Online Speech Therapy & Occupational Therapy for Kids Across California
Personalized pediatric teletherapy with a California-licensed SLP and OT, right from home.
As of October 2026, we can start an evaluation within 3 business days of your free call. Your child’s first session can be as soon as 5 days after you call, for in-home and telehealth. On request, an evaluation can also take place in a private office on Townsgate Road (Westlake Village).
Or call or text (805) 702-3427
California licensed · Pediatric only · Ages 0 to 18 · Private pay + superbills
Start With a Free 15-Minute Call
The call is free and takes about 15 minutes. Tell us a little about your child. A licensed therapist will personally follow up.
Thank you. We have your details.
A licensed therapist will reach out within one business day. If you have a minute now, these answers help us match you with the right therapist before we call.
Your message goes directly to our licensed founders.
Therapy Clubhouse provides online speech therapy and occupational therapy for children throughout California. Care is delivered by a California-licensed pediatric SLP and OT through live video, with parent coaching and individualized treatment plans. Every family starts with a free 15-minute consultation with a licensed therapist.
What Kind of Support Are You Looking For?
The support you are looking for is either speech therapy, for talking and understanding, or occupational therapy, for motor, sensory and daily-living skills.
Speech Therapy
- Speech delays and late talking
- Articulation and speech clarity
- Language development
- Stuttering and fluency
- Social communication
Occupational Therapy
- Sensory regulation
- Fine motor skills
- Handwriting
- Motor planning and coordination
- Daily routines and self-care
Not sure what your child needs? That is exactly what the free consultation is for.
Speech Therapy, Occupational Therapy, or Both? Start With What You Are Noticing
Tap the line that sounds most like your child. This is recognition, not a diagnosis. An evaluation by a licensed therapist is how you actually find out.
Speech clarity is core speech-language therapy. Patterns like these can reflect articulation or phonology needs, and an evaluation is how you find out. See speech therapy or book your free consult.
Late talking is something a speech evaluation can look at. A speech evaluation tells you where things stand and what to do next. See speech therapy or book your free consult.
Fine motor skills like these are core occupational therapy work, and they can respond well to coaching in the place your child actually uses them. See occupational therapy or book your free consult.
Patterns like these can reflect sensory processing differences. Our occupational therapist helps children regulate, in the home where the big feelings happen. See occupational therapy or book your free consult.
A child may benefit from speech and OT working together. Ours literally plan together, because both founders run this practice side by side. How the two work together or book your free consult.
That is exactly what the free 15-minute consultation is for. A licensed therapist listens to what you are noticing and gives you an honest read, no obligation. Book the free consultation, or take our free 2-minute milestone check first.
Not ready to talk to anyone yet? Our free 2-minute milestone check walks you through what is typical at your child’s age, using the CDC’s milestones, and tells you whether it is worth a conversation.
Speech Therapy and Occupational Therapy Services We Provide by Telehealth
Both disciplines, from the same practice, with the two therapists talking to each other about your child.
Pediatric Speech-Language Therapy
Late Talkers and Early Language Delay
Building first words, growing vocabulary, and coaching you through the everyday moments where language actually develops.
Articulation and Speech Clarity
Sounds that are hard to produce, including R, S, L, and TH, and speech that strangers struggle to understand.
Stuttering and Fluency
Bumpy, repeated, or blocked speech, plus practical strategies for the moments your child finds hardest.
Receptive Language and Following Directions
Understanding what is said, following multi-step directions, and answering questions.
Social Communication
Back-and-forth conversation, joining play, and repairing a conversation that has gone off track.
AAC and Device Support
Using pictures, signs, or a speech device alongside spoken words, and training the whole family to use it.
Pediatric Occupational Therapy
Handwriting and Fine Motor Skills
Pencil grip, letter formation, drawing, cutting, and the hand strength that sits underneath all of it.
Sensory Processing and Regulation
Children who seek constant movement, avoid certain textures or sounds, or struggle to come back down once they are upset.
