California Board of Psychology license PSY17198 backs the clinical psychology practice Dr. Sharon L. Hartley, PsyD has run on Goldfinch Street in Mission Hills since earning her doctorate in 1999. Direct Medicare PECOS enrollment makes the office one of a shrinking number of independent psychology practices in the 92103 corridor that bills Medicare Part B for diagnostic interviews and psychotherapy without routing through a group billing entity, a model distinct from the psychiatric medication management format at Advanced Psychiatry Associates. Telehealth video sessions extend the same caseload statewide for established patients who travel or relocate. Diagnostic testing, individual psychotherapy for adults, and treatment of depression, anxiety, OCD, and learning concerns make up the core clinical work, with the office accepting the Medicare-approved amount as payment in full. Inpatient psychiatric escalations route to Scripps Mercy Hospital San Diego seven blocks south on Washington Street, the closest receiving hospital to the Goldfinch address. Long-term psychotherapy for adults managing chronic anxiety, complex grief, and treatment-resistant depression represents the bulk of the caseload.