Known For: Pacific Mind Health location, established in 2018 under board-certified psychiatrist Dr. Joshua Flatow; offers TMS, in-house ketamine therapy, and pharmacogenomic testing under one roof, with Express and Accelerated TMS protocols and in-network coverage from 15+ major insurers.
Location
Manhattan Beach, California
Address
1230 Rosecrans Ave., #300 Manhattan Beach, CA 90266
Most major commercial plans, Medicare Part B, and Tricare typically cover TMS for treatment-resistant depression after prior authorization — verify with this clinic.
HealingMaps Take: BrainsWay Deep TMS opens up OCD treatment on-label — a meaningful advantage over standard NeuroStar-only clinics, since only the H7 coil holds the FDA OCD clearance. Patients pursuing TMS for OCD or anxious depression should confirm the H7 coil specifically (vs the H1 coil used for MDD).
Market Position: One of the TMS providers in the Manhattan Beach, CA metro offering Deep TMS — relevant for OCD seekers (only Deep TMS H7 holds the standalone FDA OCD clearance) and patients who want non-focal deeper coil penetration.
Is Pacific Mind Health Right for You?
✓ Choose Pacific Mind Health if:
You’re seeking FDA-cleared TMS for OCD — only BrainsWay Deep TMS (used here) holds the standalone FDA OCD clearance via the H7 coil
You’re treating major depressive disorder with co-occurring anxiety — this clinic treats anxious depression on-label
You’re seeking TMS for smoking cessation — BrainsWay H4 holds an FDA short-term smoking cessation clearance
✗ Look elsewhere if:
You need accelerated SAINT-style TMS (5-day course) — ask the clinic to confirm whether they’re Magnus-credentialed
You want the 3-minute iTBS protocol specifically — this clinic may run only standard rTMS
You need rapid relief within days — TMS takes 2–4 weeks to start working. Consider ketamine or Spravato for acute stabilization
TMS protocols at this clinic
The TMS device a clinic operates determines which conditions can be treated on-label. The protocols offered here:
For a full breakdown of TMS devices (NeuroStar, BrainsWay, MagVenture, Magstim, Nexstim) and how protocols differ, see our complete guide to TMS therapy.
What to expect at your first appointment
Insurance pre-authorization (1–3 weeks). Before treatment begins, the clinic submits a prior-authorization request to your insurer. The request typically requires: a confirmed DSM-5 major depressive disorder diagnosis from a psychiatrist, documented failure of 2 to 4 adequate antidepressant trials (most carriers require at least 6 weeks at therapeutic dose for each), a baseline depression rating scale (PHQ-9, HAM-D, or BDI), and evidence of inadequate response to or contraindication for psychotherapy. About 30–50% of initial requests are denied; the highest-yield appeal is a peer-to-peer review between the clinic’s psychiatrist and the insurer’s medical reviewer (success rate exceeds 60% with full prior-trial documentation).
Motor threshold mapping (first session, 30–60 minutes added). The clinician delivers single magnetic pulses to the motor cortex and finds the minimum stimulation intensity that elicits a thumb or finger twitch. This motor threshold value sets dosing for every subsequent session — typically 110 to 120 percent of motor threshold. Re-mapping is non-routine.
Daily treatment sessions (5x/week, 19–37 min each for standard rTMS or 3 min for iTBS). You sit in a recliner with hearing protection (the magnetic pulses are loud). The coil is positioned against the scalp; you feel a tapping sensation during stimulation. There is no medication, no IV, no need to fast. Patients commonly read, listen to music, or scroll their phone during the session.
Drive home, return to work. No anesthesia means you drive yourself to and from each session. You return to work, school, or your normal day immediately afterward — no chaperone, no recovery period, no integration block. Many patients schedule sessions during a lunch break.
Questions to ask on your consult call
Which TMS device do you operate? This clinic uses BrainsWay Deep TMS. For OCD, only BrainsWay Deep TMS H7 has standalone FDA clearance. For adolescents (15–21), only NeuroStar (since 2024) and BrainsWay (since 2025) hold the relevant clearances.
Which protocols are available? Standard 10 Hz rTMS is universal. Ask about iTBS (3-minute sessions, FDA-cleared 2018), Deep TMS (BrainsWay H-coil, FDA-cleared 2013–2025 across multiple indications), and accelerated TMS — particularly SAINT (Magnus-credentialed Stanford protocol, 50 sessions in 5 days, $19,703 CMS hospital reimbursement effective July 2025).