Daily Living and Self-Care Skills
Dressing, buttons and zippers, shoes, mealtimes, and the routines that make mornings and bedtimes hard.
Attention, Focus, and Executive Function
Starting a task, staying with it, switching between activities, and handling a change of plan.
Coordination and Motor Planning
Body awareness, balance, using both hands together, and learning new physical skills.
Home Setup and Parent Coaching
Practical changes to the spaces where your child eats, sleeps, plays, and does homework, in your actual home rather than a clinic gym.
If you have been waitlisted for pediatric OT specifically, that is the call we would most like to get. You can see the full picture of what we treat across speech and OT on our services page. If you are further along, read how our pediatric speech and language evaluations and occupational therapy evaluations work.
How to Start Speech or Occupational Therapy
Free 15-Minute Consultation
You tell us what you are noticing. We tell you honestly whether an evaluation makes sense and whether telehealth suits your child.
Evaluation
A licensed therapist works with your child over video and builds a picture of what is going well and what is hard. Findings explained in plain language.
Your Individualized Plan
Goals you helped choose, live video sessions on a set schedule, and specific things to try during the week.
What You Need at Home for Telehealth Therapy
What you need at home is a laptop, tablet, or computer with a camera, a home internet connection, and a quiet-ish spot where your child can sit or move safely. A bigger screen helps. If you are not sure your setup will work, you can mention it on your free call.
An Individualized Plan, Built Around Your Child
No fixed curriculum, no one-size protocol. If therapy is recommended after an evaluation, your child gets a plan written for them, and it changes as they change.
Goals you helped choose
After the evaluation we sit down with you and agree on what matters most to your family right now. If the goal that matters is being understood at preschool drop-off, that is the goal we write, not a generic milestone from a textbook.
Built for your actual home
Your therapist sees the kitchen, the bedroom, the toys your child already loves. The plan uses those, so what happens in the session is the same as what happens on the other days of the week.
Reviewed, not set and forgotten
Goals get revisited as your child progresses. If something is not working, we change it and tell you why. You will always know what we are working on and how we know it is moving.
Speech and OT that actually talk to each other
When a child sees both a speech therapist and an occupational therapist at two different practices, the two plans may not meet. Here, Nita and Rachel are co-founders of the same practice. If your child sees both, the two plans are built together, and a sensory strategy that helps your child stay regulated shows up in the speech session too. Read more about how we measure progress.
What Parents Say About Therapy Clubhouse
Every review below is a real, named Google review from a family we have treated. Our practice is based in Westlake Village, and telehealth is how the same two founders now see families across the rest of California. Click any card to read it on Google.
“I rarely write reviews but I had to write one for Therapy Clubhouse. We had the pleasure of working with the speech therapist Nita. You can truly feel her empathy and the genuine care she has for every child she works with. She is patient, kind, and makes every session feel warm and encouraging.”
vana manukyan5 stars · Google review“Our 4-year-old son was struggling to express himself clearly and would often become frustrated when we could not understand him. His therapist has been patient, warm, and genuinely knows how to keep him engaged through play. We have already noticed a meaningful improvement in his communication and confidence.”
Faraz Farahnik5 stars · Google review“Rachel is attentive, patient, and intentional in how she works with our child. She takes the time to understand what is actually challenging day to day, explains her recommendations clearly, and gives us practical strategies we can use at home between sessions.”
Michelle Zohar5 stars · Google review“My daughter has made incredible progress at Therapy Clubhouse. The speech therapist was patient, engaging, and made every session fun while giving us practical strategies to use at home.”
isabella Kats5 stars · Google review“I feel so grateful to have found Therapy Clubhouse! Nita is an incredible and insightful speech language pathologist. She truly cares about her clients. I cannot recommend this practice enough!”
Brittany Schoellkopf5 stars · Google reviewRated 5.0 on Google by the families we have treated.
