Active NPI
Refresh Psychotherapy, LCSW, PLLC
- Clinical Social Worker
- Brooklyn, NY
National Provider Identifier
1831689603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- REFRESH PSYCHOTHERAPY, LCSW, PLLC
- Practice address
- 159 20TH St Ste 1B
Brooklyn, NY 11232-1254 - Phone
- (646) 685-4499
- Fax
- (516) 218-7964
- NPI assigned
- May 16, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Keeley Teemsma, LCSW
- Title
- Ceo
- Phone
- (646) 685-4422
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
159 20TH St Ste 1B
Brooklyn, NY 11232-1254
Mailing address
159 20TH St Ste 1B
Brooklyn, NY 11232-1254
Phone (646) 685-4422
Other practice location 1
42 Broadway Fl 12
New York, NY 10004-3892
Phone (646) 685-4499
Other practice location 2
14 Wall St Fl 20
New York, NY 10005-2123
Phone (646) 685-4499
Other practice location 3
140 Broadway Fl 46
New York, NY 10005-1155
Phone (646) 685-4499
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://refreshtherapynyc.clientsecure.me | Other |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526428800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1610582400000",
"number": "1831689603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "159 20TH ST STE 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321254",
"telephone_number": "646-685-4422",
"fax_number": "516-218-7964"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "159 20TH ST STE 1B",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112321254",
"telephone_number": "646-685-4499",
"fax_number": "516-218-7964"
}
],
"practiceLocations": [
{
"address_1": "42 Broadway Fl 12",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100043892",
"country_code": "US",
"telephone_number": "646-685-4499",
"fax_number": "516-218-7964",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "14 Wall St Fl 20",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100052123",
"country_code": "US",
"telephone_number": "646-685-4499",
"fax_number": "516-218-7964",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "140 Broadway Fl 46",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100051155",
"country_code": "US",
"telephone_number": "646-685-4499",
"fax_number": "516-218-7964",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "REFRESH PSYCHOTHERAPY, LCSW, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-05-16",
"last_updated": "2021-01-14",
"certification_date": "2021-01-14",
"status": "A",
"authorized_official_last_name": "TEEMSMA",
"authorized_official_first_name": "KEELEY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "646-685-4422",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://refreshtherapynyc.clientsecure.me",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "EHR",
"address_1": "159 20th St Ste 1B",
"city": "Brooklyn",
"state": "NY",
"country_code": "US",
"postal_code": "112321254",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.