Do you handle prior authorization in-house? Ask about the clinic’s peer-to-peer review process and what their success rate is when the initial PA is denied.
Are you in-network with my insurer? Verify network status with BCBS, Aetna, Cigna, UnitedHealthcare, Anthem, Humana, Medicare Part B, or Tricare — and ask about cash-pay package discounts (typically 10–25% off rack rate).
What does maintenance look like after the acute course? Ask about tapering boosters (weekly × 3 → biweekly × 3 → monthly), PRN booster sessions for early symptom return, and whether they recommend continued antidepressant maintenance during and after TMS.
Frequently asked questions
How much does TMS cost at this clinic?
Cash-pay TMS sessions in Manhattan Beach, CA typically run $300 to $500 per session, with the full 36-session course costing $7,200 to $15,000. Premium-metro clinics (NYC, San Francisco, Los Angeles, Boston) charge 30 to 50 percent more. With insurance, copays typically run $0 to $250 per session depending on your deductible status; most patients with employer-sponsored PPO plans pay $500 to $3,000 out-of-pocket for a full course. Many independent clinics offer 10 to 25 percent package discounts for cash-pay patients. TMS is HSA- and FSA-eligible. Contact this clinic directly for their specific cash-pay rates and in-network status with your insurer.
Does insurance cover TMS at this clinic?
Most major commercial insurance plans (BCBS, Aetna, Cigna, UnitedHealthcare, Anthem, Humana), Medicare Part B, and Tricare cover TMS for treatment-resistant major depressive disorder. UnitedHealthcare typically requires 3 failed antidepressant trials; most other carriers require 2. Pre-authorization is mandatory across all major carriers. Coverage for off-label conditions (PTSD, fibromyalgia, bipolar depression, migraine) is rarely approved. Contact this clinic to verify in-network status with your specific insurer and to learn about their prior-authorization handling.
What is the “TMS dip” and will I experience it at this clinic?
The “TMS dip” is a patient-coined term for temporary worsening of mood or symptom intensification that some patients experience roughly mid-course (commonly between sessions 10 and 20) before clinical improvement begins. It’s not a sign that TMS is failing — it usually resolves with continued treatment. If you experience the dip, tell your clinician immediately. They may adjust intensity, frequency, or coil position. Importantly, dropping out before session 20 substantially reduces overall response rate. Patients who push through the mid-course dip generally have better outcomes than those who quit early.
Can I drive myself to and from sessions? Can I work the same day?
Yes. TMS requires no anesthesia, no sedation, and no IV access. Patients drive themselves to sessions, return to work, school, or normal activities immediately afterward, and need no chaperone or recovery period. This is the single largest patient-experience advantage TMS holds over ketamine therapy and ECT. Many patients schedule sessions on lunch breaks. The only post-session sensation is mild scalp tenderness for the first few sessions, which decreases substantially as scalp nerves desensitize.
Which TMS device does this clinic use, and why does it matter?
This clinic operates BrainsWay Deep TMS. The device determines what conditions can be treated on-label. For OCD, only BrainsWay Deep TMS H7 has a standalone FDA clearance. For adolescents 15–21, only NeuroStar (since March 2024) and BrainsWay (since November 2025) hold the relevant indications. Ask the clinic which device they operate before booking.
Does this clinic treat OCD with TMS?
Possibly — but only BrainsWay Deep TMS using the H7 coil holds a standalone FDA clearance for OCD (granted via the De Novo pathway in 2018). MagVenture’s Cool D-B80 has an OCD adjunct clearance. Standard NeuroStar (figure-8 coil) is not FDA-cleared for OCD. This clinic appears to use BrainsWay Deep TMS, which is the FDA-cleared device for OCD. The full OCD course is 29 sessions over 6 weeks with symptom-provocation protocols.
Do you treat adolescents (ages 15–21) with TMS?
The FDA has cleared TMS for adolescents 15 to 21 with major depressive disorder. NeuroStar received the first adolescent clearance in March 2024; BrainsWay Deep TMS followed in November 2025. There is no current FDA clearance for ages 12 through 14. Real-world evidence from NeuroStar’s clearance documentation cited 78 percent of treated adolescents achieving clinically meaningful improvement. Contact this clinic to confirm whether their device holds the adolescent indication and whether they treat patients in this age range.