Both founders are named personally in these reviews, because both founders still treat children themselves.
See all reviews on Google“I rarely write reviews but I had to write one for Therapy Clubhouse. We had the pleasure of working with the speech therapist Nita. You can truly feel her empathy and the genuine care she has for every child she works with. She is patient, kind, and makes every session feel warm and encouraging.”
vana manukyan5 stars · Google review“Our 4-year-old son was struggling to express himself clearly and would often become frustrated when we could not understand him. His therapist has been patient, warm, and genuinely knows how to keep him engaged through play. We have already noticed a meaningful improvement in his communication and confidence.”
Faraz Farahnik5 stars · Google review“Rachel is attentive, patient, and intentional in how she works with our child. She takes the time to understand what is actually challenging day to day, explains her recommendations clearly, and gives us practical strategies we can use at home between sessions.”
Michelle Zohar5 stars · Google review“My daughter has made incredible progress at Therapy Clubhouse. The speech therapist was patient, engaging, and made every session fun while giving us practical strategies to use at home.”
isabella Kats5 stars · Google review“I feel so grateful to have found Therapy Clubhouse! Nita is an incredible and insightful speech language pathologist. She truly cares about her clients. I cannot recommend this practice enough!”
Brittany Schoellkopf5 stars · Google reviewRated 5.0 on Google by the families we have treated.
Both founders are named personally in these reviews, because both founders still treat children themselves.
See all reviews on GoogleMeet the California Clinicians Behind Your Child’s Care
Therapy Clubhouse was founded by two clinicians who still treat children themselves.
Nita earned both her Bachelor of Science and Master of Science in Communicative Disorders and Sciences from California State University, Northridge, and holds her Certificate of Clinical Competence through the American Speech-Language-Hearing Association.
Her clinical experience spans early intervention, private practice, and school-based settings, working with speech sound disorders, social communication challenges, autism spectrum disorder, and developmental delays. Her background in early childhood education and Applied Behavior Analysis shapes how she supports younger children.
She is also a mother, which is why she tends to answer the question behind the question parents are asking.
Rachel earned her Master of Arts in Occupational Therapy from the University of Southern California and holds USC’s certification in sensory integration, which shapes the way she evaluates and treats every child she works with.
She is a Registered and Licensed Occupational Therapist, certified by the National Board for Certification in Occupational Therapy and licensed by the California Board of Occupational Therapy. Her experience spans early intervention, in-home therapy, and clinic-based pediatric care.
She works across sensory processing differences, fine and gross motor delays, and motor planning and coordination.
More about both founders and how the practice started is on our about page.
Does Online Speech and Occupational Therapy Actually Work for Children?
Yes, online speech and occupational therapy can work for children. It is a fair question, and one worth answering with a source rather than a reassurance.
“Telepractice is an appropriate model of service delivery for audiologists and speech-language pathologists.” The same guidance adds that telepractice “should be of equal quality to services provided in person.” American Speech-Language-Hearing Association, Telepractice Practice Portal
Practice happens where it counts
Skills get worked on in the room where your child needs them. Your kitchen table, your child’s real toys, your actual morning routine.
You are in the session
You see what the therapist does and why. That gives you ideas to use between sessions.
Nothing is lost to traffic
No drive, no waiting room, no sibling dragged along. That can make it easier to keep therapy consistent.
How common is this, really
Speech and language differences are common: about 1 in 14 US children ages 3 to 17 has one. The national figures below put what you are noticing in context.
Figures from the National Institute on Deafness and Other Communication Disorders and the Centers for Disease Control and Prevention. These are national figures, not our results. They are here for one reason. If you are wondering whether what you are noticing is common, these figures may help.
How to Pay for Telehealth Speech and Occupational Therapy
You can use insurance through Village, or you can pay privately with a superbill.
Private pay • Superbills for possible out-of-network reimbursement • Rates shared at your free consultation, before you commit to anything.
