Psychiatrist at 2342 Via Siena, La Jolla, CA 92037, a residential address in the hillside above the Village — one of four La Jolla mental health providers operating from residential rather than commercial locations. The home-office format offers a private, non-institutional setting that appeals to patients uncomfortable with medical-park waiting rooms, and the Via Siena hillside sits in the same residential La Jolla landscape as La Jolla Personal Training on Caminito Scioto, where concierge-level service also operates from a residential base. Dr. James Brophy has no Google reviews. Dr. George Pratt on Muirlands Vista Way has built the most established residential-address practice in La Jolla — 50 years, Scripps Hospital affiliation, ASCH Fellow credentials, and published authorship — demonstrating that the home-office format does not preclude high-credential clinical work.