Meet our providers

Our team of dedicated professionals are here to provide the best care available.


Bruce Hubbard, M.D.
Medical Director

Dr. Hubbard's career in psychiatric medicine spans over thirty years. He has practiced all aspects of psychiatry with his current focus being psychopharmacology.

Dr. Hubbard began his professional training at Vanderbilt University School of Medicine in Nashville, Tennessee, graduating with his doctorate in medicine in 1972. He then continued his training at the University of California School of Medicine, Department of Psychiatry, where he completed his internship and residency training in psychiatry in 1975 and was chief resident in psychiatry.

Following his residency training, Dr. Hubbard held a full-time faculty position in the Psychiatry Department at University of California at San Diego (UCSD), where he specialized in teaching, research and managing an inpatient unit at the La Jolla Veterans Administration Hospital.

In 1979 Dr. Hubbard entered private practice of psychiatry full time in San Diego and has been in practice continuously since that time.

Throughout his career, Dr. Hubbard has been the recipient of many honors and awards, the most recent being named Distinguished Fellow of the American Psychiatric Association in 2003. He has continued his teaching activities in the field, including supervising residents in psychiatry at UCSD, and is currently teaching a course in psychopharmacology for counselors at Bethel Seminary.

During his career Dr. Hubbard has held various offices including Chief of Staff at Alvarado Parkway Institute, and for the past four years, has been active on the Council of the San Diego Psychiatric Society.

In addition to his professional activities, Dr. Hubbard participates in public service endeavors including serving as president of the board of directors for Quail Botanical Gardens in Encinitas. Dr. Hubbard resides in North San Diego County where he pursues hobbies of horticulture and cooking.


Ann Wycoff, Ph.D.
Practice Director and Psychotherapist

Dr. Wycoff has practiced as a psychologist for 23 years treating teens, young adults, and adults. Her specialties include: anxiety and depression, marital and family issues, adjustment to life transitions, gender and identity issues, women's issues,  career issues, and increasing efficiency at work. Dr. Wycoff also conducts psychological testing and assessment.  Dr. Wycoff uses cognitive-behavioral therapy and other treatment modalities.

Dr. Wycoff's philosophy: A client can't change and grow before he or she feels understood. The better a therapist listens and fully understands what a client is feeling and why, the more the client will be open to change.  Feelings need to be fully expressed and accepted by both the client and therapist before a client can move forward to form new, healthier thought patterns and behaviors that bring fulfillment, happiness and peace.

Dr. Wycoff  received her Ph.D. from Alliant University in San Diego, CA.  She performed a post-graduate internship at Alvarado Parkway Institute, an inpatient psychiatric treatment facility.   Dr. Wycoff is licensed as a Psychologist in California and Colorado.

"Depression runs in families and it ran in mine so I know firsthand how it feels and what it does to the soul.  I also know how to break free of it. My lifelong goal has been to understand and treat depression because so many people suffer needlessly. Of all of the many treatments for depression: Cognitive Behavioral Therapy, medication, identifying personal triggers, etc. I have seen none as powerful as TMS. And when combined with treatments above, the results are even more powerful. Dr. Hubbard and I have assembled this exceptional  staff so that we can help as many people as possible break out of debilitating depression and experience the joy of being alive."



Rizwan Khan, PAC

Rizwan Khan, PAC has joined our practice as a psychiatric physician assistant (PA) under the direction of Dr. Bruce Hubbard. He has been a PA since 2009, having recently relocated to San Diego from Seattle in November, 2017. Rizwan has worked in the mental health field for the last ten years since graduating from University of Washington Medical School.  Rizwan fluently speaks English, Hindi, Urdu and Punjabi.   Rizwan believes that every patient has their own personal dynamics and challenges. A medication that works for one patient may not work for another with the same diagnosis.  Listening to each individual's needs and taking into consideration their unique biochemistry, family history, coping skills, and life circumstances is vital to achieving success.

Meet our dedicated staff


Keoni Butler
TMS Treater

I am an undergraduate student at UCSD, majoring in Clinical Psychology. I hope to be a psychologist in this practice one day. Outside of school, I work as a TMS Technician/Treater. When I first started working here one year ago, I never thought it would have impacted me the way it has. I have seen lives change, depression fade, and a new appreciation for life result from TMS. I am proud to have been a part of many people’s journeys.


Katie Berk
Front Desk

It is meaningful to me when I see patients come in and just smile and tell us that they are doing great and in a better place because of our office! It brings great joy to know we have a great impact on each one of you!


Paulina Ruiz
Front Desk

I studied medical office administration. I am really thrilled to be working at Dr. Bruce Hubbard's office. One of the things I love about working here is getting to know and help patients. In my spare time I like to go canoeing.


Mister Ringo
Office Dog

Although Mister Ringo is the official greeter, he can be over enthusiastic at times, so he spends most of his day in Dr. Wycoff's office. (He is hypoallergenic and does not shed.)