Private Pay and Superbills
Paying privately for telehealth therapy is straightforward. We provide a superbill so you can request out-of-network reimbursement from your insurance. We will give you the current rate for evaluations and sessions on your consultation call, before you commit to anything.
Regional Center and Early Start
Therapy Clubhouse is a contracted provider with Tri-Counties Regional Center for Early Start. Tri-Counties covers Ventura, Santa Barbara, and San Luis Obispo counties only. If you live elsewhere in California, Early Start for your area is coordinated by your own regional center or school district. Full detail is on our insurance and payment options page.
We ask for at least 24 hours notice to cancel or reschedule. A session can move to a different time rather than be lost.
How Long Is the Wait for Pediatric Speech Therapy or Occupational Therapy?
As of October 2026, there is no waiting list here for telehealth speech therapy or occupational therapy. We are a California-licensed pediatric practice offering speech-language therapy and occupational therapy by live video to families anywhere in the state.
The reason is simple. Clinic waitlists exist because a clinic has a fixed number of treatment rooms and therapists can only drive so far. Telehealth removes both limits.
If you are not sure whether what you are seeing warrants a call, our free developmental milestone check takes about two minutes.
What happens when you contact us
You get a free 15-minute consultation with a licensed therapist rather than a scheduler.
If we think an evaluation makes sense, we book it. If we think your child needs something we do not provide, we say so and point you to who does.
Why Pediatric Therapy Waitlists Can Get Long
A clinic can only run as many sessions as it has rooms and hours. In-home therapy adds a second limit, because drive time between families eats into the hours a therapist can actually treat. Both of those constraints are about buildings and traffic, not about your child.
Telehealth removes them. A therapist working by live video can see a family in Redding and a family in San Diego on the same afternoon, with no room to book and no drive between them.
When Telehealth Therapy Is a Strong Fit, and When It Is Not
Telehealth is a strong fit when your child can sit with an adult for short stretches and you can be nearby, and a weaker fit when hands-on motor or feeding work is the main goal.
A Strong Fit If
- Your child can sit with an adult for short stretches, with support
- You can be nearby, at least at the start of each session
- You live far from a pediatric clinic, or the closest one has a long wait
- Your child does better in familiar surroundings
- You want to learn what to do between sessions
- Getting to a clinic every week is the thing that keeps falling apart
We Will Tell You If It Is Not
- Feeding and swallowing concerns may need hands-on assessment first
- Some sensory and motor work needs equipment and physical support
- A child who cannot yet stay near a screen may need in-person sessions to start
- If a medical or hearing evaluation should come first, we will say so
- If a local in-person provider is the better answer, we will tell you that too
Telehealth is only worth choosing if the format actually suits your child, and we would rather say so on the first call than three sessions in.
Where We Provide Telehealth Therapy in California
Telehealth helps different families differently. In Los Angeles and Orange County it removes the commute. In the Bay Area it can help when local waits are long. In Sacramento and the Central Valley it opens access to pediatric specialists. In rural Northern California it may be the only realistic way to see a pediatric occupational therapist at all. In San Diego and the Inland Empire it makes scheduling around school and work far easier. If your child is physically located in California during the session, we can likely help.
California Licensure and Where Your Child Needs to Be
Nita holds California speech-language pathology license 38532 and her ASHA Certificate of Clinical Competence. Rachel is a Registered and Licensed Occupational Therapist, NBCOT certified and licensed by the California Board of Occupational Therapy. That is what lets us see families across the state, from San Diego to the Bay Area to the far north.
Your child needs to be physically located in California during the session. That is how licensure works for telehealth. The professional guidance is that the child’s location counts as the place of service. So the therapist has to be licensed in the state where the child actually is. If your family moves out of state or travels, tell us and we will pause rather than see your child somewhere we are not licensed.
In-Person Care
You can check on our Areas We Serve page whether we visit homes in your town. Our Westlake Village clinic at 2535 Townsgate Road opens on December 1, 2026. If we visit homes in your town, you can switch between home visits and telehealth any time.
