private-pay therapy demand down to Newport Beach, Palo Alto, Manhattan Beach or Beverly Hills, and CEREVITY has not surveyed anyone in order to produce one. Everything measurable in this article sits at the California level or the national level. The California level includes the 2025 California Health Benefits Survey from the California Health Care Foundation and KFF, based on 464 employer interviews. The national level includes RTI International's commercial claims analysis, the 2024 MHPAEA Report to Congress and the 2025 Office of Inspector General data brief on behavioral health networks. What CEREVITY clinicians describe hearing from California professionals is clinical observation, offered as such. A precise statement about California is worth more than an invented statistic about a single city.

How does your private-pay pricing structure work?

As a private-pay concierge network, we offer structured investments in your mental health without the restrictions or privacy risks of insurance. You can review our full fee schedule and specific session lengths directly on our website. While this costs more than insurance copays, it provides the flexibility, total privacy, and highly specialized care that standard options cannot offer. View our current rates here.

How do you protect my privacy?

Privacy is foundational to our network. As a private-pay network, your sessions never appear on insurance records or EOBs that could be seen by employers, boards, or family members. We use HIPAA-compliant nationwide telehealth platforms, and you can attend sessions from anywhere with a private internet connection.

§09 / 09 / Begin

Ask what gets written down. Then decide.

If the deciding question is what exists in writing and who holds it, that is answerable before anyone books anything. CEREVITY is a nationwide network of independent licensed clinicians providing confidential, private-pay care across all 50 states. Call (562) 295-6650 or send a private inquiry.

Available by appointment 7 days a week, 8 AM to 8 PM (PST)

§§ / Author

About Maria Gonzalez, PsyD.

Maria Gonzalez, PsyD

Maria Gonzalez, PsyD

Dr. Gonzalez is a Licensed Psychologist offering therapy for executives, entrepreneurs, and high-achieving professionals. Her work integrates cognitive behavioral therapy, acceptance and commitment therapy, and psychodynamic approaches, calibrated to the demands of high-responsibility careers. She sees clients via CEREVITY's nationwide telehealth network. View full bio →

CredentialPsyD, Licensed Psychologist
Years in practice10+ years
SpecializationTherapy for executives, entrepreneurs, and high-achieving professionals
ModalitiesCBT, ACT, EFT, psychodynamic
Author licensureLicensed by the California Board of Psychology
Who you would seeA clinician independently licensed in your own state, through CEREVITY's nationwide network across all 50 states

§§ / Sources

References.

  1. California Health Care Foundation and KFF. California Health Benefits Survey 2025. 2025. chcf.org
  2. RTI International. New study finds continuing pervasive disparities in access to in-network mental health and substance use disorder treatment. 2024. rti.org
  3. U.S. Department of Health and Human Services, Office of Inspector General. Many Medicare Advantage and Medicaid Managed Care Plans Have Limited Behavioral Health Provider Networks and Inactive Providers, OEI-02-23-00540. 2025. oig.hhs.gov
  4. U.S. Departments of Labor, Health and Human Services, and the Treasury. Report to Congress on MHPAEA Enforcement and Implementation, 2024. 2025. dol.gov
  5. National Center for Health Statistics. Mental Health Treatment Among Adults: United States, 2024, NCHS Data Brief No. 564. 2026. cdc.gov
  6. CEREVITY. Therapy vendor for California surgical groups. cerevity.com/therapy-vendor-for-california-surgical-groups
  7. CEREVITY. Our services. cerevity.com/services
  8. CEREVITY. Concierge therapy membership. cerevity.com/concierge-therapy-membership

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If you are experiencing a mental health crisis or having thoughts of suicide, please reach out immediately. 988 Suicide & Crisis Lifeline · Call or text 988 Crisis Text Line · Text HOME to 741741 National Alliance on Mental Illness · 1-800-950-NAMI (6264)

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