The Philosophy that Drives this Practice

Dr. Hubbard has successfully treated thousands of patients with medicine. He is considered an expert diagnostician and one of the best in the field. Thirty years after starting his practice, he is now treating the adult children of many patients who started with him in the 1970’s. He treats individuals at every economic level and occupation and accepts Medicare and most private insurances. Feel free to call our office to check whether we take your insurance.

Dr. Hubbard brings the same high-quality expertise and compassion to each patient, no matter what their circumstances. Two of his strengths are his non-judging acceptance of each individual and his ability to find common ground with everyone ranging from the chronic pain patient who is unable to work to the anxious, bipolar or ADHD patient who feels their life is out of control.

Dr. Hubbard takes great joy in observing the ongoing progress in the patients he’s treated for years, and is excited to get to know the ones he meets for the first time. He is driven by the opportunity to help someone who would otherwise struggle through life.

Many patients are helped immediately by the correct diagnosis, medication and dosage. Some situations are more complex and require more exploration leading to the right medication or combination of medications, and others do best with a combination of the right medicine and psychotherapy to bring stability and peace to their lives. Some no longer need medication after they experience the positive effects of psychotherapy. Still others do not need medication and can be helped by psychotherapy alone.

Dr. Hubbard refers the patients who will benefit from psychotherapy to Dr. Ann Wycoff or to another psychotherapist who he feels is the right fit for an individual’s unique personality and circumstances. Dr. Hubbard works with many psychologists, social workers, and counselors who he feels are the best in the field.

Dr. Hubbard treats substance abuse, depression, anxiety, bipolar disorder, schizophrenia, chronic pain, insomnia, ADHD, and many other diagnoses.

Life is complex and challenging for everyone at some stage in their life. Some people move through challenging periods fairly easily, some struggle at times and need help to get back on track, and some, due to genetics or life events that are beyond their control, struggle in their day to day lives just to get through each day. This is tragic, as science and the profession of psychiatry have progressed so far that much of this pain is unnecessary.

The unnecessary pain can be caused by some of the following reasons: lack of access to adequate treatment, shame that causes an individual to feel responsible for their pain, fear that seeking treatment shows weakness, mismanagement of medication due to a misdiagnosis by a prior practitioner, a belief that they can’t be helped, a loss of trust in the field due to inadequate care, or lack of resources.

Our Story

Dr. Hubbard grew up in Wheeling, West Virginia. His dad was an engineer and his mom was a warm and nurturing homemaker and school teacher who was well loved by everyone. At a young age he realized he loved two things: people and science. For this reason, he majored in psychology. He attended West Virginia University majoring in psychology. He then attended medical school at Vanderbilt University.

After completing a psychopharmacology and research internship at Vanderbilt Medical School, he decided to become a psychiatrist because he was fascinated by how the brain worked and how emotions, behavior and brain circuitry were interconnected. After graduating from medical school he moved to San Diego to complete his internship in medicine and his residency in psychiatry at University of California, San Diego. Following his completion of his training, he remained full time on the faculty at UCSD, School of Medicine. He taught general psychiatry and psychopharmacology at UCSD for three years.

He started his own private practice in 1979 and has practiced ever since and has continued to teach at the Medical School. He is passionate about his work and his greatest reward is “seeing my patients get better.” Seeing his patients enjoy life again and continue to thrive is why he loves coming to work and why he will practice for many more years.

Dr. Hubbard hired Kathy Davis as his receptionist and office manager in 2001. Kathy has played a pivotal role in the success of the practice. Patients immediately know she genuinely cares about them, and that is an important part of emotional health. Please read the testimonials on the site (taken from Google), and you will understand what Kathy brings to the practice.

Dr. Hubbard’s practice is extremely busy and Kathy was turning away many patients per week. In 2018 Dr. Hubbard decided to add Rizwan Khan, an experienced physician assistant to the practice because he was impressed with Riz’s disciplined diagnostic and treatment skills, his warmth, and his kind and compassionate rapport with patients.  Patients have the choice of seeing either Dr. Hubbard or Rizwan Khan for treatment.

Dr. Hubbard co-treated patients in a psychiatric hospital with Dr. Ann Wycoff starting in the late 1980’s. He was impressed with Dr. Wycoff’s treatment skills, intuitive understanding and warm connection with patients, and her professionalism. They also worked as a team on forensic examinations in civil court cases. With Dr. Wycoff, Dr. Hubbard co-treats patients who will benefit from the combination of medication therapy and psychotherapy, or he refers them to her (or other psychologists) for psychotherapy alone. A patient whose psychiatrist and psychologist are in the same office can reap the benefits of frequent collaboration and communication between both doctors, which can facilitate treatment. Over time, the patient may no longer need both therapy and medication. The goal is to use one to enhance the effectiveness of the other.

One of the most rare and valuable skills of our staff is the ability to obtain timely pre-authorizations for medicines from insurance companies. This skill facilitates patients getting the medication they need sooner, with less hassle. We understand that when you are not feeling your best, trying to navigate the complicated procedures of insurance companies can be overwhelming. All of our staff also bring a dedication to patient care, amazing attention to detail, and a love of technology which we all appreciate.