Fresh Start Relational Therapy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FRESH START RELATIONAL THERAPY

Practice address

430 Park Ave
New York, NY 10022-3505

Phone

(646) 598-4575

NPI assigned

Aug 22, 2022

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Aquandalla DavisNPI 1013688928

Title

Licensed Marriage and Family Therap

Phone

(347) 394-9283

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aquandalla Davis

  • Marriage & Family Therapist
  • New York, NY
  • NPI 1013688928
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1661126400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661126400000",
    "number": "1023736352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15511 115TH AVE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114341007",
            "telephone_number": "347-394-9283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223505",
            "telephone_number": "646-598-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESH START RELATIONAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-22",
        "last_updated": "2022-08-22",
        "certification_date": "2022-08-18",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "AQUANDALLA",
        "authorized_official_title_or_position": "LICENSED MARRIAGE AND FAMILY THERAP",
        "authorized_official_telephone_number": "347-394-9283",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxim Frenkel, M.D.
• Renata Frenkel, MD
• Thomas Henry Frenna, M.D.
• Lara Frenz, MSW
• Fresh Start Marriage and Family Therapy, PLLC
• Freshest Smiles LLC
• Freshpathny
• Briana Freso
• Steven Fressola, LCSW
• Dale Errol Frett, LMSW

• Mental Health Clinic/Center (Including Community Mental Health Center) in New York, NY
• Providers in New York, NY by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.