Google Reviews
⭐ Beach area
Location
Beach, California
Address
1230 Rosecrans Ave., #300 Manhattan Beach, CA 90266
Treatment-Resistant Depression, Major Depressive Disorder with Suicidal Ideation
Cost
Contact clinic for pricing
Insurance
Contact clinic for details
KAP Available
Not specified
Clinical Lead
Contact clinic
Pacific Mind Health Manhattan Beach provides patients with debilitating mood disorders a chance to overcome their symptoms with transcranial magnetic stimulation (TMS) therapy. The clinic utilizes TMS therapy alongside other modern treatment modalities as a way to provide well-rounded care to those who have failed to respond to traditional medicines.
⚠ FDA-cleared indications for TMS therapy: treatment-resistant major depressive disorder (MDD), obsessive-compulsive disorder (OCD, Deep TMS only), anxious depression, short-term smoking cessation, and adolescent MDD (ages 15–21). Use of TMS for other conditions including PTSD, bipolar depression, fibromyalgia, and other indications is off-label — not currently FDA-cleared for those specific indications. Discuss your condition with the clinic to understand insurance coverage and clinical evidence.
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What People Like About Pacific Mind Health – Manhattan Beach, California
Innovative Treatments: We hear consistently about the state-of-the-art approaches at Pacific Mind Health. They offer rTMS, Spravato, and Ketamine therapy, which mark a significant advancement in mental health care.
Patient-Centered Care: Our patients appreciate the focusing lens on their individual needs. The team’s compassionate listening makes everyone feel understood and valued.
Highly Trained Staff: The dedicated team’s expertise shines through in reviews. With a blend of professionalism and genuine care, they stand out in the mental health field.
Positive Environment: The serene and welcoming setting of the Manhattan Beach location receives high marks. It makes visits comforting and something patients look forward to.
Effective Results: Testimonials often speak to the tangible improvements in mental health. Many have found a new lease on life thanks to the personalized care plans.
Comprehensive Services: From psychopharmacology to cutting-edge therapies, the range of services covers the full spectrum of mental health needs. This multipronged approach addresses the complexity of mental health challenges.
Community Outreach: Dr. Hill’s efforts to destigmatize mental health resonate well with patients and the wider community. His involvement in initiatives and educational resources reflects deeply on Pacific Mind Health’s mission.
Engaging in Wellness: Beyond treatment, the emphasis on overall wellness and education about mental health conditions provides a holistic approach. It empowers patients with knowledge and strategies for managing their well-being.
Accessibility: Located in the beautiful surroundings of Southern California, the convenience and appeal of the Manhattan Beach site are frequently praised. This accessibility makes regular visits less of a chore for those under care.
Each of these points contributes to the overarching sentiment that Pacific Mind Health is more than just a healthcare provider. It’s a beacon of hope and a source of strength for those navigating the challenges of mental health.
What People Don’t Like About Pacific Mind Health – Manhattan Beach, California
Despite the high praise, some clients have expressed concerns that shed light on areas where Pacific Mind Health could enhance its services. We’ve summarized these points to provide a balanced view:
Limited Insurance Acceptance:
Some patients find the limited range of accepted insurance plans frustrating.
This limitation can make treatments less accessible to a broader audience.
Wait Times for Appointments:
High demand leads to longer wait times for initial consultations.
This can delay the start of much-needed treatments for new patients.
Parking Challenges:
The Manhattan Beach location has limited parking options.
Patients often mention the struggle to find convenient parking spots.
Cost of Treatment:
Some treatments come with a high out-of-pocket cost.
Patients express concerns over affordability without comprehensive insurance coverage.
Overwhelmed Front Desk:
The front office staff sometimes appears overwhelmed during peak hours.
This can impact the efficiency of checking in and scheduling follow-up appointments.
A Little About PMH
The clinic’s highly-skilled support staff team is led by board-certified psychiatrist Dr. Joshua Flatow. He and the team take pride in offering forward-thinking treatment in a warm and compassionate environment.
By utilizing TMS therapy, the clinic can help as many as 75 percent of individuals heal from their afflictions. People interested in TMS therapy at Pacific Mind Health Manhattan Beach can fill out their online assessment form.
Spravato (esketamine) is the first FDA-approved nasal-spray antidepressant for treatment-resistant depression. It must be administered at a REMS-certified clinic with a two-hour monitoring window after each dose. Browse all REMS-certified Spravato clinics nationwide.
The Healing Maps Editorial Team has decades of experience across all facets of the psychedelic industry. From assessing studies and clinic research, to working with clinician's and clinics, we help provide data-backed information to psychedelic-curious individuals across the globe.
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