SNAP Cognitive and Behavioral Child Neurology Clinic
The Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic is directed by Dr. Elysa Marco, who is a child neurologist with training in genetics, cognition and functional imaging and is active in clinical research in this field. She is joined by Dr. Jessica Litwin, a cognitive behavioral child neurologist and sleep specialist. Our clinic specializes in the assessment of children on and off the autism spectrum with challenges in their ability to perceive, process and integrate incoming sensory information that provides the basis for all attention, thinking and behaving.
There are two clinic locations to better serve you.
Appointments: (415) 353-3682
Fax: (415) 353-2400
UCSF Neurology Clinic address (San Francisco location):
400 Parnassus Ave., 8th Floor
San Francisco, California
The parking at the Parnassus campus is challenging. There is limited 2-hour street parking. The Millberry Union Public Garage at 500 Parnassus Ave is commonly used by our patients. Valet parking service is available at the Ambulatory Care Center (ACC) at 400 Parnassus Ave. from 8 a.m. to 3 p.m.
UCSF Neurology Clinic address (Greenbrae location):
1300 South Eliseo Dr., Suite 204
The parking at the Greenbrae Satellite Clinic is easy. There is parking lot adjacent to the clinical building.
New patients at the Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic should follow these steps to help us prepare for their evaluation.
- Please request your medical records from your primary care physician and other health care providers (including neurologist or psychologist). The medical records should include lab results, diagnostic reports, clinical notes and imaging from the last year. Please have them sent to:
Attn: UCSF Child Neurology
UCSF Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic
350 Parnassus Ave., Ste 609
San Francisco, CA 94143-0137
or faxed to (415) 353-2400.
- If you are referred by a physician, please have the physician fax us a referral letter, insurance information and authorization. The referral letter should describe why you are being referred and provide a synopsis of your condition.
- Clinic staff reviews the referral letter and medical records to determine if you should be seen at the UCSF Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic or by a different kind of specialist.
- The referral specialist will call you and either set up an appointment at our clinic or refer you to a different specialist. The next available new patient appointment is typically booked out from 6–8 weeks with every effort to accommodate more urgent referrals.
- Obtain your insurance authorization (see insurance section). If you are unable to obtain your authorization five days prior to the visit, your visit will need to be rescheduled.
At the UCSF Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic, each patient goes through a neurological assessment. The initial assessment takes an hour and consists of a neurodevelopmental interview and physical examination of your child. The feedback session is 30 minutes and will be scheduled at your convenience in the following 1–2 weeks to answer your questions, discuss diagnosis, next evaluations steps and a treatment plan. The purpose of this neurologic evaluation is to determine the cause or causes of the patient's symptoms and to recommend and manage treatment. In some cases, a diagnosis will be deferred until more information (such as blood tests or brain imaging) is collected. A written report is sent to the primary care physician and/or referring physician on the day of your visit.
**Please note, this clinic does not conduct formal DSM-5 based clinical assessment for the purpose of providing a clinical label. Instead we focus on finding the underlying cause of the developmental challenge and targeting treatments to the specific individual’s strengths and challenges. We are happy to provide excellent referrals for neuropsychology, autism diagnostics, and psychiatric assessment and treatment as needed.
It is very important to notify your health insurance company of your intention to see us for an evaluation, particularly if you are covered by one of the following plans:
- San Francisco City Health Plan
- Medi-Cal Managed Care
- Brown & Toland/Health Net
- Pacificare/Secure Horizons
- Blue Shield HMO
- Marin IPA
- AltaBates Medical Group
- or any other healthcare plan that requires authorization prior to the appointment.
First, call your primary care physician and let them know that you plan to be seen by neurology at UCSF. You can let your insurance carrier or doctor’s office know that the following codes will be used:
- First visit: 99245 Comprehensive consultation
- Follow-up visit: 99215 Comprehensive follow-up
All visits must be authorized including follow-up visits. If they are not authorized, you will be charged the balance in full at the time of your visit.
Language should not be considered a barrier for patients and their families seeking evaluation. The UCSF Medical Center provides interpreters for medical visits free of charge. Interpreters are available for Chinese (both Mandarin and Cantonese), Vietnamese, Spanish and Russian. The Pediatric Brain Center’s Cognitive and Behavioral Neurology Clinic also includes staff from diverse cultural backgrounds, and we can use special language-free tests to evaluate children.