Questions Parents Ask About Online Speech and Occupational Therapy in California
Can my child receive speech therapy online in California?
Yes. Therapy Clubhouse provides online pediatric speech therapy to children who are physically located in California during their session, delivered by a California-licensed speech-language pathologist. Care starts with a free 15-minute consultation.
Can pediatric occupational therapy be done online?
Yes. Pediatric occupational therapy can be delivered by live video for many needs, including fine motor skills, handwriting, sensory regulation, and daily routines. Our California-licensed occupational therapist coaches you and your child in the spaces where those skills are actually used.
How much does online speech therapy cost in California?
You can pay privately for online speech therapy at our practice, and we provide a superbill you can submit to your insurance for possible out-of-network reimbursement. We tell you the current evaluation and session rates on your free consultation call, before you commit to anything.
Does insurance cover online speech therapy in California?
Coverage depends on your plan. You can use insurance through Village, or pay privately and use our superbill to request possible out-of-network reimbursement from your plan. We are a contracted Early Start provider with Tri-Counties Regional Center, which covers Ventura, Santa Barbara, and San Luis Obispo counties only.
Is there a waiting list for speech therapy and OT?
As of October 2026, telehealth speech therapy and OT have no waiting list.
How quickly can my child actually start?
The evaluation takes place within 3 business days of your free call, and the first session can be as soon as 5 days after the call, before the written report. After that the pace is set by the evaluation and by what times suit your family. Call or text and we will give you a real date rather than a hopeful one.
Is there a waitlist for occupational therapy specifically?
As of October 2026, telehealth occupational therapy has no waiting list. Occupational therapy over video starts the same way as speech therapy, with a free 15-minute consultation.
Who will actually be treating my child?
Nita Anavim, our co-founder and speech-language pathologist, provides speech therapy. Rachel Yashouafar, our co-founder and occupational therapist, provides occupational therapy. A child sees the same therapist at every session. Both founders still treat children directly, which is why they are named personally in our reviews.
Is every child’s plan the same?
No. Goals are written after an evaluation, agreed with you, and reviewed as your child progresses. If your child sees both a speech therapist and an occupational therapist here, the two plans are built together.
My child will not sit still. Will this even work?
Telehealth can work for children who will not sit still. A pediatric telehealth session is not a child sitting quietly at a screen for an hour. Our therapists move the session around your home, use your child’s own toys, and coach you through activities.
Do I need to be there for the whole session?
Yes, for younger children you need to be there for the whole session, and that is a feature rather than a chore. Much of the value is you learning what to do during the rest of the week. For older children, how much you take part depends on their age.
What ages do you work with?
We work with children from birth to 18. The format changes a lot with age. For a toddler, the session includes coaching you. For an eight-year-old it looks much more like a direct session with the therapist.
Can you diagnose my child over video?
No, a medical diagnosis is not something we give over video, but a licensed therapist can evaluate your child’s speech, language and occupational therapy needs. Some questions need a doctor, an audiologist, or an in-person assessment. If we think your child needs one of those first, we will say so and help you get there.
Will you work with my child’s school or IEP?
With your written consent, our team can speak with your child’s school. A family may want private therapy goals to line up with an IFSP, IEP, or 504 Plan. Our parent FAQ covers more of the questions families ask before starting.
What if we live outside California?
Families outside California cannot be seen by our therapists, because our licenses are California licenses. A therapist has to be licensed in the state where the child is physically located during the session. If you reach out from another state we will tell you straight away rather than book you in.
Start Speech or Occupational Therapy
A licensed therapist reads every message, not an assistant, and replies within one business day. Your free 15-minute consultation gives you an honest answer about whether an evaluation makes sense. If we are not the right fit, we will tell you and point you elsewhere.
Telehealth is available to families located anywhere in California. We are not able to see children who are physically outside the state during sessions.
