SNAP Cognitive and Behavioral Pediatric Neurology Clinic

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UCSF Benioff Children's Hospital at Mission Bay, ©Mark Citret Photography

The SNAP Cognitive and Behavioral Neurology Program 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, also a cognitive and behavioral child neurologist with an expertise in sleep medicine or sleep disorders and Dr. Audrey Brumback, a child neurologist, who also is pushing our understanding of the basic mechanisms of autism in her research pursuits. Our office specializes in the assessment of children on and off the autism spectrum, with disorders affecting their ability to perceive, process and integrate incoming sensory information that provides the basis for attention, thinking and behaving. Evaluation at our office provides investigation into the underlying cause of your child’s neurodevelopmental differences, as well as behavioral/educational guidance and basic pharmacologic management. We work collaboratively with providers at UCSF and in the community for comprehensive care and have a terrific team to help you with your visit and ongoing care.

Locations

There are two clinic locations to better serve you.

Phone numbers:
Nursing Assistance: (415) 353-2859
New Patient Appointments: (415) 514-5863
Pediatric Brain Center main line: 1 (855) PBC-UCSF
Fax: (415) 353-2400

UCSF Pediatric Brain Center Child Neurology
(San Francisco/Mission Bay location):

UCSF Ron Conway Family Gateway Medical Building
1825 Fourth St., Fifth Floor, 5A
San Francisco, California
Directions to and maps of the Mission Bay office

(Marin/Greenbrae location):
1300 South Eliseo Dr., Suite 204
Greenbrae, California
The parking at the Greenbrae Satellite Office is easy. There is parking lot adjacent to the clinical building.
Directions to and map of the Marin Subspecialties Office

Preparation

For new families to our practice:

  1. Please fill out our online new patient history form (our intake coordinator will send you a link).
  2. Email (kris.kwan@ucsf.edu) or fax (415) 353-2400 in advance: MRI or EEG reports, lab reports, neuropsychology reports, school evaluations, and previous neurology or genetic evaluations.

Evaluation

At the UCSF Pediatric 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, to discuss diagnosis, and to plan 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 differences 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.

Insurance

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
  • Kaiser
  • 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.

Interpretation services

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.