Organization Active NPI

Refresh Psychotherapy, LCSW, PLLC

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1831689603
Registry record updated Jan 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Jan 14, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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

TypeEndpointUseAffiliation
CONNECT URL https://refreshtherapynyc.clientsecure.me Other

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.